Team – Castle Placement

Senior Management Team

Managing Partner

Ken Margolis

Managing Partner

Richard Luftig

Managing Partner

Managing Director

Kenneth Hackel

Managing Director

Tamara Williams

Managing Director

Francisco Estevez Molinero

Managing Director

Regan Sander

Managing Director

Andrew Douglas

Managing Director

Richard McCay

Managing Director

John Silvestri

Managing Director

Karen Witt

Managing Director

Tina Vital

Managing Director

Jim Miehls

Managing Director

Donald Jordan

Managing Director

Juan Carlos Sandoval

Managing Director

Dominic Cipollone

Managing Director

Abhi Mathews

Managing Director

Vikas Garg

Managing Director

John Haltmaier

Managing Director

Jesus Tueme

Managing Director

Douglas Jendras

Managing Director

Daniel Lyle

Managing Director

Wyck Brown

Managing Director

Brian Fuentes

Managing Director

Jason Gailes

Managing Director

Julio Zamora

Managing Director

Anna Moisuc

Managing Director

Jose Maria Carretero Tomas

Managing Director

Vibhu Sinha

Managing Director

Harry Dublinsky

Managing Director

Gary Levy

Managing Director

Axel Reijmers

Managing Director

Senior Management Team

Managing Partner

Ken Margolis

Managing Partner

Richard Luftig

Managing Partner

Managing Director

Kenneth Hackel

Managing Director

Tina Vital

Managing Director

John Haltmaier

Managing Director

Julio Zamora

Managing Director

Tamara Williams

Managing Director

Jim Miehls

Managing Director

Jesus Tueme

Managing Director

Anna Moisuc

Managing Director

Grisha Maziya

Managing Director

Donald Jordan

Managing Director

Douglas Jendras

Managing Director

Jose Maria Carretero Tomas

Managing Director

Francisco Estevez Molinero

Managing Director

Juan Carlos Sandoval

Managing Director

Daniel Lyle

Managing Director

Vibhu Sinha

Managing Director

Regan Sander

Managing Director

Dominic Cipollone

Managing Director

Wyck Brown

Managing Director

Harry Dublinsky

Managing Director

Andrew Douglas

Managing Director

Abhi Mathews

Managing Director

Brian Fuentes

Managing Director

Gary Levy

Managing Director

Richard McCay

Managing Director

Vikas Garg

Managing Director

Jason Gailes

Managing Director

John Silvestri

Managing Director

Rafael Elias

Managing Director

Karen Witt

Managing Director

The number of Shares of Class A Non-Voting Common Stock the undersigned hereby irrevocably subscribes for is:		_____________________ (Number of Shares)
The aggregate purchase price (based on a purchase price of $2.00 per share for the Class A Non-Voting Common Stock the undersigned hereby irrevocably subscribes for is (minimum of $250.00):		$_____________________ (Aggregate purchase price)
The Shares being subscribed for will be owned by, and should be recorded on the Company’s books as held in the name of:
	___________________________________________ (The name in which the Shares will be held.)

The number of Securities of Class A Common Stock the undersigned hereby irrevocably subscribes for is:		_____________ (print number of Securities)
The aggregate purchase price (based on a purchase price of $1.00 per share for the Class A Common Stock the undersigned hereby irrevocably subscribes for is:		$_____________ (print aggregate purchase price)
The Securities being subscribed for will be owned by, and should be recorded on the Company’s books as held in the name of:
	___________________________________________ (print name of owner or joint owners)

The number of Securities of Non-Voting Common Stock the undersigned hereby irrevocably subscribes for is:		_____________ (print number of Securities)
The aggregate purchase price (based on a purchase price of $0.25 per share for the Non-Voting Common Stock the undersigned hereby irrevocably subscribes for is:		$_____________ (print aggregate purchase price)
The Securities being subscribed for (including any Additional Shares as described in the Form C) will be owned by, and should be recorded on the Company’s books as held in the name of:
	___________________________________________ (print name of owner or joint owners)

