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cut-and-paste this

chart into your Number of


board deck NEWCO Capitalization as of xx/yy/zz Shares

Series A Preferred Stock


VC Firm #1, LP 3,000,000
Individual #1 300,000
VC Firm #2, LP 400,000
Total Series A 3,700,000
Series B Preferred Stock
VC Firm #1, LP 700,000
Individual #1 100,000
VC Firm #2, LP 450,000
VC Firm #3, LP 1,300,000
Total Series B 2,550,000
Total Preferred Stock 6,250,000

Common Stock
Founder #1 2,500,000
Founder #2 1,500,000
All other common holders 350,000
Total Common Stock 4,350,000

Stock Options
Total Shares Reserved for Options 2,100,000
Less Options Granted 940,000
Plus Cancelled Options 100,000
Total Option Pool Available 1,260,000

Total Shares 12,700,000


Percentage Percentage
oustanding Fully Diluted

26.22% 23.62%
2.62% 2.36%
3.50% 3.15%
32.34% 29.13%

6.12% 5.51%
0.87% 0.79%
3.93% 3.54%
11.36% 10.24%
22.29% 20.08%
54.63% 49.21%

21.85% 19.69%
13.11% 11.81%
3.06% 2.76%
38.02% 34.25%

18.36% 16.54%
8.22% 7.40%

11.01% 9.92%

100.00%
notes

a good rule of thumb is to list anyone holding 5% or more; group the rest in "all others" category

NOTE: this number does not include "exercised" options

Total Shares Reserved is an input; the only input on this page. It should reflect the number of shares allocated, in total, in the option pool
Oustanding Oustanding Options for
Name of Stockholder As It Preferred Common Common
Stock Date of
Appears on Certificate Stock Stock Granted Grant
Series A Preferred:
Total Series A(1) 1,850,000
VC Firm #1, LP 1,500,000
Individual #1 150,000
VC Firm #2, LP 200,000

Total Series A(2) Extension 1,850,000


VC Firm #1, LP 1,500,000
Individual #1 150,000
VC Firm #2, LP 200,000

Series B Preferred:
Total Series B (1) 2,550,000
VC Firm #1, LP 700,000
Individual #1 100,000
VC Firm #2, LP 450,000
VC Firm #3, LP 1,300,000

Total Preferred 6,250,000

Founding Common Stock:


Founder #1 0 2,500,000 0
Founder #2 0 1,500,000 0
Early employee #1 0 350,000 0

Total Common Investors - ### - Grant


Grant Date
Founders and Employees Common Stock:
Ex-employee #1 0 450,000 8/13/08
Employee #2 0 0 90,000 8/14/08
Employee #3 0 0 100,000
Employee #4 0 0 300,000

Total Common Founders Employees - - 940,000

Total outstanding: 6,250,000 ###


Options Available For Grant
Total Fully Diluted 6,250,000 ###
Unexercised
Options for Percentage
Common Cancelled Date of Exercised Exercise
Stock Options Cancellation Options Date Total Outstanding

1,850,000 16.17%
1,500,000 13.11%
150,000 1.31%
200,000 1.75%

1,850,000 16.17%
1,500,000 13.11%
150,000 1.31%
200,000 1.75%

2,550,000 22.29%
700,000 6.12%
100,000 0.87%
450,000 3.93%
1,300,000 11.36%

### 54.63%

0 2,500,000 21.85%
0 1,500,000 13.11%
0 350,000 3.06%

Date of - Exercise ### 38.02%


Percentage
Unexercised Cancelled Cancel Exercised Date Total
Outstanding

- 100,000 12/14/09 350000 ### 350,000 3.06%


- 90000 2/1/2010 90,000 0.79%
100,000 12/14/09 0 100,000 0.87%
100,000 200000 ### 300,000 2.62%

200,000 100,000 640,000 840,000 7.34%

840,000
###
###
Rule 144 Strike or
Percentage Issuance Certif. Start Price Paid

Fully Diluted Date Number Date Per Share Domicile

14.57%
11.8110236% 7/23/2009 PA-1 ### 0.0591 TX
1.1811024% 7/23/2009 PA-2 ### 0.0591 TX
1.5748031% 7/23/2009 PA-4 ### 0.0591 TX

14.57%
11.8110236% 3/12/2010 PA-9 ### 0.0591 TX
1.1811024% 3/12/2010 PA-10 ### 0.0591 TX
1.5748031% 3/12/2010 PA-12 ### 0.0591 TX

20.08%
5.5118110% 5/28/2010 PB-1 ### 0.293 TX
0.7874016% 5/28/2010 PB-2 ### 0.293 TX
3.5433071% 5/28/2010 PB-3 ### 0.293 TX
10.2362205% 5/28/2010 PB-4 ### 0.293 CA

49.21%

19.6850394% 8/13/08 $0.0008


11.8110236% 8/13/08 $0.0008
2.7559055% 10/6/08 $0.1000

34.25%
Percentage
Fully
Diluted
2.7559055% 2/20/10 CS-25 ### $0.02 CA
0.7086614% 2/1/10 CS-24 2/1/2010 $0.02 CA
0.7874016% $0.02 TX
2.3622047% 4/29/11 CS-26 4/29/2011 $0.02 TX

6.61%

###

###

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