Common use of Deemed Beneficial Ownership Clause in Contracts

Deemed Beneficial Ownership. Please state the amount of securities of the Company you own on the date you complete this Questionnaire. (If none, please so state in each case.) Amount Beneficially Owned1 Number of Shares of Common Stock Owned Please state the number of shares owned by you or by family members, trusts and other organizations with which you have a relationship, and any other shares of which you may be deemed to be the “beneficial owner”1: Total Shares: Of such shares: Shares as to which you have sole voting power: Shares as to which you have shared voting power: Shares as to which you have sole investment power: Shares as to which you have shared investment power: Shares which you will have a right to acquire before 60 days after the date you complete this questionnaire through the exercise of options, warrants or otherwise: Do you have any present plans to exercise options or otherwise acquire, dispose of or to transfer shares of Common Stock of the Company between the date you complete this Questionnaire and the date which is 60 days after the date in which the Registration Statement is filed? Answer: If so, please describe.

Deemed Beneficial Ownership. Please state the amount of securities of the Company you own on the date you complete this Questionnaire. (If none, please so state in each case.) Amount Beneficially Owned1 Number of Shares of Common Stock Owned Please state the number of shares owned by you or by family members, trusts and other organizations with which you have a relationship, and any other shares of which you may be deemed to be the “beneficial owner”1: Total Shares: Of such shares: Shares as to which you have sole voting power: Shares as to which you have shared voting power: Shares as to which you have sole investment power: Shares as to which you have shared investment power: Shares which you will have a right to acquire before 60 days after the date you complete this questionnaire Questionnaire through the exercise of options, warrants or otherwise: Do you have any present plans to exercise options or otherwise acquire, dispose of or to transfer shares of Common Stock of the Company between the date you complete this Questionnaire and the date which is 60 days after the date in which the Registration Statement is filed? Answer: If so, please describe.

Deemed Beneficial Ownership. Please state the amount of securities of the Company you own on the date you complete this Questionnaire. (If none, please so state in each case.) Amount Beneficially Owned1 Number of Common Shares of Common Stock Owned Please state the number of shares owned by you or by family members, trusts and other organizations with which you have a relationship, and any other shares of which you may be deemed to be the “beneficial owner”1: Total Shares: Of such shares: Shares as to which you have sole voting power: Shares as to which you have shared voting power: Shares as to which you have sole investment power: Shares as to which you have shared investment power: Shares which you will have a right to acquire before 60 days after the date you complete this questionnaire through the exercise of options, warrants or otherwise: Do you have any present plans to exercise options options, warrants or otherwise acquire, dispose of or to transfer shares of Common Stock Shares of the Company between the date you complete this Questionnaire and the date which is 60 days after the date in which the Registration Statement is filed? Answer: If so, please describe.

Deemed Beneficial Ownership. Please state the amount of securities of the Company you own on the date you complete this Questionnaire. (If none, please so state in each case.) Amount Beneficially Owned1 Number of Shares of Common Stock Owned Please state the number of shares owned by you or by family members, trusts and other organizations with which you have a relationship, and any other shares of which you may be deemed to be the “beneficial owner”1owner“1: Total Shares: Of such shares: Shares as to which you have sole voting power: Shares as to which you have shared voting power: Shares as to which you have sole investment power: Shares as to which you have shared investment power: Shares which you will have a right to acquire before 60 days after the date you complete this questionnaire through the exercise of options, warrants or otherwise: Do you have any present plans to exercise options or otherwise acquire, dispose of or to transfer shares of Common Stock of the Company between the date you complete this Questionnaire and the date which is 60 days after the date in which the Registration Statement is filed? Answer: If so, please describe.

Deemed Beneficial Ownership. Please state the amount of securities of the Company you own on the date you complete this Questionnaire. (If none, please so state in each case.) Amount Beneficially Owned1 Number of Shares of Amount Beneficially Owned1 Common Stock Owned Please state the number of shares owned by you or by family members, trusts and other organizations with which you have a relationship, and any other shares of which you may be deemed to be the “beneficial owner”1: Total Shares: Of such shares: Shares as to which you have sole voting power: Shares as to which you have shared voting power: Shares as to which you have sole investment power: Shares as to which you have shared investment power: Shares which you will have a right to acquire before 60 days after the date you complete this questionnaire through the exercise of options, warrants or otherwise: Do you have any present plans to exercise options or otherwise acquire, dispose of or to transfer shares of Common Stock of the Company between the date you complete this Questionnaire and the date which is 60 days after the date in which the Registration Statement is filed? Answer: If so, please describe.

Deemed Beneficial Ownership. Please state the amount of securities of the Company you own on the date you complete this Questionnaire. (If none, please so state in each case.) Amount Beneficially Owned1 Number of Shares of Common Stock Owned Please state the number of shares owned by you or by family members, trusts and other organizations with which you have a relationship, and any other shares of which you may be deemed to be the “beneficial owner”1: Total Shares: Of such shares: Shares as to which you have sole voting power: Shares as to which you have shared voting power: Shares as to which you have sole investment power: Shares as to which you have shared investment power: Shares which you will have a right to acquire before 60 days after the date you complete this questionnaire through the exercise of options, warrants or otherwise: Do you have any present plans to exercise options or otherwise acquire, dispose of or to transfer shares of Common Stock of the Company between the date you complete this Questionnaire and the date which is 60 days after the date in which the Registration Statement is filed? Answer: If so, please describe.

Deemed Beneficial Ownership. Please state the amount of securities of the Company you own on the date you complete this Questionnaire. (If none, please so state in each case.) Amount Beneficially Owned1 Number of Common Shares of Common Stock Owned Please state the number of shares owned by you or by family members, trusts and other organizations with which you have a relationship, and any other shares of which you may be deemed to be the “beneficial owner”1: Total Shares: Of such shares: Shares as to which you have sole voting power: Shares as to which you have shared voting power: Shares as to which you have sole investment power: Shares as to which you have shared investment power: Shares which you will have a right to acquire before 60 days after the date you complete this questionnaire through the exercise of options, warrants or otherwise: Do you have any present plans to exercise options options, warrants or otherwise acquire, dispose of or to transfer shares of Common Stock Ordinary Shares of the Company between the date you complete this Questionnaire and the date which is 60 days after the date in which the Registration Statement is filed? Answer: If so, please describe.

Deemed Beneficial Ownership. Please state the amount of securities of the Company you own on the date you complete this Questionnaire. (If none, please so state in each case.) Amount Beneficially Owned1 Number of Shares of Common Stock Owned Please state the number of shares owned by you or by family members, trusts and other organizations with which you have a relationship, and any other shares of which you may be deemed to be the “beneficial owner”1: Total Shares: Shares Of such shares: shares Shares as to which you have sole voting power: Shares as to which you have a shared voting power: . Shares as to which you have sole investment power: . Shares as to which you have shared investment power: . Shares to which you will have a right to acquire before 60 days after the date you complete this questionnaire through the exercise of options, warrants or otherwise: Do you have any present plans to exercise options or otherwise acquire, dispose of or to transfer shares of Common Stock of the Company between the date you complete this Questionnaire and the date which is 60 days after the date in which the Registration Statement is filed? Answer: If so, please describe.