The number of Securities of Class B Units the undersigned hereby irrevocably subscribes for is:		_____________ (print number of Securities)
The aggregate purchase price (based on a purchase price of $2.50 per share for the Class B Units the undersigned hereby irrevocably subscribes for is:		$_____________ (print aggregate purchase price)
The Securities being subscribed for will be owned by, and should be recorded on the Company’s books as held in the name of:
	______________________________________ (print name of owner or joint owners)

	(Name of Partnership)


	By:
		Name:
		Title:


	By:
		Name:
		Title:

	WATER ON DEMAND, INC.



	Name: J. Riggs Eckelberry
	Title: Chief Executive Officer

CERTIFICATE OF		(the “Corporation”)
	(Name of Corporation)

Individual Investor (Name of Subscriber)	Investors other than individuals (Name of Subscriber)
	By:
(Signature)
	Name:
	Title:
Date:	Date:
Co-Investors (spouses, etc.), if	Additional signatories, if applicable
applicable
	By:
(Print name of Co-Investor)	Name:
	Title:
(Signature)	Date:
Amount of Capital Commitment: $

Subscriber Information
Name of Subscriber
Address of Subscriber

Country of Residence / State of Incorporation		Taxpayer Identification Number or Social Security Number
Total Amount of Subscription (in $)
Information pertaining to the financial institution from which the Subscriber’s capital contributions will be paid to the Company
Account Name
Name and Address of Financial Institution

Contact Information
Name of Contact and Position or Title of Contact / Relationship to Subscriber
Address of Contact

Telephone Number		Facsimile Number
E-Mail Address

A.	I am a NATURAL PERSON and: (An investor using this Part A must check box (1), (2), OR (3).)
	[ ]	(1)	Income Test: My individual income exceeded $200,000 in each of the two most recent years or my joint income together with my spouse or spousal equivalent exceeded $300,000 in each of those years; and I reasonably expect to earn individual income of at least $200,000 this year or joint income with my spouse or spousal equivalent of at least $300,000 this year. To support the representation in A(1) above: (You must check box (a), (b) OR (c).)
			[ ]	(a)	I will deliver to the Company copies of Form W-2, Form 1099, Schedule K-1 of Form 1065 or a filed Form 1040 for each of the two most recent years showing my income or my joint income with my spouse or spousal equivalent as reported to the IRS for each of those years. I understand that I may redact such documents to avoid disclosing personally identifiable information, such as Social Security numbers, that is not necessary to confirm annual income. OR
			[ ]	(b)	My salary or my joint salary with my spouse or spousal equivalent is publicly available information that has been reported in a document made available by the U.S. government or any state or political subdivision thereof (for example, reported in a filing with the Securities and Exchange Commission) and I will deliver to the Company copies of such publicly available materials identifying me or me and my spouse or spousal equivalent by name and disclosing the relevant

for additional instructions on how to calculate your net worth for purposes of this offering.)
To support the representations in A(2) above: (You must check box (a) OR (b).)
			[ ]	(a)	I will deliver to the Company: Copies of bank statements, brokerage statements, other statements of securities holdings, certificates of deposit, tax assessments, and/or appraisal reports issued by independent third parties that show my individual assets or my joint assets together with my spouse or spousal equivalent; and A copy of a consumer credit report for me (or copies of consumer credit reports for me and my spouse or spousal equivalent) issued by TransUnion, EquiFax or Experian. I understand that each document described in paragraphs (i) and (ii) above must be dated no earlier than three months prior to the date of the closing for the sale of the Interests. I understand that I may redact any of these documents to avoid disclosing personally identifiable information, such as Social Security numbers, that is not necessary to confirm net worth.
					OR
			[ ]	(b)	In accordance with the procedures described below under the heading “Independent Third-Party Verification,” I will assist in arranging for a registered broker-dealer, SEC-registered investment adviser, licensed attorney, certified public accountant, or a nationally-recognized Accredited Investor verification service approved by the Company to deliver to the Company written confirmation of my status as an Accredited Investor based on my individual net worth or my joint net worth together with my spouse or spousal equivalent.
	[ ]	(3)	Company Insider or Verifiable Professional: [ ] I am a director, executive officer, knowledgeable employee of the Company, or manager of the Company or a director, executive officer, or manager of the Manager. [ ] I hold and maintain in good standing with a verifiable professional certification, designation, or credential as designated by the SEC via Commission Order or, any one of the following securities licenses: Series 7, Series 65, Series 82.
B.	I am a LEGAL ENTITY that is:

