Form U-7 - Small Company Offering Registration (Scor) Form Page 16
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38Number of preferred shares authorized to be outstanding:
Number of
Par Value
Class of Preferred
Shares Authorized
Per Share
$
$
$
Number of common shares authorized:
shares.
Par or stated value per share, if any: $
Number of common shares reserved to meet conversion requirements or for issuance upon the
exercise of options, warrants or rights:
shares.
DILUTION
36.
(a)
The price of the securities in this offering has been arbitrarily determined.
[ ] Yes
[ ] No
36.
(b)
If no, explain the basis on which the price of the securities was determined.
37.
(a)
The net tangible book value per share before offering is:
$
37.
(b)
For the minimum offering:
The net tangible book value per share after the minimum offering will be: $
The amount of increase in net tangible book value per share as a result
of receipt of cash from purchasers in this offering will be:
$
The dilution per share to purchasers will be:
$
37.
(c)
For the maximum offering:
The net tangible book value per share after the maximum offering will be: $
The amount of increase in net tangible book value per share as a result
of receipt of cash from purchasers in this offering will be:
$
The dilution per share to purchasers will be:
$
38.
For each share purchased in this offering a purchaser will pay $ __________ but will
receive a share representing only $ _________ in net tangible book value, if the minimum offering
is achieved, or $ _____________ , if the maximum offering is achieved.
Small Company Offering Registration (SCOR) Form
Page - 16
Revised: September 28, 1999
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