Common use of Purchaser Questionnaire Clause in Contracts

Purchaser Questionnaire. This Purchaser Questionnaire (this “Questionnaire”) must be completed and delivered to BOSTON OMAHA CORPORATION, a Delaware corporation (the “Company”), by you as a prospective purchaser of shares of Class A Common Stock of the Company (the “Shares”) and warrants to purchase additional shares of Class A Common Stock of the Company (“Warrants”). The purpose of this Questionnaire is to determine whether you meet the standards imposed by Section 4(2) of, or Regulation D under, the Securities Act of 1933, as amended (the “Securities Act”). Eligibility is determined, among other things, by the ability of the investor to evaluate the merits and risks of an investment in Shares and Warrants of the Company based on his or her knowledge and experience in financial and business matters, or by certain financial criteria. The undersigned understands that the offering of the Shares and Warrants by the Company has not been, and will not be, registered under the Securities Act, the securities of “blue sky” laws of any state or other jurisdiction, and the Shares and Warrants involved in this offering are being sold in reliance upon an exemption from the registration requirements thereof. Please thoroughly complete, sign and date this Questionnaire, and deliver it to: Please contact Xxxxxx X. Xxxxxxx, counsel to the Company, at (000) 000-0000 if you have any questions with respect to this Questionnaire. Incomplete answers to questions or questions answered in such a way (either singly or collectively) so as to indicate to the Company that it should ask for more information will delay the Company’s review of the Questionnaire and consideration of the proposed investment by the prospective investor. Your answers will be relied upon by the Company. Your answers will be kept confidential, except to the extent disclosure may be required under or in connection with any federal or state laws or if the contents are relevant to an issue in any action, suit or proceeding to which the Company is a party or by which it is or may be bound. However, each person who agrees to invest in the Company hereby agrees that the Company may present this completed Questionnaire or a copy of this completed Questionnaire to its attorneys or such other parties as it/they, in its/their sole discretion, deem appropriate to ensure that the proposed offer and sale of the Shares and Warrants of the Company involved in this offering will not result in a violation of the registration provisions of the Securities Act or a violation of the securities or “blue sky” laws of any state or other jurisdiction. A false statement by you will constitute a violation of your representations and warranties under the Subscription Agreement and may also constitute a violation of law, for which a claim for damages may be made against you. This Questionnaire does not constitute an offer of Shares or Warrants by the Company, but is merely a request for information. Please print or type:

Purchaser Questionnaire. This Purchaser Questionnaire (this “Questionnaire”) must be completed You are being requested to answer questions in connection with the proposed offer and delivered sale, pursuant to BOSTON OMAHA CORPORATION, a Delaware corporation (an exemption from the “Company”), by you as a prospective purchaser registration provisions of shares of Class A Common Stock of the Company (the “Shares”) and warrants to purchase additional shares of Class A Common Stock of the Company (“Warrants”). The purpose of this Questionnaire is to determine whether you meet the standards imposed by Section 4(2) of, or Regulation D under, the Securities Act of 1933, as amended (the “Securities "Act”") and in particular, Rule 505 of Regulation D, of shares of the Common Stock, $.002 par value per share (the "Shares') of American Film Technologies, Inc, a Delaware corporation (the "Company"). Eligibility is determined, among other things, by the ability The availability of the investor to evaluate exemption depends, in part, on a determination that each purchaser is an "accredited investor" as defined in Rule 501(a) of Regulation D. The information supplied will be used in determining whether the merits and risks of an investment in Shares and Warrants sale of the Company based on his or her knowledge and experience in financial and business matters, or by certain financial Shares meets such criteria. The undersigned understands that the offering of the Shares and Warrants by the Company has not been, information will be kept confidential and will not bebe disclosed except to the Company, registered its counsel, and if required, to governmental and regulatory authorities. Please PRINT your response to each question; and, where the answer to any question if "None" or "Not Applicable" please so state. I, (we), __________________________________, understand the Shares are being issued WITHOUT registration under the Act in reliance upon the private offering exemption contained in Rule 505 of Regulation D promulgated under Section 4(2) of the Securities Act, and that such reliance is based in part on the securities of “blue sky” laws of any state or other jurisdictioninformation herein supplied. For the foregoing reasons, and to induce the Company to issue and deliver the Shares to me, I represent and Warrants involved in this offering are being sold in reliance upon an exemption from warrant that the registration requirements thereof. Please thoroughly completeinformation stated herein is true, sign accurate and date this Questionnairecomplete to the best of my knowledge and belief, and deliver it to: Please contact Xxxxxx X. XxxxxxxI agree to notify and supply corrective information promptly if, counsel prior to the Company, at (000) 000-0000 if you have any questions with respect to this Questionnaire. Incomplete answers to questions or questions answered in such a way (either singly or collectively) so as to indicate to the Company that it should ask for more information will