Demand for Inspection of Books and Records

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DEMAND FOR INSPECTION OF BOOKS AND RECORDS Date: [DATE] To: [SECRETARY’S NAME], Secretary, [COMPANY NAME] Corporation Subject: Demand for Inspection of Corporation's Books and Records The undersigned hereby states that he or she is the holder of [N] shares of the common stock of [COMPANY NAME] Corporation, and that (1) holding constitutes at least five percent of the outstanding stock of the Corporation and (2) the undersigned has held the aforementioned shares of stock for at least six months preceding this demand. The undersigned does hereby demand the opportunity to inspect the books and records of the Corporation, its stock ledger and the list of shareholders. The undersigned's purpose is a proper purpose in that it is being made The undersigned further states that he or she has never sold or offered for sale any list of shareholders of any corporation, nor has he or she aided, abetted or assisted any person in obtaining such a list or record for such purpose.

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