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Te Legform Barops Forms

Te Legform Barops Forms

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Published by Dorothy Fermin

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Published by: Dorothy Fermin on Nov 27, 2011
Copyright:Attribution Non-commercial

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03/14/2013

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ACKNOWLEDGMENT OF NOMINEE STATUS WITH ASSIGNMENT OF SHARES

I, GEORDI LA FORGE, (“Nominee”), of legal age, and with office address at
__________, hereby acknowledge my status as nominee for WILLIAM RIKER (“the Principal”)
for the purpose of holding title to ___shares of stock in the Enterprise Holdings Inc. (“the
Corporation”). As nominee, I hereby unequivocally confirm that the Principal is the exclusive
and absolute owner of the subject shares. Accordingly, the relationship between the principal
and the nominee with respect to the subject shares is governed by the following terms and
conditions:

1. All dividends, whether cash, stock or property, rights and other privileges,
accruing on the subject share shall be for the account and benefit of the
principal; accordingly, the nominee shall deliver the same to the principal and
whoever the latter may designate.

2. Director’s fees and other amounts received by way of compnesation for
services rendered by the nominee shall be for the account and benefit of the
nominee.

3. The principal shall save the nominee free and harmless from any liability,
whether for unpaid subsrcriptions, taxes or otherwise, that may arise as a result
of the nominee’s holding title to the subject shares for and on behalf of the
principal.

4. The nominee hereby assigns, transfers and conveys the subject shares to the
principal free from all liens and encumbrances and hereby undertakes to execute
the necessary instruments to transfer title over the subject shares to the principal
or to whoever the latter may designate.

5. This acknowledgment of nominee status shall bind the nominee’s heirs,
executors, administrators and other successors-in-interest.

Done this _________________ at ______________________.

GEORDI LA FORGE
Nominee

WITH MY CONFORMITY:

WILLIAM RIKER
Principal

WITNESSES:

UZI 1

UZI 2

Acknowledgment

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