Common use of Telephone Number   Telephone Number Clause in Contracts

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code City, State & Zip Code Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided above). Briefly describe the relationship between the parties (e.g., married). ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided above). Briefly describe the relationship between the parties (e.g., married).

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Common Stocks subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Convertibles subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Units subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Promissory Notes subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code City, State & Zip Code (Must be same state as in Section 1) (Must be same state as in Section 1) Mailing Address Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Units subscribed for are to be registered in the following form of ownership: ❑ ownership (check one): □ Individual Ownership ❑ □ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ❑ □ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REGNon-CF SAFE Patron Membership Interests subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code City, State & Zip Code (Must be same state as in Section 1) (Must be same state as in Section 1) Mailing Address Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE BONDS subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Series A Preferred Units subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Common Stocks subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ) : ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).) :

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Promissory Notess subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ) : ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).) :

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Convertible Notes subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Convertible Promissory Notess subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Equitys subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ) : ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).) :

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Units of Common Stock subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ) : ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).) :

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Series A Units subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code (Must be same state as in Section 1) City, State & Zip Code (Must be same state as in Section 1) Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Units subscribed for are to be registered in the following form of ownership: ❑ Individual Ownership ❑ Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ❑ Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).

Telephone Number   Telephone Number. Residence Street Address Residence Street Address City, State & Zip Code City, State & Zip Code (Must be same state as in Section 1) (Must be same state as in Section 1) Mailing Address Mailing Address (Only if different from residence address) Mailing Address (Only if different from residence address) City, State & Zip Code City, State & Zip Code Email address Email address Individual Subscriber Type of Ownership: The REG-CF SAFE Units subscribed for are to be registered in the following form of ownership: ❑ ownership (check one):  Individual Ownership ❑  Joint Tenants with Right of Survivorship (Note: If this type of ownership is selected, information and signature of sec- ond individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married). ❑  Tenants in Common (Note: If this type of ownership is selected, information and signature of second individual are required to be provided aboveboth parties must sign). Briefly describe the relationship between the parties (e.g., married).