(An investor using this Part B must check at least one box below. NOTE: An investor that checks any of boxes B(1) through B(12) must contact the Company for additional instructions.)
[ ]	(1)	A bank as defined in Section 3(a)(2) of the Securities Act, or any savings and loan association or other institution as defined in Section 3(a)(5)(A) of the Securities Act, whether acting in its individual or fiduciary capacity.
[ ]	(2)	A broker or dealer registered pursuant to Section 15 of the Securities Exchange Act of 1934, as amended.
[ ]	(3)	An insurance company as defined in the Securities Act.
[ ]	(4)	An investment company registered under the Investment Company Act of 1940 (the “Investment Company Act”).
[ ]	(5)	A business development company as defined in Section 2(a)(48) of the Investment Company Act.
[ ]	(6)	A private business development company as defined in the Investment Advisors Act of 1940.
[ ]	(7)	A Small Business Investment Company licensed by the U.S. Small Business Administration under Section 301(c) or 301(d) of the Small Business Investment Act of 1958.
[ ]	(8)	An organization described in Section 501(c)(3) of the Internal Revenue Code, corporation, Massachusetts or similar business trust, or a partnership, not formed for the specific purpose of acquiring the Interests, with total assets in excess of $5,000,000.
[ ]	(9)	A plan established and maintained by a state, its political subdivisions, or any agency or instrumentality of a state or its political subdivisions, for the benefit of its employees, if such plan has total assets in excess of $5,000,000.
[ ]	(10)	Or is acting on behalf of, (i) an employee benefit plan within the meaning of Section 3(3) of ERISA, whether or not such plan is subject to ERISA, (ii) a plan described in Section 4975(e)(1) of the Code or (iii) an entity which is deemed to hold the assets of any such employee benefit plan pursuant to 29 C.F.R. § 2510.3-101. For example, a plan which is maintained by a foreign corporation, governmental entity or church, a Keogh plan covering no common-law employees and an individual retirement account are employee benefit plans within the meaning of Section 3(3) of ERISA but generally are not subject to ERISA (collectively, “Non-ERISA Plans”). In general, a foreign or U.S. entity which is not an operating company and which is not publicly traded or registered as an investment company under the Investment Company Act and in which 25% or more of the value of any class of equity interests is held by a benefit plan investor (including an entity which is deemed to hold the assets of any employee benefit plan or Non-ERISA Plan), would be deemed to hold the assets of one or more employee benefit plans pursuant to 29 C.F.R. § 2510.3-101. For purposes of determining whether this 25% threshold has been met or exceeded, the value of any equity interests held by a person (other than such a plan or entity) who has discretionary authority or control with respect to the assets of the entity, or any person who provides investment advice for a fee (direct or indirect) with respect to such

