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| Category      I   | _______       | The      Subscriber is an individual (not a partnership, corporation, etc.) whose      individual net worth, or joint net worth with the Subscriber’s spouse,      presently exceeds $1,000,000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         |
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|              |          | Explanation.  In      calculation of net worth the Subscriber may include equity in personal      property and real estate, including the Subscriber’s principal residence,      cash, short term investments, stocks and securities.  Equity in      personal property and real estate should be based on the fair market value      of such property less debt secured by such property.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           |
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| Category      II  | _______  | The      Subscriber is an individual (not a partnership, corporation, etc.) who had      an individual net income in excess of $200,000 in each of the last two      years, or joint income with his/her spouse in excess of $300,000 in each      of the last two years, and has a reasonable expectation of reaching the      same income level in the current year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         |
|              |          |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           |
| Category      III | _______       | The      Subscriber is an executive officer or director of the    Company.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
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| Category      IV  | _______       | The      Subscriber is a bank as defined in Section 3(a)(2) of the Securities Act;      a savings and loan as defined in Section 3(a)(5)(A) of the Securities Act;      an insurance company as defined in Section 2(13) of the Securities Act; a      broker or dealer registered pursuant to the Securities Exchange Act of      1934, as amended (the “Exchange Act”); an investment company registered      under the Investment Company Act of 1940, as amended (the “Investment      Company Act”), or a business development company as defined in Section      2(a)(48) of the Investment Company Act; a Small Business Investment      Company licensed by the U.S. Small Business Administration under Section      301(c) or (d) of the Small Business Investment Act of 1958; a plan      established and maintained by a state, its political subdivisions, or any      agency or instrumentality of a state or its political subdivisions, for      the benefit of its employees, if such plan has total assets in excess of      $5,000,000; an employee benefit plan within the meaning of the Employee      Retirement Income Security Act of 1974, as amended (“ERISA”), if the      investment decision is made by a plan fiduciary, as defined in Section      3(21) of ERISA, which is either a bank, savings and loan association,      insurance company, or registered investment adviser, or if the employee      benefit plan has total assets in excess of $5,000,000, or, if a      self-directed plan, with investment decisions made solely by persons that      are accredited investors (this includes IRAs).  (Note: If you      check this category, the Company may request additional information      regarding investment company and ERISA issues.)  |
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|              |          | (describe      entity)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         |

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| Category      V    | _______       | The      Subscriber is a private business development company as defined in Section      202(a)(22) of the Investment Advisers Act of 1940, asamended.                                                                                                                                                                                                       |
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|               |          | (describe      entity)                                                                                                                                                                                                                                                                                                                                            |
|               |          |                                                                                                                                                                                                                                                                                                                                                              |
|               |          |                                                                                                                                                                                                                                                                                                                                                              |
| Category      VI   | _______       | The      Subscriber is an entity with total assets in excess of $5,000,000 which      was not formed for the purpose of      investing in the Securities and which is one of the    following:                                                                                                                                                                    |
|               |          |                                                                                                                                                                                                                                                                                                                                                              |
|               |          | _____      a corporation; or                                                                                                                                                                                                                                                                                                                                      |
|               |          |                                                                                                                                                                                                                                                                                                                                                              |
|               |          | _____      a partnership; or                                                                                                                                                                                                                                                                                                                                      |
|               |          |                                                                                                                                                                                                                                                                                                                                                              |
|               |          | _____      a business trust; or                                                                                                                                                                                                                                                                                                                                   |
|               |          |                                                                                                                                                                                                                                                                                                                                                              |
|               |          | _____      a tax-exempt organization described in Section 501(c)(3) of the Internal      Revenue Code of 1986, as amended.                                                                                                                                                                                                                                   |
|               |          |                                                                                                                                                                                                                                                                                                                                                              |
|               |          |                                                                                                                                                                                                                                                                                                                                                              |
|               |          |                                                                                                                                                                                                                                                                                                                                                              |
|               |          | (describe      entity)                                                                                                                                                                                                                                                                                                                                            |
|               |          |                                                                                                                                                                                                                                                                                                                                                              |
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| Category      VII  | _______       | The      Subscriber is an entity all the equity owners of which are “accredited      investors” within one or more of the above categories.  If relying upon this category      alone, each equity owner must complete a separate copy of this      Agreement.                                                                         |
|               |          |                                                                                                                                                                                                                                                                                                                                                              |
|               |          |                                                                                                                                                                                                                                                                                                                                                         |
|               |          | (describe      entity)                                                                                                                                                                                                                                                                                                                                            |
|               |          |                                                                                                                                                                                                                                                                                                                                                              |
|               |          |                                                                                                                                                                                                                                                                                                                                                              |
| Category      VIII | _______  | The      Subscriber is a trust with total assets in excess of $5,000,000, not      formed for the specific purpose of acquiring the Securities, whose      purchase is directed by a person who has such knowledge and experience in      financial and business matters that he is capable of evaluating the merits      and risks of the prospectiveinvestment. |

