Specimen Subscription Agreement
EX-10.4 3 ex104.htm ex104.htm
EXHIBIT 10.4
Advanced Credit Technologies, Inc.
Subscription Agreement
Advanced Credit Technologies, Inc.
Subscription Agreement Information
Roy Aafredt
PO BOX 96
Eden ,SD. 57232 $25,000 11/2009 250,000 common shares
$10,000 08/2010 100,000 common shares
701 ###-###-#### Consulting 100,000 common shares
Richard Wagner
1350 3rd Ave South
Fargo, ND. 58103 $10,000 01/2010 100,000 common shares
701 ###-###-####
Paul Staffile
14303 Patty Berg Drive
Fort Meyers, FL. 33919 $5000 02/2010 50,000 common shares
239 ###-###-####
J. Michael Cullen
3032 23rd Ave SW
Fargo, ND. 58103 $10,000 03/2010 100,000 common shares
701 ###-###-####
Todd Thomas
8407 Haeg Drive
Bloomington, MN. 55431 $7500 03/2010 75,000 common shares
$2500 07/2010 25,000 common shares
952 ###-###-####
Edward Roos
5415 SW 22nd Ave
Cape Coral, FL. 33917 $5000 03/2010 50,000 common shares
239 ###-###-####
Tabatha & Eric Melby $5000 04/2010 50,000 common shares
17945 230th Ave
Detroit Lakes, MN. 56501
218 ###-###-####
Karl & Joni Benardchik
17160 County Road 2
Walcott, ND. 58077 $6000 04/2010 60,000 common shares
701 ###-###-####
Charles Gillette
3905 24th St
Sioux Falls, SD. 57103 $10,000 05/2010 100,000 common shares
605 ###-###-####
Craig Tevedahl
11059 SD Highway 27
Britton, SD. 57430 $5000 05/2010 50,000 common shares
605 ###-###-####
Pablo Silva
1327 SE 25th Terrace
Cape Coral, FL. 33904 $5000 05/2010 50,000 common shares
239 ###-###-####
John Cancelliere $1250 05/2010 12,500 common shares
501 Avellino Isles Circle #39201
Naples, FL. 34119
239 ###-###-####
Dave O'Brien $1250 05/2010 12,500 common shares
16051 Briarcliff Lane
Fort Myers, FL. 33912
239 ###-###-####
Darrell Vasvick
1509 17th St S
Fargo, ND. 58103 $5000 05/2010 50,000 common shares
701 ###-###-####
Kim Winters
415 SW 14th Court
Pompano Beach, FL. 33060 $5000 06/2010 50,000 common shares
954 ###-###-####
Joyce Lehr
4515 SW 14th Court
Pompano Beach, FL. 33060 $5000 06/2010 50,000 common shares
954 ###-###-####
Donald E Smith
22545 North Pearl Lake
Detroit Lakes, MN. 56501 $5000 06/2010 50,000 common shares
$6000 12/2010 60,000 common shares
218 ###-###-####
Chad Wolf
1156 42nd Ave West #A
West Fargo, ND. 58078 $2500 06/2010 25,000 common shares
701 ###-###-####
Jill Kornblatt-Danford
805 Saddle Hill
Marietta, GA. 30068 $5000 06/2010 50,000 common shares
$5000 07/2010 50,000 common shares
770 ###-###-####
Lawrence Hauskins
8300 Norman Center Drive #1150
Bloomington, MN. 55437 $5000 07/2010 50,000 common shares
952 ###-###-####
Mary McAlpin
3597 Tuckers Farm
Marietta, GA. 30067 $5000 07/2010 50,000 common shares
770 ###-###-####
Paul & Beth Norcia
18183 Lansford Path
Lakeville, MN. 55044 $10,000 08/2010 100,000 common shares
952 ###-###-####
Ruben Zak
3856 Luverne St $1250 05/2010 12,500 commonshares
Fort Myers, FL. 33091 $5000 09/2010 50,000 commonshares
Consulting 100,000 common shares
239 ###-###-####
Patrick DeRosa
12070 Lucca Street
Fort Myers, FL. 33966 $2500 09/2010 25,000 commonshares
201 ###-###-####
William & Sue Griz
3683 Recreation Lane
Naples, FL. 34116 $5000 10/2010 50,000 common shares
239 ###-###-####
Lawrence Maloney
20750 Idaho Ave
Lakeville, MN. 55044 $5000 11/2010 50,000 commonshares
651 ###-###-####
Nan Bowen
100 Royal Oaks Drive
Double Oak, TX. 75077 $5000 11/2010 50,000 commonshares
817 ###-###-####
Nancy Schlagel-Maloney
20750 Idaho Ave
Lakeville, MN. 55044 $5000 12/2010 50,000 commonshares
651 ###-###-####
Brad Alsterlund $7500 12/2010 75,000 commonshares
13563 Foxberry Road
Savage, MN. 55378
952 ###-###-####
JR Venegas $3000 12/2010 30,000 common shares
11139 Cresthaven Trail $2000 01/2011 20,000 commonshares
Woodbury, MN. 55129
651 ###-###-####
2011 Investors
Thomas S Montibrand $2500 01/2011 25,000 commonshares
2192 129th CT NE $1000 02/2011 10,000 common shares
Blaine, MN. 55434 $1000 03/2011 10,000 common shares
$12500 05/2011 125,000 common shares
763 ###-###-####
Infinity Capital Group/Tomer Moshe
$1000 01/2011 10,000 common shares
110 Tudor Court
Lakewood, NJ. 08701
732 ###-###-####
Elizabeth James $10,000 01/2011 100,000 common shares
1759 Stuart Road West
Princeton, NJ. 08540
609 ###-###-####
Rebecca Spinler $5000 04/2011 50,000 common shares
111 East Kellogg Blvd #3203
St Paul, MN. 55101 ###-###-####
Greg Montbriand $1000 05/2011 10,000 common shares
19367 Ellington Trail
Farmington, MN. 55024
651 ###-###-####
______________________________________________________________________________
Christopher Melander $8000 05/2011 80,000 commonshares
19658 Jersey Ave
Lakeville, MN. 55044
952 ###-###-####
______________________________________________________________________
