NMPA LimeWire Settlement Distribution Program Direct Licensing Income Form Summary of Direct Domestic Mechanical Licensing Income Received During the Period July 1, 2007 through June 30, 2010 Date Direct Mechanical Source/Licensee Total Amount Domestic (U.S) Royalty Statement was Account Statement Period Earner Per Mechanical Amount Received Report Source/Licensee Recipient Name Number Beg End Statement Earned Per Statement (A) (B) (C) (D) (E) (F) (G) (H) NMPA LimeWire Settlement Distribution Program Instructions for Completing Direct Licensing Income Form 1. List all individual royalty statements that identify United States Mechanical Royalties RECEIVED OR RECOUPED by you or an affiliate during the three year period July 1, 2007 through June 30, 2010. on behalf of which you have opted into the LimeWire Settlement Distribution. Note: You will be requested to provide a sample selection of the statements you identify in the Direct Licensing Income Form. Column Description Instruction (A) Date Direct Mechanical Royalty Statement was Received Enter the date you receved the royalty statement. (B) Reporting Source/Licensee Enter the name of the reporting source that issued the statement to you. (C) Recipient Name Enter the name of publishing company to whom the statement was addressed and rendered. (D) Account Number Enter the account number assigned by the reporting source/licensee. (E) Source/Licensee Statement Period Beg Enter the beginning date of reporting source/licensee's earnings period. Usually January 1 or June 1 for semi-annual statements. Usually January 1, April 1, July 1 or October 1 for quarterly statements. (F) Source/Licensee Statement Period End Enter the ending date of reporting source/licensee's earnings period. Usually June 30 or December 31 for semi-annual statements. Usually March 31, June 30, September 30 or December 31 for quarterly statements. (G) Total Amount Earned per Statement Enter the total amount of income earned on each royalty statement. This includes all income types. (H) Domestic Mechanical Amount Earned Enter the total direct U.S. mechanical royalty amount earned.