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|   | Place      an “X” in one space below:                          |
|--------|----------------------------------------------------------------------------|
|   |                                                                       |   |
|   | (a)_____                                                                   | Individual      Ownership |
|   | (b)_____            | Community      Property |
|   | (c)_____            | Joint      Tenant with Right of Survivorship (both parties must  sign) |
|   | (d)_____            | Partnership |
|   | (e)_____            | Tenants      in Common |
|   | (f)_____            | Corporation |
|   | (g)_____            | Trust |
|   | (h)_____            | Other      (Describe): |

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|                                            |   | Address      to Which Correspondence                                                                                                                                                                                                                                                                                                                                                                     |
|-------------------------------------------------|--------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|                                            |   | Should      be Directed                                                                                                                                                                                                                                                                                                                                                                                  |
|                                            |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
|                                            |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
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| Signature      (Individual)                     |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
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| Signature      (All record holders should sign) |   | City,      State and Zip Code                                                                                                                                                                                                                                                                                                                                                                            |
|                                            |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
|                                            |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
| Name(s)      Typed or Printed                   |   | Tax      Identification or Social Security Number                                                                                                                                                                                                                                                                                                                                                        |
|                                            |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
|                                            |   | (           )                                                       |
|                                            |   | Telephone      Number                                                                                                                                                                                                                                                                                                                                                                                    |

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|                   |                                                                                                                                                                                                                                                                                                                                                                                             |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
|------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|                   | Name      of Entity                                                                                                                                                                                                                                                                                                                                                                              |   | Address      to Which Correspondence Should be Directed                                                                                                                                                                                                                                                                                                                                                  |
|                   |                                                                                                                                                                                                                                                                                                                                                                                             |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
|                   |                                                                                                                                                                                                                                                                                                                                                                                             |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
|                   |                                                                                                                                                                                                                                                                                                                                                                                             |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
|  By:              |                                                                  |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
|                   | *Signature                                                                                                                                                                                                                                                                                                                                                                                       |   | City,      State and Zip Code                                                                                                                                                                                                                                                                                                                                                                            |
|                   |                                                                                                                                                                                                                                                                                                                                                                                             |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
|  Its:   |                                                                            |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
|                   | Title                                                                                                                                                                                                                                                                                                                                                                                            |   | Tax      Identification or Social Security Number                                                                                                                                                                                                                                                                                                                                                        |
|                   |                                                                                                                                                                                                                                                                                                                                                                                             |   |                                                                                                                                                                                                                                                                                                                                                                                                     |
|                   |                                                                                                                                                                                                                                                                                                                                                                                             |   | (           )                                                       |
|                   | Name      Typed or Printed                                                                                                                                                                                                                                                                                                                                                                       |   | Telephone      Number                                                                                                                                                                                                                                                                                                                                                                                    |

|   |      |
|--------|-----------|
|   | Signature |

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|   | Omni      Bio Pharmaceutical, Inc. |
|--------|------------------------------------|
|   |                               |   |
|   |                               |   |
|   | By:                                |   |
|   |                               | Edward      C. Larkin |
|   |                               | Chief      Operating Officer |
|   |                               |   |
|   |                               |   |
|   | Date:                              |   |
|   |                               |   |
|   |                               |   |

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