delay the Company’s review consummation of my purchase of the Questionnaire Shares, any of such information becomes inaccurate and consideration of the proposed investment by the prospective investorincomplete. Your answers will be relied upon by the Company. Your answers will be kept confidentialINDIVIDUAL AND JOINT PURCHASERS SHOULD COMPLETE SECTION A CORPORATIONS, except to the extent disclosure may be required under or in connection with any federal or state laws or if the contents are relevant to an issue in any action, suit or proceeding to which the Company is a party or by which it is or may be bound. However, each person who agrees to invest in the Company hereby agrees that the Company may present this completed Questionnaire or a copy of this completed Questionnaire to its attorneys or such other parties as it/they, in its/their sole discretion, deem appropriate to ensure that the proposed offer and sale of the Shares and Warrants of the Company involved in this offering will not result in a violation of the registration provisions of the Securities Act or a violation of the securities or “blue sky” laws of any state or other jurisdiction. A false statement by you will constitute a violation of your representations and warranties under the Subscription Agreement and may also constitute a violation of law, for which a claim for damages may be made against you. This Questionnaire does not constitute an offer of Shares or Warrants by the Company, but is merely a request for information. Please print or type:BUSINESS TRUSTS AND PARTNERSHIPS SHOULD COMPLETE SECTION B

Purchaser Questionnaire. This Purchaser Questionnaire (this “Questionnaire”) must be completed and delivered Gentlemen: The information contained herein is being furnished to BOSTON OMAHA CORPORATIONMOBIEYES SOFTWARE, a Delaware corporation INC. (the “"Company”), ") in order that it may determine whether to accept a subscription offer for Securities made by you as a prospective purchaser of shares of Class A Common Stock of me. I understand that the information is needed for the Company (the “Shares”) and warrants to purchase additional shares of Class A Common Stock of the Company (“Warrants”). The purpose of this Questionnaire is to determine whether you meet have reasonable grounds to believe that I am an "Accredited Investor" as that term is defined in Regulation D promulgated under the standards imposed by Section 4(2) ofAct, or Regulation D under, the Securities Act of 1933, as amended (the “Securities Act”). Eligibility is determined, among other things, by the ability of the investor am otherwise qualified to evaluate the merits and risks of make an investment in Shares and Warrants of the Company based on his or her in accordance with the investment standards established by the Company, and that I have such knowledge and experience in financial and business matters, or by certain financial criteria. The undersigned understands matters that I am capable of evaluating the offering merits and risks of the Shares and Warrants by proposed investment in the Company has not beenCompany. I understand that (a) you will rely on the information contained herein for purposes of such determination, and (b) the Securities will not be, be registered under the Securities Act in reliance upon the exemptions from registration afforded under the Act, (c) the Securities will not be registered under the securities of “blue sky” laws of any state or other jurisdiction, and the Shares and Warrants involved in this offering are being sold in reliance upon an exemption from the registration requirements thereof. Please thoroughly complete, sign and date this Questionnairesimilar exemptions, and deliver it to: Please contact Xxxxxx X. Xxxxxxx, counsel (d) this questionnaire is not an offer to purchase the Company, at (000) 000-0000 if you have Securities in any questions with respect to case where such offer would not be legally permitted. Information contained in this Questionnaire. Incomplete answers to questions or questions answered in such a way (either singly or collectively) so as to indicate to the Company that it should ask for more information will delay the Company’s review of the Questionnaire and consideration of the proposed investment by the prospective investor. Your answers will be relied upon by the Company. Your answers questionnaire will be kept confidentialconfidential by the Company and its agents, except employees or representatives. I understand, however, that the Company may have the need to present it to such parties as it deems advisable in order to establish the extent disclosure may be required applicability under or in connection with any federal or state laws or if the contents are relevant to an issue in any action, suit or proceeding to which the Company is a party or by which it is or may be bound. However, each person who agrees to invest in the Company hereby agrees that the Company may present this completed Questionnaire or a copy of this completed Questionnaire to its attorneys or such other parties as it/they, in its/their sole discretion, deem appropriate to ensure that the proposed offer and sale of the Shares and Warrants of the Company involved in this offering will not result in a violation of the registration provisions of the Securities Act or a violation of the securities or “blue sky” laws of any state or other jurisdictionan exemption from registration. A false statement by you will constitute a violation of your In accordance with the foregoing, the following representations and warranties under information are hereby made and furnished: Please answer all questions. If the Subscription Agreement and may also constitute a violation of law, for which a claim for damages may be made against youanswer is "none" or "not applicable," please so state. This Questionnaire does not constitute an offer of Shares or Warrants by the Company, but is merely a request for information. Please print or typeINFORMATION REQUIRED OF EACH PROSPECTIVE INVESTOR:

Purchaser Questionnaire. This You are being asked to complete this Purchaser Questionnaire (this “Questionnaire”) must be completed and delivered to BOSTON OMAHA CORPORATIONso that we can confirm your accredited investor status for your purchase of the Units offered by Clean Energy Technologies, Inc., a Delaware Nevada corporation (the “Company”), for a purchase price of _____ per Unit. If the Securities subscribed for are to be owned by more than one person, you and each other co-subscriber must complete a separate Purchaser Questionnaire (except if the co-subscriber is your spouse) and sign the signature page attached hereto. If your spouse is a co-subscriber, you must indicate his or her name and social security number. Your answers to the questions contained herein must be true and correct. Your answers will be kept confidential; however, by signing this Purchaser Questionnaire, you will be authorizing the Company to present a completed copy of this Purchaser Questionnaire to such parties as a prospective purchaser of shares of Class A Common Stock it may deem appropriate in order to make certain that the offer and sale of the Company (the “Shares”) and warrants to purchase additional shares Securities will not result in a violation of Class A Common Stock of the Company (“Warrants”). The purpose of this Questionnaire is to determine whether you meet the standards imposed by Section 4(2) of, or Regulation D under, the Securities Act of 1933, as amended (the “Securities Act”). Eligibility is determined, among other things, by the ability or of the investor to evaluate the merits and risks of an investment in Shares and Warrants of the Company based on his or her knowledge and experience in financial and business matters, or by certain financial criteria. The undersigned understands that the offering of the Shares and Warrants by the Company has not been, and will not be, registered under the Securities Act, the securities of “blue sky” laws of any state or other jurisdiction, and the Shares and Warrants involved in this offering are being sold in reliance upon an exemption from the registration requirements thereofstate. Please thoroughly complete, sign and date this Questionnaire, and deliver it to: Please contact Xxxxxx X. Xxxxxxx, counsel to the Company, at (000) 000-0000 if you have any questions with respect to this Questionnaire. Incomplete answers to questions or questions answered in such a way (either singly or collectively) so as to indicate to the Company that it should ask for more information will delay the Company’s review of the Questionnaire and consideration of the proposed investment by the Any prospective investor. Your answers will be relied upon by the Company. Your answers will be kept confidential, except to the extent disclosure purchaser may be required under or in connection with any federal or state laws or if the contents are relevant to an issue in any action, suit or proceeding to which furnish additional information as the Company is a party or by which it is or may be bound. However, each person who agrees to invest determines in the Company hereby agrees that the Company may present this completed Questionnaire or a copy of this completed Questionnaire to its attorneys or such other parties as it/they, in its/their sole discretion, deem appropriate to ensure that the proposed offer and sale of the Shares and Warrants of the Company involved in this offering will not result in a violation of the registration provisions of the Securities Act or a violation of the securities or “blue sky” laws of any state or other jurisdiction. A false statement by you will constitute a violation of your representations and warranties under the Subscription Agreement and may also constitute a violation of law, for which a claim for damages may be made against you. This Purchaser Questionnaire does not constitute an offer to sell or a solicitation of Shares an offer to buy the Securities or Warrants by any other security of the Company, but . All questions must be answered. If the appropriate answer is merely a request for information“None” or “Not applicable,” please so state. Please print or typetype your answers to all questions and attach additional sheets if necessary to complete your answers to any item. If you are an INDIVIDUAL, please complete pages A2-A6. If you are a CORPORATION, TRUST, PARTNERSHIP OR OTHER ENTITY, please complete pages A7-A11. In accordance with the foregoing, the undersigned subscriber makes the following representations and warranties:

Purchaser Questionnaire. This Purchaser Questionnaire (this “Questionnaire”) must be completed You are being requested to answer questions in connection with the proposed offer and delivered sale, pursuant to BOSTON OMAHA CORPORATION, a Delaware corporation (an exemption from the “Company”), by you as a prospective purchaser registration provisions of shares of Class A Common Stock of the Company (the “Shares”) and warrants to purchase additional shares of Class A Common Stock of the Company (“Warrants”). The purpose of this Questionnaire is to determine whether you meet the standards imposed by Section 4(2) of, or Regulation D under, the Securities Act of 1933, as amended (the “Securities "Act”") and in particular, Rule 505 of Regulation D, of shares of the Common Stock, $.002 par value per share (the "Shares') of American Film Technologies, Inc,, a Delaware corporation (the "Company"). Eligibility is determined, among other things, by the ability The availability of the investor to evaluate exemption depends, in part, on a determination that each purchaser is an "accredited investor" as defined in Rule 501(a) of Regulation D. The information supplied will be used in determining whether the merits and risks of an investment in Shares and Warrants sale of the Company based on his or her knowledge and experience in financial and business matters, or by certain financial Shares meets such criteria. The undersigned understands that the offering of the Shares and Warrants by the Company has not been, information will