NSWER 10 ANY QUESTION MAYBE GROUNDS FOR DEMI OR SUBSEQUENT REVOCATION CI REGISTRATION TREASURER PRESIDENT SIGNATURE DATE SIGNATURE REPEAT Kam Jellify E. EpsNE !IMMO FIRST NAME AND LAST NAVE PRINTED FIRST NAME AND LAST NAME DAE EFTA00284861 Mort, Inc. EIN # 66-0765963 BALANCE SHEET As of December 31