Common use of Please indicate whether the Selling Stockholder Clause in Contracts

Please indicate whether the Selling Stockholder. is controlled by another entity (such as a parent company, a corporate member, corporate shareholder, etc.) or is controlled by a natural person. Controlled by: Natural Person(s) ☐ Entity ☐ If you checked “Natural Person(s)”: Please indicate the name of the natural person(s) who has voting or investment control over the shares held by the Selling Stockholder and the position of control that person(s) holds in or over the Selling Stockholder, then move to Question 5. Name of natural person(s):_____________________________________ Controlling position in Selling Stockholder (e.g., sole member, controlling shareholder, sole stockholder, trustee, etc.): _____________ __________________________________________________________ If you checked “Entity”: Please indicate the name and type of entity that controls the Selling Stockholder. Name of controlling entity: ____________________________________ Type of legal entity (e.g., corporation, partnership, limited liability company, etc.): ______________________________________________ Is this entity controlled by another entity (such as a parent company, a corporate member, corporate shareholder, etc.) or is it controlled by a natural person? Controlled by: Natural Person(s) ☐ Entity* ☐ If you checked “Natural Person(s)”: Name of natural person(s) who controls this entity and has voting or investment control over the shares held by the Selling Stockholder the Selling Stockholder: ____________________________________________________ Natural person’s position in this entity (e.g., sole member, controlling shareholder, sole stockholder, trustee, etc.): ____________________________________________________ (Continued on next page…)

Please indicate whether the Selling Stockholder. is controlled by another entity (such as a parent company, a corporate member, corporate shareholder, etc.) or is controlled by a natural person. Controlled by: Natural Person(s) ☐ ¨ Entity ☐ ¨ If you checked “Natural Person(s)”: Please indicate the name of the natural person(s) who has voting or investment control over the shares held by the Selling Stockholder and the position of control that person(s) holds in or over the Selling Stockholder, then move to Question 5. Name of natural person(s):_____________________________________ Controlling position in Selling Stockholder (e.g., sole member, controlling shareholder, sole stockholder, trustee, etc.): _____________ __________________________________________________________ If you checked “Entity”: Please indicate the name and type of entity that controls the Selling Stockholder. Name of controlling entity: ____________________________________ Type of legal entity (e.g., corporation, partnership, limited liability company, etc.): ______________________________________________ Is this entity controlled by another entity (such as a parent company, a corporate member, corporate shareholder, etc.) or is it controlled by a natural person? Controlled by: Natural Person(s) ☐ Entity¨ Entity * ☐ ¨ If you checked “Natural Person(s)”: Name of natural person(s) who controls this entity and has voting or investment control over the shares held by the Selling Stockholder the Selling Stockholder: ____________________________________________________ Natural person’s position in this entity (e.g., sole member, controlling shareholder, sole stockholder, trustee, etc.): ____________________________________________________ _____________________________________ (Continued on next page…)

Please indicate whether the Selling Stockholder. is controlled by another entity (such as a parent company, a corporate member, corporate shareholder, etc.) or is controlled by a natural person. Controlled by: Natural Person(s) ☐ Entity ☐ If you checked “Natural Person(s)”: Please indicate the name of the natural person(s) who has voting or investment control over the shares held by the Selling Stockholder and the position of control that person(s) holds in or over the Selling Stockholder, then move to Question 5. Name of natural person(s):_____________________________________ Controlling position in Selling Stockholder (e.g., sole member, controlling shareholder, sole stockholder, trustee, etc.): _____________ __________________________________________________________ If you checked “Entity”: Please indicate the name and type of entity that controls the Selling Stockholder. Name of controlling entity: ____________________________________ Type of legal entity (e.g., corporation, partnership, limited liability company, etc.): ______________________________________________ Is this entity controlled by another entity (such as a parent company, a corporate member, corporate shareholder, etc.) or is it controlled by a natural person? Controlled by: Natural Person(s) ☐ Entity* ☐ If you checked “Natural Person(s)”: Name of natural person(s) who controls this entity and has voting or investment control over the shares held by the Selling Stockholder the Selling Stockholder: ____________________________________________________ Natural person’s position in this entity (e.g., sole member, controlling shareholder, sole stockholder, trustee, etc.): ____________________________________________________ (Continued on next page…)_

Please indicate whether the Selling Stockholder. is controlled by another entity (such as a parent company, a corporate member, corporate shareholder, etc.) or is controlled by a natural person. Controlled by: Natural Person(s) ☐ [ ] Entity ☐ [ ] If you checked “Natural Person(s)”: Please indicate the name of the natural person(s) who has voting or investment control over the shares held by the Selling Stockholder and the position of control that person(s) holds in or over the Selling Stockholder, then move to Question 5. Name of natural person(s):_____________________________________ Controlling position in Selling Stockholder (e.g., sole member, controlling shareholder, sole stockholder, trustee, etc.): _____________ ___________________________________________________________ If you checked “Entity”: Please indicate the name and type of entity that controls the Selling Stockholder. Name of controlling entity: ____________________________________ Type of legal entity (e.g., corporation, partnership, limited liability company, etc.): ______________________________________________ Is this entity controlled by another entity (such as a parent company, a corporate member, corporate shareholder, etc.) or is it controlled by a natural person? Controlled by: Natural Person(s) ☐ [ ] Entity* ☐ [ ] If you checked “Natural Person(s)”: Name of natural person(s) who controls this entity and has voting or investment control over the shares held by the Selling Stockholder the Selling Stockholder: ____________________________________________________ Natural person’s position in this entity (e.g., sole member, controlling shareholder, sole stockholder, trustee, etc.): ____________________________________________________ (Continued on next page…)