TFF Franchise Management Questionnaire

FRANCHISE MANAGEMENT OR BROKER DISCLOSURE QUESTIONNAIRE

Each person who is a director, trustee, general partner, officer, or other person who will have management responsibility relating to the sale or the operation of the franchise system by the franchisor (the “Franchisor”) must provide certain information for the Franchisor's franchise disclosure document (“FDD”). Please be sure to sign the last page as requested to indicate your verification that all answers given in this questionnaire are complete, true and accurate.

Note : This information should be updated as it changes from time to time and annually for the FDD update.

PLEASE RESPOND TO ALL QUESTIONS COMPLETELY.

I. HISTORY

A. Individual's full name :

B. Business address, telephone number and email address :

Business Address :

Phone :

Email :

C. Current position with Franchisor (title) :

D. Beginning date of current position with Franchisor :

E. Provide your full work/employment and business history for the past five years, including with the Franchisor and its affiliates (including while a student or if not employed please state so) :

Title/ Position	Company	Type of Company	City/State	Start Date (month/year)	End Date (month/year)

II. LITIGATION, ADMINISTRATIVE ACTIONS AND ARBITRATIONS

A. Are you, at the present time :

1. a defendant (or defendant to a counterclaim) in a pending administrative, criminal or civil action against you which alleges:

(a) A violation of any franchise law?

Yes

(b) A violation of any antitrust law?

Yes

(d) Fraud?

Yes

(e) Unfair or deceptive practices?

Yes

(f) Or comparable allegations?

Yes

2. A defendant (or a defendant to a counterclaim) in any pending civil action considered material in the context of the number of franchisees and the size, nature or financial condition of the franchise system or business operations?

Yes

Note: For purposes of this questionnaire, an “action” includes a lawsuit, administrative action or an arbitration claim. A material action is an action that a prospective franchisee would consider important in deciding to do business with the Franchisor. If you are in doubt whether the action is material, please answer yes and describe the action as required by Paragraph F.(1) below.

3. A defendant in a pending criminal case?

Yes

B. During the ten (10) year period prior to the date of this questionnaire, have you :

1. Have you ever been convicted of a felony?

Yes

2. Have you ever pleaded nolo contendere (no contest) to a felony charge?

Yes

3. Been held liable in a civil action, including a lawsuit, administrative action or an arbitration, involving

(a) A violation of any franchise law?

Yes

(b) A violation of any antitrust law?

Yes

(d) Fraud?

Yes

(e) Unfair or deceptive practices?

Yes

(f) Or comparable allegations?

Yes

Note: For purposes of this question, "held liable" means a finding by final judgment in a judicial, binding arbitration or administrative proceeding. “Held liable” means that as a result of claims or counterclaims, the person must pay money or other consideration, must reduce an indebtedness by the amount of an award, cannot enforce its rights, or must take some action adverse to its interests. Held liable also includes civil, administrative or arbitration actions the person settled where the terms of settlement required the person to pay money or other consideration, forgive or reduce indebtedness, relinquish rights or take any action adverse to its interests.

C. Are you at the present time :

1. Subject to any currently effective injunctive or restrictive order or decree resulting from a pending or concluded action brought by a public agency and relating to the franchise or to a Federal, State, or Canadian franchise, securities, antitrust, trade regulation or trade practice law?

Yes

2. Subject to any currently effective order of any national securities association or national securities exchange suspending or expelling you from membership in such association or exchange?

Yes

Note: For purposes of these questions, "currently effective" means an injunctive or restrictive order or decree that has not been vacated or rescinded by a court or by an issuing public agency.

D. If the answer to any of the questions in II.A. through II.E. is yes, please provide the following information :

1. For litigation :

(a) Names of the parties

(b) Nature of the case (including claims and relief sought)

(d) Date of filing

(e) Docket number

(f) Relationship of party bringing the action to the defendant (i.e., former franchisee, supplier, etc.)

(g) Current status of pending actions

(h) Date of conviction or date judgment was entered

(i) Penalty, damages assessed and terms of settlement

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2. For orders or decrees:

(a) Name of agency and court

(b) Summary of allegations or facts

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Note : Also include the name, telephone number and address of your counsel and please provide us with copies of all court pleadings.

III. BANKRUPTCY

A. During the ten (10) year period immediately preceding the date of this questionnaire, have you :

1. Filed as a debtor (or had filed against you) a petition to start an action under the U.S. Bankruptcy Code or the bankruptcy laws of any foreign nations?

Yes

2. Obtained a discharge of your debts under the bankruptcy laws?

Yes

3. Or were you a principal officer of any company or a general partner in any partnership that either filed as a debtor (or had filed against it) a petition to start an action under the U.S. Bankruptcy Code or similar foreign laws or that obtained a discharge of its debts under the Bankruptcy Code during or within one (1) year after you left your position in such company or partnership?

Yes

B. If so, describe :

1. The name of the person or company that filed a petition (either voluntarily or involuntarily) or obtained a discharge of its debts under the Bankruptcy Code :

2. The party's relationship to the Franchisor, if any :

3. The court, case name and number and relevant dates:

Court Name

Case name

Case number

Relevant dates

4. Any material facts or circumstances relating to the proceeding. In the event of a discharge in bankruptcy, please state the discharge date and describe the reorganization plans, if applicable:

Reorganization plans

Discharge date

IV. CERTIFICATION

I certify that the foregoing information is true, correct and complete as of this date. I will update the information as and when it changes. I understand that the Franchisor is relying upon this information to prepare its franchise registration and disclosure materials, and that any inaccuracy could be damaging.

Signature :

Print Name :

Date :