Common use of IRREVOCABLE TRUSTS Clause in Contracts

IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Yes o No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes o No o Indicate how often you invest in: Marketable Securities Often o Occasionally o Seldom o Never o Restricted Securities Often o Occasionally o Seldom o Never o Venture Capital Companies Often o Occasionally o Seldom o Never o The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that the Company and the Selling Agent will rely on them. Individual Date: ________________________ _______________________________ Name of Individual (Please type or print) _______________________________ Signature of Individual _______________________________ Name of Joint Owner (Please type or print) _______________________________ Signature (Joint Owner) Partnership, Corporation or Other Entity Date: ________________________ _______________________________ Print or Type Entity Name By: Name:_______________________ Print or Type Name Title: ___________________________ _________________________________ Signature Title: ____________________________ _________________________________

IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Yes o No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes o No o Indicate how often you invest in: Marketable Securities Often o Occasionally o Seldom o Never o Restricted Securities Often o Occasionally o Seldom o Never o Venture Capital Companies Often o Occasionally o Seldom o Never o The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that the Company and the Selling Agent will rely on them. Individual Date: ________________________ _______________________________ Name of Individual (Please type or print) _______________________________ Signature of Individual _______________________________ Name of Joint Owner (Please type or print) _______________________________ Signature (Joint Owner) Partnership, Corporation or Other Entity Date: ________________________ _______________________________ Print or Type Entity Name By: Name:: ________________________ Print or Type Name Title: ___:________________________ _________________________________ Signature Title: ____:________________________ __________________________________ Signature (other authorized signatory)

IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Yes o No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes o No o Indicate how often you invest in: Marketable Securities Often o Occasionally o Seldom o Never o Restricted Securities Often o Occasionally o Seldom o Never o Venture Capital Companies Often o Occasionally o Seldom o Never o The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that the Company and the Selling Agent will rely on them. Individual Date: ________________________ _______________________________ Name of Individual (Please type or print) _______________________________ Signature of Individual _______________________________ Name of Joint Owner (Please type or print) _______________________________ Signature (Joint Owner) Partnership, Corporation or Other Entity Date: ________________________ _______________________________ Print or Type Entity Name By: Name:_______________________ : Print or Type Name Title: ___________________________ _________________________________ Signature Title: ____________________________ _________________________________Signature (other authorized signatory)

IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Yes o No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes o No o Indicate how often you invest in: Marketable Securities Often o Occasionally o Seldom o Never o Restricted Securities Often o Occasionally o Seldom o Never o Venture Capital Companies Often o Occasionally o Seldom o Never o This completes the questions applicable to Trust Investors. Please sign below. The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that all companies in which you are purchasing securities through the Company and the Selling Agent placement agent, will rely on them. Individual Date: ________________________ _______________________________ Name of Individual (Please type or print) _______________________________ Signature of Individual _______________________________ Name of Joint Owner (Please type or print) _______________________________ Signature (Joint Owner) Partnership, Corporation or Other Entity Date: ________________________ _______________________________ Print or Type Entity Name By: Name:_______________________ Print or Type Name Name: Title: ___________________________ _________________________________ Signature Title: ____________________________ _________________________________(other authorized signatory, if any)

IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Yes o ☐ No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes o No o ☐ Indicate how often you invest in: Marketable Securities Often o ☐ Occasionally o ☐ Seldom o ☐ Never o ☐ Restricted Securities Often o ☐ Occasionally o ☐ Seldom o ☐ Never o ☐ Venture Capital Companies Often o ☐ Occasionally o ☐ Seldom o ☐ Never o ☐ This completes the questions applicable to Trust Investors. Please sign below. The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that the Company and the Selling Agent Company, will rely on them. Individual Date: ________________________ Individual _______________________________ Name of Individual (Please type or print) Date: ________________________ _______________________________ Signature of Individual _______________________________ Name of Joint Owner (Please type or print) _______________________________ Signature (Joint Owner) Partnership, Corporation or Other Entity Date: ________________________ _______________________________ Print or Type Entity Name By: Name:_______________________ Print or Type Name Name: Title: ___________________________ _________________________________ Signature Title: ____________________________ _________________________________(other authorized signatory, if any)

IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Yes o No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes o No o Indicate how often you invest in: Marketable Securities Often o Occasionally o Seldom o Never o Restricted Securities Often o Occasionally o Seldom o Never o Venture Capital Companies Often o Occasionally o Seldom o Never o The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that the Company and the Selling Agent will rely on them. Individual Date: ________________________ _______________________________ Name of Individual (Please type or print) _______________________________ Signature of Individual _______________________________ Name of Joint Owner (Please type or print) _______________________________ Signature (Joint Owner) Partnership, Corporation or Other Entity Date: :_______________________________ _______________________________ Print or Type Entity Name By: Name:_______________________ Print or Type Name Title: ___________________________ ___________ _______________________________ Signature Title: ____________________________ __________________________________ Signature (other authorized signatory)

IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Yes o ☐ No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes o No o ☐ Indicate how often you invest in: Marketable Securities Often o ☐ Occasionally o ☐ Seldom o ☐ Never o ☐ Restricted Securities Often o ☐ Occasionally o ☐ Seldom o ☐ Never o ☐ Venture Capital Companies Often o ☐ Occasionally o ☐ Seldom o ☐ Never o ☐ This completes the questions applicable to Trust Investors. Please sign below. The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that the Company and the Selling Agent Company, will rely on them. Individual Date: ________________________ _______________________________ Name of Individual (Please type or print) _______________________________ Signature of Individual _______________________________ Name of Joint Owner (Please type or print) _______________________________ Signature (Joint Owner) Partnership, Corporation or Other Entity Date: ________________________ _______________________________ Print or Type Entity Name By: Name:_______________________ Print or Type Name Name: Title: ___________________________ _________________________________ Signature Title: ____________________________ _________________________________(other authorized signatory, if any)

IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Yes o No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes o No o Indicate how often you invest in: Marketable Securities Often o Occasionally o Seldom o Never o Restricted Securities Often o Occasionally o Seldom o Never o Venture Capital Companies Often o Occasionally o Seldom o Never o This completes the questions applicable to Trust Investors. Please sign below. The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that all companies in which you are purchasing securities through the Company and the Selling Agent placement agent, will rely on them. Individual Date: ________________________ _______________________________ Name of Individual (Please type or print) _______________________________ Signature of Individual _______________________________ Name of Joint Owner (Please type or print) _______________________________ Signature (Joint Owner) Partnership, Corporation or Other Entity Date: ________________________ _______________________________ Print or Type Entity Name By: Name:_______________________ Print or Type Name Name: Title: ___________________________ _________________________________ Signature Title: ____________________________ _________________________________(other authorized signatory, if any)

IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Yes o No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes o No o Indicate how often you invest in: Marketable Securities Often o Occasionally o Seldom o Never o Restricted Securities Often o Occasionally o Seldom o Never o Venture Capital Companies Often o Occasionally o Seldom o Never o This completes the questions applicable to Trust Investors. Please sign below. The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that the Company and the Selling Placement Agent will rely on them. Individual Date: ________________________ ____________________________________ Name of Individual (Please type or print) _______________________________ Signature of Individual _______________________________ Name of Joint Owner (Please type or print) _______________________________ Signature (Joint Owner) Partnership, Corporation or Other Entity Date: ________________________ ____________________________________ Print or Type Entity Name By: Name:_______________________ Print or Type Name Title: ___________________________ _________________________________ Signature Title: ____________________________ _________________________________

IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Yes o No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes o No o Indicate how often you invest in: Marketable Securities Often o Occasionally o Seldom o Never o Restricted Securities Often o Occasionally o Seldom o Never o Venture Capital Companies Often o Occasionally o Seldom o Never o This completes the questions applicable to Trust Investors. Please sign below. The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that the Company and the Selling Agent will rely on them. Individual Date: ________________________ _______________________________ Name of Individual (Please type or print) _______________________________ Signature of Individual _______________________________ Name of Joint Owner (Please type or print) _______________________________ Signature (Joint Owner) Partnership, Corporation or Other Entity Date: ________________________ _______________________________ Print or Type Entity Name By: Name:_______________________ Print or Type Name Title: ___________________________ _________________________________ Signature Title: ____________________________ _________________________________Signature

IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Yes o No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes o No o Indicate how often you invest in: Marketable Securities Often o Occasionally o Seldom o Never o Restricted Securities Often o Occasionally o Seldom o Never o Venture Capital Companies Often o Occasionally o Seldom o Never o The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that the Company and the Selling Agent will rely on them. Individual Date: ________________________ _______________________________ Name of Individual (Please type or print) _______________________________ Signature of Individual _______________________________ Name of Joint Owner (Please type or print) _______________________________ Signature (Joint Owner) Partnership, Corporation or Other Entity Date: ________________________ _______________________________ Print or Type Entity Name By: Name:_______________________ Print or Type Name Title: ___________________________ _________________________________ Signature Title: ____________________________ __________________________________ Signature (other authorized signatory)

IRREVOCABLE TRUSTS. If the trust is an irrevocable trust, please answer the following questions: Please provide the name of each trustee: Trustee Name: ________________________________________ Trustee Name: ________________________________________ Does the trust have assets greater than $5 million? Yes o No o Do you have such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in the Company? Yes o No o Indicate how often you invest in: Marketable Securities Often o Occasionally o Seldom o Never o Restricted Securities Often o Occasionally o Seldom o Never o Venture Capital Companies Often o Occasionally o Seldom o Never o The undersigned has been informed of the significance to the Company of the foregoing representations and answers contained in this Confidential Purchaser Questionnaire and such representations and answers have been provided with the understanding that the Company and the Selling Agent will rely on them. Individual Date: ________________________ _______________________________ Name of Individual (Please type or print) _______________________________ Signature of Individual _______________________________ Name of Joint Owner (Please type or print) _______________________________ Signature (Joint Owner) Partnership, Corporation or Other Entity Date: ________________________ _______________________________ Print or Type Entity Name By: Name:_______________________ Print or Type Name Title: ___________________________ _________________________________ Signature Title: ____________________________ __________________________________ Signature (other authorized signatory)