Form N-8b-4 - Registration Statement Of Face-Amount Certificate Companies - Securities And Exchange Commission Page 10

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SECURITIES SOLD AND RELATED INFORMATION
Item 20. Recent Sales of Unregistered Securities
Furnish the following information as to all securities of the registrant sold by the registrant within the past three years which were not
registered under the Securities Act of 1933.
(a) Date of sale and title and amount of securities sold.
(b) As to any securities sold privately, give the name of the persons to whom sold (or if that be impracticable, give the approximate
number of such persons). As to any securities sold publicly, give the names of the principal underwriters, if any.
(c) As to securities sold for cash, state the aggregate offering price to the public and the aggregate underwriting discounts or commissions.
As to any securities sold otherwise than for cash, state the nature of the transaction and the nature and aggregate amount of consideration
received by the registrant.
(d) Indicate the section of the Act or the rule of the Commission under which exemption from registration was claimed and state briefly
the facts relied upon to make the exemption available.
Instructions.
1.
Information need not be given as to face-amount certificates reinstated by resumption of payments thereon or by endorsement or as to
paid-up or optional settlement certificates resulting from the exercise of specific provisions in face-amount certificates.
2.
Information need not be set forth as to notes, drafts, bills or exchange or bankers’ acceptances which mature not later than one year from
the date of issuance.
3.
Information is to be given as to sales of reacquired securities as well as of new issues. Securities issued in exchange for property, services,
or other securities (including new securities resulting from the modification of outstanding securities) are to be considered securities
sold, within the meaning of this instruction. With respect to such securities there shall be given a brief statement as to the basis of the
exchange or the nature and effect of the modification.
4.
Information is to be given separately for each distinct transaction, except that if the sales were “open-end” transactions, or were made
to employees pursuant to an employee purchase plan, or otherwise constituted a continuous operation, the information may be given by
such totals and periods as will reasonably convey the information required.
Item 21. Statistical History of Face-Amount Certificates
Furnish the following information as to all face-amount certificates of the installment type sold or otherwise issued during the past three
fiscal years.
From _____________________ to ______________
Col. A
Col. B
Col. C
Col. D
Col. E
Col. F
Col. G
Col. H
Face amount of
Aggregate
certificates
Aggregate
payments by
Aggregate
included in Col.
payment by
Fiscal year
Face amount
certificate holders
amounts paid to
C in default for certificate holders
for which
of certificates
on certificates
certificate holders maximum period
on certificates
information in
included in Col.
included in Col.
upon termination
and having no
included in Col.
succeeding
Face amount
C terminated
D from date of
of certificates
cash surrender
G from date of
Fiscal year columns is
of certificates
other than by
issuance to date
included in
value at close of issuance to close
of sale
reported
sold
maturity or call
of termination
in Col. D
fiscal year
of fiscal year
First
First
Fiscal
Year ..........................................................................................................................................................................................
Second
Fiscal
Fiscal
Year
xxxx ...................................................................................................................................
Third
Year
Fiscal
Year
xxxx
Total
xxxx
xxxx
xxxx
xxxx
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