		assets, or any affiliates of such person, is disregarded.
[ ]	(11)	Or is acting on behalf of, an employee benefit plan that is subject to ERISA or is a plan described in Section 4975(e)(1) of the Code (including a trust described in Section 401(a) of the Code which forms part of a plan, or a plan described in Section 403(a) of the Code, which trust or plan is exempt from tax under Section 501(a) of the Code, an individual retirement account described in Section 408(a) of the Code, an individual retirement annuity described in Section 408(b) of the Code, an Archer MSA described in Section 220(d) of the Code, a health savings account described in Section 223(d) of the Code, or a Coverdell education savings account described in Section 530 of the Code), or are an entity deemed to hold the assets of any such plan or plans, if the investment decision is made by a plan fiduciary, as defined in such Act, which is either a bank, savings and loan association, insurance company, or registered investment advisor, or if the employee benefit plan has total assets in excess of $5,000,000, or if a self-directed plan, the investment decisions are made solely by persons that are Accredited Investors.
[ ]	(12)	Any of the following entities: [ ] A trust with total assets in excess of $5,000,000, not formed for the specific purpose of acquiring the Interests, whose purchase is directed by a “sophisticated” person as described in Section 506(B)(b)(2)(ii) of the Code; and/or limited liability companies with $5 million in assets, SEC- and state-registered investment advisers, exempt reporting advisers, and rural business investment companies (RBICs); or [ ] Indian tribes, governmental bodies, funds, and entities organized under the laws of foreign countries, that own “investments,” as defined in Rule 2a51-1(b) under the Investment Company Act, in excess of $5,000,000 and that was not formed for the specific purpose of investing in the securities offered; or [ ] “Family Offices” with at least $5,000,000 in assets under management and their “family clients,” as each term is defined under the Investment Advisers Act.
[ ]	(13)	An entity in which all of the equity owners are Accredited Investors. (NOTE: If box (13) is checked, each equity owner of the entity must individually complete and submit to the Company its own copy of the Letter.)

INVESTOR’S SIGNATURE Individual(s): Print Name		Entity: Print Name of Entity
Signature		Signature
Print Name of joint Investor, if applicable		Title or Capacity
Signature of joint Investor, if applicable
Date:		Date:

CERTIFICATE OF		*(the “Trust”)*
	(Name of Trust)

Subscriber:
FOR INDIVIDUAL SUBSCRIBER:
(sign name)
(print full legal name)
SSN:
Address, city, state/province, zip/postal code:

State/province of residence

FOR ENTITY/TRUST SUBSCRIBER: Full legal name of entity:
By:
Its:	‎(sign name)‎
	(print name and title)
EIN:
Address, city, state/province, zip/postal code:

State/province of residence

Company:
Q5ID, Inc.
By:
	Steve Larson, President and CEO

1. _______	A bank, as defined in Section 3(a)(2) of the U.S. Securities Act, whether acting in its individual or fiduciary capacity; a savings and loan association or other institution as defined in Section 3(a)(5)(A) of the U.S. Securities Act, whether acting in its individual or fiduciary capacity; a broker or dealer registered pursuant to Section 15 of the United States Securities Exchange Act of 1934; an investment adviser registered pursuant to section 203 of the Investment Advisers Act of 1940 or registered pursuant to the laws of a state; an investment adviser relying on the exemption from registering with the United States Securities and Exchange Commission (the “Commission”) under section 203(l) or (m) of the United States Investment Advisers Act of 1940; an insurance company as defined in Section 2(a)(13) of the U.S. Securities Act; an investment company registered under the United States Investment Company Act of 1940; a business development company as defined in Section 2(a)(48) of the United States Investment Company Act of 1940; a small business investment company licensed by the United States Small Business Administration under Section 301 (c) or (d) of the United States Small Business Investment Act of 1958; a rural business investment company as defined in section 384A of the United States Consolidated Farm and Rural Development Act; a plan established and maintained by a state, its political subdivisions or any agency or instrumentality of a state or its political subdivisions, for the benefit of its employees, with total assets in excess of US$5,000,000; or an employee benefit plan within the meaning of the United States Employee Retirement Income Security Act of 1974 in which the investment decision is made by a plan fiduciary, as defined in Section 3(21) of such Act, which is either a bank, savings and loan association, insurance company or registered investment adviser, or an employee benefit plan with total assets in excess of US$5,000,000 or, if a self-directed plan, with investment decisions made solely by persons who are U.S. Accredited Investors; or
2. _______	A private business development company as defined in Section 202(a)(22) of the United States Investment Advisers Act of 1940; or
3. _______	An organization described in Section 501(c)(3) of the United States Internal Revenue Code, a corporation, a Massachusetts or similar business trust, a partnership, or a limited liability company, not formed for the specific purpose of acquiring the Purchased Securities, with total assets in excess of US$5,000,000; or
4. _______	A director or executive officer of the Corporation; or
5. _______	A natural person whose individual net worth, or joint net worth, with that person’s spouse or spousal equivalent (being a cohabitant occupying a relationship generally equivalent to that of a spouse), exceeds US$1,000,000 as determined on the following basis: (i) the person’s primary residence shall not be included as an asset; (ii) indebtedness that is secured by the person’s primary residence, up to the estimated fair market value of the primary residence at the time of the sale and purchase of securities contemplated by the accompanying Subscription Agreement, shall not be included as a liability (except that if the amount of such indebtedness outstanding at such time exceeds the amount outstanding 60 days before such time, other than as a result of the acquisition of the primary residence, the amount of such excess shall be included as a liability); (iii) indebtedness that is secured by the person’s primary residence in excess of the estimated fair market value of the primary residence shall be included as a liability; (iv) for the purposes of calculating joint net worth of the person and that person’s spouse or spousal equivalent, (A) joint net worth can be the aggregate net worth of the investor and spouse or spousal equivalent, and (B) assets need not be held jointly to be included in the calculation; and reliance by the person and that person’s spouse or spousal equivalent on the joint net worth standard does not require that the securities be purchased jointly); or
6. _______	A natural person who had an individual income in excess of US$200,000 in each of the two most recent years or joint income with that person’s spouse or spousal equivalent in excess of US$300,000 in each of those years and has a reasonable expectation of reaching the same income level in the current year; or
7. _______	A trust, with total assets in excess of US$5,000,000, not formed for the specific purpose of acquiring the securities offered under the accompanying Subscription Agreement, whose purchase is directed by a sophisticated person as described in Rule 506(b)(2)(ii) of Regulation D under the U.S. Securities Act; or
8. _______	An entity in which all of the equity owners are U.S. Accredited Investors; or *If you checked Category 8, please indicate the name and category of U.S. Accredited Investor (by reference to the applicable category number herein) of each equity owner:*
	Name of Equity Owner	Category of U.S. Accredited Investor





	It is permissible to look through various forms of equity ownership to natural persons in determining the U.S. Accredited Investor status of entities under this category. If those natural persons are themselves U.S. Accredited Investors, and if all other equity owners of the entity seeking U.S. Accredited Investor status are U.S. Accredited Investors, then this category will be available.
9. _______	An entity, of a type not listed in Categories 1, 2, 3, 7 or 8, not formed for the specific purpose of acquiring the Purchased Securities, owning investments in excess of US$5,000,000 (note: for the purposes of this Category 9, “investments is defined in Rule 2a51-1(b) under the United States Investment Company Act of 1940); or
10. _______	A natural person holding in good standing one or more of the following professional certifications or designations or credentials from an accredited educational institution that the Commission has designated as qualifying an individual for accredited investor status: The General Securities Representative license (Series 7), the Private Securities Offerings Representative license (Series 82), and the Licensed Investment Adviser Representative (Series 65); or
11. _______	Any “family office,” as defined in rule 202(a)(11)(G)-1 under the United States Investment Advisers Act of 1940: (i) with assets under management in excess of US$5,000,000, (ii) that is not formed for the specific purpose of acquiring the Purchased Securities, and (iii) whose prospective investment is directed by a person (a “Knowledgeable Family Office Administrator”) who has such knowledge and experience in financial and business matters that such family office is capable of evaluating the merits and risks of the prospective investment; or
12. _______	A “family client,” as defined in rule 202(a)(11)(G)-1 under the United States Investment Advisers Act of 1940, of a family office meeting the requirements set forth in Category 11 above and whose prospective investment in the Company is directed by such family office with the involvement of the Knowledgeable Family Office Administrator.

FOR INDIVIDUAL SUBSCRIBER:‎		FOR ENTITY/TRUST SUBSCRIBER:‎
		Entity/Trust:
(sign name)‎
		By:
		(sign name)
(print name)
		(print name, title)

£	(a) ‎(i)‎ except in Ontario, a Canadian financial institution, or a Schedule III bank; or ‎ (ii)‎ in Ontario, a financial institution described in paragraph 73.1(1) of the Securities Act (Ontario) ‎‎(as detailed below)‎;
£	(b) the Business Development Bank of Canada incorporated under the Business Development Bank of Canada Act (Canada);
£	(c) a subsidiary of any person referred to in paragraphs (a) or (b), if the person owns all of the voting securities of the subsidiary, except the voting securities required by law to be owned by directors of that subsidiary;
£	(d) a person registered under the securities legislation of a jurisdiction of Canada as an adviser or dealer, other than a person registered solely as a limited market dealer under one or both of the Securities Act (Ontario) or the Securities Act (Newfoundland and Labrador);
£	(e) an individual registered or formerly registered under the securities legislation of a jurisdiction of Canada as a representative of a person referred to in paragraph (d);
£	(f) the Government of Canada or a jurisdiction of Canada, or any crown corporation, agency or wholly owned entity of the Government of Canada or a jurisdiction of Canada;
£	(g) a municipality, public board or commission in Canada and a metropolitan community, school board, the Comité de gestion de la taxe scolaire de l’île de Montréal or an intermunicipal management board in Québec;
£	(h) any national, federal, state, provincial, territorial or municipal government of or in any foreign jurisdiction, or any agency of that government;
£	(i) a pension fund that is regulated by the Office of the Superintendent of Financial Institutions (Canada), a pension commission or similar regulatory authority of a jurisdiction of Canada;
£	(j) an individual who, either alone or with a spouse, beneficially owns financial assets having an aggregate realizable value that before taxes, but net of any related liabilities, exceeds $1,000,000; *IF THIS APPLIES, YOU MUST ALSO COMPLETE APPENDIX B* ‎(Note: the value of your personal residence cannot be included in the calculation of ‎financial assets.)‎ ‎(Note: financial assets include cash, securities, or a contract of insurance, a deposit or ‎an evidence of a deposit.)‎ ‎(Note: if individual accredited investors wish to purchase through wholly-owned ‎holding companies or similar entities, such purchasing entities must qualify under ‎paragraph (t) below rather than this paragraph.) ‎
£	(j.1) an individual who beneficially owns financial assets having an aggregate ‎realizable value that, before taxes but net of any related liabilities, exceeds ‎‎$5,000,000, (Note: see definition of “financial assets” below.)‎; *IF THIS APPLIES, YOU MUST ALSO COMPLETE APPENDIX B* ‎(Note: the value of your personal residence cannot be included in the calculation of ‎financial assets.)‎ ‎(Note: financial assets include cash, securities, or a contract of insurance, a deposit or ‎an evidence of a deposit.)‎ ‎(Note: if individual accredited investors wish to purchase through wholly-owned ‎holding companies or similar entities, such purchasing entities must qualify under ‎paragraph (t) below rather than this paragraph.) ‎
£	(k) an individual whose net income before taxes exceeded $200,000 in each of the two most recent calendar years or whose net income before taxes combined with that of a spouse exceeded $300,000 in each of the two most recent calendar years and who, in either case, reasonably expects to exceed that net income level in the current calendar year; *IF THIS APPLIES, YOU MUST ALSO COMPLETE APPENDIX B* (Note: if individual accredited investors wish to purchase through wholly-owned ‎holding companies or similar entities, such purchasing entities must qualify under ‎paragraph (t) below rather than this paragraph.)
£	(l) an individual who, either alone or with a spouse, has net assets of at least $5,000,000; *IF THIS APPLIES, YOU MUST ALSO COMPLETE APPENDIX B* ‎(Note: for the net asset test (total assets minus total liabilities), the calculation of total ‎assets includes the value of your primary residence and the calculation of total ‎liabilities includes the amount of any liability, such as a mortgage or equity line of ‎credit, on your primary residence.)‎ ‎(Note: if individual accredited investors wish to purchase through wholly-owned ‎holding companies or similar entities, such purchasing entities must qualify under ‎paragraph (t) below rather than this paragraph.)‎
£	(m) a person, other than an individual or investment fund, that has net assets of at least $5,000,000 as shown on its most recently prepared financial statements;
£	(n) an investment fund that distributes or has distributed its securities only to (i) a person that is or was an accredited investor at the time of the distribution, (ii) a person that acquires or acquired securities in the circumstances referred to in sections 2.10 [Minimum amount investment], or 2.19 [Additional investment in investment funds] of NI 45-106, or (iii) a person described in paragraph (i) or (ii) that acquires or acquired securities under section 2.18 [Investment fund reinvestment] of NI 45-106;
£	(o) an investment fund that distributes or has distributed securities under a prospectus in a jurisdiction of Canada for which the regulator or, in Québec, the securities regulatory authority, has issued a receipt;
£	(p) a trust company or trust corporation registered or authorized to carry on business under the Trust and Loan Companies Act (Canada) or under comparable legislation in a jurisdiction of Canada or a foreign jurisdiction, acting on behalf of a fully managed account managed by the trust company or trust corporation, as the case may be;
£	(q) a person acting on behalf of a fully managed account managed by that person, if that person (i) is registered or authorized to carry on business as an adviser or the equivalent under the securities legislation of a jurisdiction of Canada or a foreign jurisdiction, and (ii) in Ontario, is purchasing a security that is not a security of an investment fund;
£	(r) a registered charity under the Income Tax Act (Canada) that, in regard to the trade, has obtained advice from an eligibility adviser or an adviser registered under the securities legislation of the jurisdiction of the registered charity to give advice on the securities being traded;
£	(s) an entity organized in a foreign jurisdiction that is analogous to any of the entities referred to in paragraphs (a) to (d) or paragraph (i) in form and function;
£	(t) a person in respect of which all of the owners of interests, direct, indirect or beneficial, except the voting securities required by law to be owned by directors, are persons that are accredited investors; *IF THIS APPLIES, EACH OWNER OF INTEREST MUST COMPLETE AN INDIVIDUAL APPENDIX A AND IF APPLICABLE ALSO COMPLETE APPENDIX B*
£	(u) an investment fund that is advised by a person registered as an adviser or a person that is exempt from registration as an adviser;
£	(v) a person that is recognized or designated by the securities regulatory authority or, except in Ontario and Québec, the regulator as an accredited investor; or
£	(w) a trust established by an accredited investor for the benefit of the accredited investor’s family members of which a majority of the trustees are accredited investors and all of the beneficiaries are the accredited investor’s spouse, a former spouse of the accredited investor or a parent, grandparent, brother, sister, child or grandchild of that accredited investor, of that accredited investor’s spouse or of that accredited investor’s former spouse..

The number of Securities of Class B Non-Voting Common Stock the undersigned hereby irrevocably subscribes for is:		_____________ (print number of Securities)
The aggregate purchase price (based on a purchase price of $2.00 per share for the Class B Non-Voting Common Stock the undersigned hereby irrevocably subscribes for is:		$_____________ (print aggregate purchase price)
The Securities being subscribed for will be owned by, and should be recorded on the Company’s books as held in the name of:
	___________________________________________ (print name of owner or joint owners)