Do No YAM* kl Ow Nock FOR FAA USE ONLY FOPM,PMItmeD MGM 21.104:00 C-I {a U s. s. NAME AND ADDRESS or ecnvouAL(S).GIVE LAST NAME, rout rouse, Aso MIDDLE NITIAL) OWNING an undivided 6.25% Interest Ferbert, LLC 101 South Webb Road Wichita, KS 67207 DEALER CERTIFICATE NUMBER WARRANTS THE DUCG THEREOF.