Application For Coordinated State Review (Cr-Equity-1) Page 2

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(Though designated Disclosure Jurisdictions, District of Columbia, New Jersey and West Virginia reserve the
right to make substantive comments in select areas.)
The state of Pennsylvania is acting as CR-EQUITY Administrator. Please file a copy of this form
along with the Registration Statement and Prospectus with the Pennsylvania Securities Commission
even if the issuer does not intend to register its shares for sale in Pennsylvania. There is no additional
fee for coordinated review. Do not send fees to Pennsylvania unless the issuer intends to register its
securities in Pennsylvania.
The Applicant attests that all Registration Statements and Prospectuses will be identical in each of the
states listed in the attached Form U-1 and that all applications will be filed contemporaneously in
those states. Subsequent amendments to the Registration Statement will also be filed
contemporaneously in the states identified above. The CR-EQUITY process will take a minimum of
30 days. The applicant should consider this time frame and file the CR-EQUITY-1 as soon as possible
after filing with the Securities and Exchange Commission.
The Applicant understands that any application filed in a state subsequent to the initial filing may be
reviewed separately and may involve application of non-CR-EQUITY standards. The Applicant
should understand that the merit states participating in CR-EQUITY will be using certain NASAA
Guidelines as the uniform standard. For information on the standards to be applied, please contact the
Pennsylvania Securities Commission at (717) 787-5401.
The Applicant agrees to resolve comments through the Lead Disclosure and the Lead Merit states until
such time as the Lead states agree that the comment should be resolved through direct contact between
the applicant and the state with the unresolved comment.
Authorized Representative
_____________________________
Print Name
____________________________
Title
_____________________________
Name of Issuer
____________________________

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