Form U-7 - Small Company Offering Registration (Scor) Form
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38FORM U-7
DISCLOSURE DOCUMENT
A manual has been prepared to help you complete this Disclosure Document. The manual contains
instructions for completing each Item. If you do not have a SCOR Manual, contact your State or
Provincial securities regulator or the North American Securities Administrators Association.
( )
THIS BOX IS NOT PART OF THE SCOR FORM AND SHOULD BE REMOVED BEFORE THE COMPLETED FORM IS GIVEN TO
PROSPECTIVE INVESTORS
Cover Page - Page 1
Place Company Logo (if any) here or to left or right of Company Name
____________________________________________________________________
(Exact name of Company as set forth in Articles of Incorporation or Organizational Documents)
Street address of principal office:
Company Telephone Number:
Person(s) to contact at Company with respect to offering:
Telephone Number (if different from above):
Type of securities offered:
Price per security: $
Sales commission, if any:
%
Minimum number of securities offered:
Maximum number of securities offered:
Total proceeds:
If minimum sold: $
If maximum sold: $
Investment in a small business is often risky. You should not invest any funds in this
offering unless you can afford to lose your entire investment. See Item 1 for a discussion of
the risk factors that management believes present the most substantial risks to you.
The date of this Disclosure Document is
.
Small Company Offering Registration (SCOR) Form
Page - 1
Revised: September 28, 1999
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