be kept confidential and will not bebe disclosed except to the Company, registered its counsel, and if required, to governmental and regulatory authorities. Please PRINT your response to each question; and, where the answer to any question if "None" or "Not Applicable" please so state. I, (we), __________________________________, understand the Shares are being issued WITHOUT registration under the Act in reliance upon the private offering exemption contained in Rule 505 of Regulation D promulgated under Section 4(2) of the Securities Act, and that such reliance is based in part on the securities of “blue sky” laws of any state or other jurisdictioninformation herein supplied. For the foregoing reasons, and to induce the Company to issue and deliver the Shares to me, I represent and Warrants involved in this offering are being sold in reliance upon an exemption from warrant that the registration requirements thereof. Please thoroughly completeinformation stated herein is true, sign accurate and date this Questionnairecomplete to the best of my knowledge and belief, and deliver it to: Please contact Xxxxxx X. XxxxxxxI agree to notify and supply corrective information promptly if, counsel prior to the Company, at (000) 000-0000 if you have any questions with respect to this Questionnaire. Incomplete answers to questions or questions answered in such a way (either singly or collectively) so as to indicate to the Company that it should ask for more information will delay the Company’s review consummation of my purchase of the Questionnaire Shares, any of such information becomes inaccurate and consideration of the proposed investment by the prospective investorincomplete. Your answers will be relied upon by the Company. Your answers will be kept confidentialINDIVIDUAL AND JOINT PURCHASERS SHOULD COMPLETE SECTION A CORPORATIONS, except to the extent disclosure may be required under or in connection with any federal or state laws or if the contents are relevant to an issue in any action, suit or proceeding to which the Company is a party or by which it is or may be bound. However, each person who agrees to invest in the Company hereby agrees that the Company may present this completed Questionnaire or a copy of this completed Questionnaire to its attorneys or such other parties as it/they, in its/their sole discretion, deem appropriate to ensure that the proposed offer and sale of the Shares and Warrants of the Company involved in this offering will not result in a violation of the registration provisions of the Securities Act or a violation of the securities or “blue sky” laws of any state or other jurisdiction. A false statement by you will constitute a violation of your representations and warranties under the Subscription Agreement and may also constitute a violation of law, for which a claim for damages may be made against you. This Questionnaire does not constitute an offer of Shares or Warrants by the Company, but is merely a request for information. Please print or type:BUSINESS TRUSTS AND PARTNERSHIPS SHOULD COMPLETE SECTION B

Purchaser Questionnaire. This Purchaser Questionnaire (this “Questionnaire”) must be completed and delivered to BOSTON OMAHA CORPORATION, a Delaware corporation (the “Company”), by you as a prospective purchaser of shares of Class A Common Stock of the Company (the “Shares”) and warrants to purchase additional shares of Class A Common Stock of the Company (“Warrants”). The purpose of this Questionnaire is to determine whether you meet the standards imposed by Section 4(2) of, or Regulation D under, the Securities Act of 1933, as amended (the “Securities Act”). Eligibility is determined, among other things, by the ability of the investor to evaluate the merits and risks of an investment in Shares and Warrants of the Company based on his or her knowledge and experience in financial and business matters, or by certain financial criteria. The undersigned understands that the offering of the Shares and Warrants by the Company has not been, and will not be, registered under the Securities Act, the securities of “blue sky” laws of any state or other jurisdiction, and the Shares and Warrants involved in this offering are being sold in reliance upon an exemption from the registration requirements thereof. Please thoroughly complete, sign and date this Questionnaire, and deliver it to: Please contact Xxxxxx X. Xxxxxxx, counsel to the Company, at (000) 000-0000 if you have any questions with respect to this Questionnaire. Incomplete answers to questions or questions answered in such a way (either singly or collectively) so as to indicate to the Company that it should ask for more information will delay the Company’s review of the Questionnaire and consideration of the proposed investment by the prospective investor. Your answers will be relied upon by the Company. Your answers will be kept confidential, except to the extent disclosure may be required under or in connection with any federal or state laws or if the contents are relevant to an issue in any action, suit or proceeding to which the Company is a party or by which it is or may be bound. However, each person who agrees to invest in the Company hereby agrees that the Company may present this completed Questionnaire or a copy of this completed Questionnaire to its attorneys or such other parties as it/they, in its/their sole discretion, deem appropriate to ensure that the proposed offer and sale of the Shares and Warrants of the Company involved in this offering will not result in a violation of the registration provisions of the Securities Act or a violation of the securities or “blue sky” laws of any state or other jurisdiction. A false statement by you will constitute a violation of your representations and warranties under the Subscription Agreement and may also constitute a violation of law, for which a claim for damages may be made against you. This Questionnaire does not constitute an offer of Shares or Warrants by the Company, but is merely a request for information. Please print or type: