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Check this box to certify that all of the following statements are
true for the issuer(s)
Check this box to certify that, as of the time of this filing, each
person described in Rule 262 of Regulation A is either not
disqualified under that rule or is disqualified but has received a
waiver of such disqualification.
Check this box if "bad actor" disclosure under Rule 262(d) is
provided in Part II of the offering statement.
As to any unregistered securities issued by the issuer of any of
its predecessors or affiliated issuers within one year before the
filing of this Form 1-A, state: