Form Cr-Equity-1 - Application For Coordinated State Review printable pdf download

APPLICATION FOR COORDINATED STATE REVIEW

(CR-EQUITY-1)

Amended 8/29/03

The Applicant requests that this filing be processed as a Coordinated State Review filing.

Please note Coordinated Review-EQUITY

is intended only for initial public

(CR-EQUITY) generally

offerings of common stock, preferred stock, warrants, rights and units comprised of equity securities

that also are seeking registration under Section 5 of the Securities Act of 1933. CR-EQUITY is not

available for Regulation A offerings. Blank check and blind pool offerings do not qualify for CR-

EQUITY. CR-EQUITY may not be available on an offering even if the offering fits within the initial

screening criteria.

Attach this request to the front of the Form U-1, Uniform Application to Register Securities and state

in bold type in the cover letter accompanying the application that the application is pursuant to CR-

EQUITY. CR-EQUITY is available only if the issuer intends to register in two or more of the

participating states.

Set forth below are the states participating in CR-EQUITY. Please indicate the CR-EQUITY states in

which you intend to file an application to register your securities. These states also should be listed in

item 7 of the Form U-1 in addition to all other states in which application for registration is being

made.

Issuers are cautioned to identify all states in which they intend to utilize the CR-

EQUITY registration process. In accordance with the CR-EQUITY Protocol, it may not be

possible to include additional states at a later date. The review process will not begin until such

time as all states identified on the CR-EQUITY-1 have received an application to register securities.

Alabama (M)

Kansas (M)

Nebraska (M)

Rhode Island (D)

Alaska (M)

Kentucky (D)

New Hampshire (D)

South Carolina(M)

Arizona (M)

Maine (M)

New Jersey (D)

South Dakota (D)

Arkansas (M)

Maryland (D)

New Mexico (M)

Tennessee (M)

California (M)

Massachusetts (M)

Nevada (D)

Texas (M)

Delaware (D)

Michigan (M)

North Carolina (D)

Utah (D)

District of

Minnesota (M)

North Dakota (M)

Vermont (M)

Columbia (D)

Mississippi (M)

Oklahoma (M)

Virginia (M)

Idaho (M)

Missouri (M)

Oregon (M)

Washington (M)

Indiana (M)

Montana (M)

Pennsylvania (M)

West Virginia (D)

Iowa (M)

Wisconsin (D)

M =Merit

D=Disclosure

Because the states of Colorado, Connecticut, Florida, Georgia, Hawaii, Illinois, Louisiana, New York, and Wyoming provide

automatic effectiveness for files coordinated with the Securities and Exchange Commission, those states are not included in the

project.

Form Cr-Equity-1 - Application For Coordinated State Review

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