Form U-7 - Small Company Offering Registration (Scor) Form Page 20

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51.
Are there any restrictions on dividends or other distributions?
[ ] Yes
[ ] No
If yes, describe.
52.
Are the securities convertible?
[ ] Yes
[ ] No
If yes, state conversion price or formula.
Date when conversion becomes effective: ___/___/___
Date when conversion expires: ___/___/___
53.
Describe any resale restrictions on the securities and when the restrictions will terminate.
PREFERRED STOCK
If the securities being offered are Preference or Preferred stock:
54.
Are unpaid dividends cumulative?
[ ] Yes
[ ] No
55.
(a)
Are the securities callable?
[ ] Yes
[ ] No
If yes, describe.
55.
(b)
Are the securities redeemable?
[ ] Yes
[ ] No
If yes, describe, including redemption prices.
DEBT SECURITIES
If the securities being offered are notes or other types of debt securities:
56.
What is the interest rate on the debt securities? ________%
If the interest rate is variable or there are multiple interest rates, describe.
57.
What is the maturity date? ___/___/___
Small Company Offering Registration (SCOR) Form
Page - 20
Revised: September 28, 1999

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