Application To Register By Qualification Securities Pursuant To Section 1707.09 {9}

Form 9 Application to Register by Qualification Securities Pursuant to Section 1707.09 of the Revised Code of Ohio File Number Registrant Must Not fill In. DIVISION RECORD ONLY Date Checked By Notation Fee ($100 Received) Examin ation expenses ($ ) received Qualification fee ($ ) received Prior registrations checked Examined as to form Assigned for examination Division Order (Application Refused or Granted) Re cord Made Registration withdrawn Registration amended Registration suspended Examination requested Prior Registration (Registrant Must Not Fill In.) (Section) (File) (Date) (Amount) (Description) (Pr ice) This Registration (Registrant Must Not Fill In.) (Section) (File) (Date) (Amount) (Description) (Price) Division of Securities 77 South High Street 22 nd Floor Columbus, Ohio 43215 COM 4598 4/11 / 19 An Equal Opportunity Employer and Service Provider 614 - 644 - 7381 Fax : 614 - 728 - 2846 Investor Protection Hotline: 877 - 683 - 7841 TTY/TDD : 800 - 750 - 0750 com.ohio.gov American LegalNet, Inc. www.FormsWorkFlow.com Ohio Dep artment of Commerce FORM 9 1. Name of issuer 2. Principal place of business of issuer ( Number, Stree t ) (City, State, Zip) 3. The issuer is: (State whether individual, partnership corporation, syndicate, association, etc.) 4. The issuer was incorporated or organized on the day of under the laws of (Month, Y ear) (State ) 5. Correspondence relative to this report should be addressed to: (Name) (Number & Street) (City, State, Zip Code) (Phone No.) 6. The following are the names and business addresses of all officers, directors, promoters, trustees, partners, or ot her managers of the issuer: Name Business Address City State 7. The purposes and general character of the business actually being transacted or to be transacted by the issuer are: 8. The Articles of Incorporation or other similar document of the issuer authorize the issuance of the following securities: Amount Description 9. The issuer has the following securities outstanding: (Including all classes of stock, bonds, debentures, promissory notes, or other securities.) Amount Description American LegalNet, Inc. www.FormsWorkFlow.com Ohio Department of Commerce FORM 9 10. The securities sought to be qualified for sale in Ohi o are: Amount Description 11. The entire issue of such securities to be sold both in Ohio and e lsewhere is: Amount Description 12. List States other than Ohio in which the securities will be sold. 13. The proceeds of the sale of the securities described in Items 9 and 10 will be used for the following itemized purposes: 1 4. The securities are to be offered in Ohio through the following licensed dealer or dealers: Ohio Dealers License Nos.: 15. The price per unit at which the securities described in Items 9 and 10 will be offered to the public is: 16. The following is a statement of the aggregate net amount to be received by the issuer after deducting all commissions, remuneration or discounts to be received, directly or indirect ly, by persons distributing or participating in the sale of such securities and after deducting all other expenses of the offering: Aggregate price at which all such securities will be sold: ...................... $ Less total commissions, discount or other remuneration: ....................... $ Less total of all other expenses of offering : ................................ .......... $ Aggregate price of such securities to be sold in Ohio: ........................... $ American LegalNet, Inc. www.FormsWorkFlow.com Ohio Department of Commerce FORM 9 17. Attached hereto and made a part hereof are the following e xhibits: A. A copy of: (1) if the issuer is a corporation, the Articles of Incorporation, Code of Regulations or By - Laws including all amendments thereto; (2) if the issuer is a trust or trustee, all instruments by which the trust was declared and the rights of beneficiaries and duties of trustees are governed; (3) if the issuer is a partnership, unincorporated association or any other form of organization, the Articles of Partnership or association and all other similar instruments governing the rights and liabilities of partners and members. B. A statement containing complete information regarding the business experience of all officers, directors, promoters, trustees, partners or other managers of the issuer during the past five years, including th e names and addresses of the firms with which such persons were connected and the positions held by each. C. promoter, trustee, partner or other manager; (2) amount actually received by the issuer for such securities and whether in cash, real estate, personal property, patents, services or other consideration; (3) amount of compensation, salary or other remuneration received or to be received by each of such p ersons and the time actually devoted by each to the business of the issuer; (4) if any such person is to receive a commission, discount or other remuneration in connection with the sale of the securities sought to be qualified, the amount thereof. D. A statement containing the name and address of each person owning beneficially at the date of this E. Incorporated issuers not domiciled in this state or unincorporated issuers having a situs of its principal place of business outside this state much file a Form 11 or Form U - 2. F. A copy of the corporate, partnership, or other form of organization Resolution whereby the securities sought to be qualified are authorized or created and whereby the same are to be sold and issued. (Form U - 2A, if applicable.) G. Copies of: (1) all indentures, agreements, or other instruments under which any securities of the issuer are issued; (2) all contracts or other instruments pertaining to the sale of th e securities for which qualification is sought; (3) all advertisements, prospectuses, circulars, literature, letters, etc., to be used in connection with the sale of such securities. H. sently registered and unsold in Ohio at the date of this filing. I. A specimen of each type of security to be sold. J. A detailed description of what was paid to the issuer in cash, real estate, patents, services or other items of value upon sale of the securities listed in Item 8 above. K. A detailed description of what is to be received by the issuer in cash, real estate, patents, services or other items of value upon sale of the securities listed in Items 10 and 11 above. L. Audited balance s heet of the issuer for the most recent fiscal year and an unaudited balance sheet for a period ending not more than 90 days prior to the date of filing of this application, unless otherwise required by the Division. In addition, an audited profit and loss statement or statement of receipts and disbursements for the most recent fiscal year and an unaudited statement for a period ending not more than 90 days prior to the date of filing this application, unless otherwise required by the Division. M. An opi nion of counsel as to the validity of the securities which are the subject matter of this registration. Note: If further information is required to make a full and complete statement of all material facts relating to the securities for which qualificati on is sought, such information, together with all documents pertaining thereto, should be attached and appropriately marked. American LegalNet, Inc. www.FormsWorkFlow.com Ohio Department of Commerce FORM 9 SIGNATURE (Name of Applicant) By: (Officer) VERIFICATION CO UNTY OF STATE OF being first duly sworn, deposes and says that he/she is ; that he/she has read the foregoing application; that he/she (Describe qualifications to verify) has knowledge of the facts, and that to the best of his/her know ledge, information and belief the statements made in such application are true and the documents submitted therewith are true copies of the originals thereof. Sworn to and subscribed before me this day of (Month, Year) Notary Publi c County Name, address, and telephone number of correspondent to whom communications regarding this application may be sent: Address all communications and make all checks payable to: Ohio Division of Securities, 77 South High Street, 22 nd Floor, Columbus, Ohio 43