Form U-7 - Small Company Offering Registration (Scor) Form Page 27
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3882.
(b)
Has the Company purchased key person life insurance on any Officer, Director, or
key person?
[ ] Yes
[ ] No
82.
(c)
Has the Company made any arrangements to replace any Officer, Director, or key
person it loses due to death or disability?
[ ] Yes
[ ] No
82.
(d)
If the answer to either Item 82(b) or 82(c) is “yes,” describe.
COMPENSATION
83.
List all compensation that the Company paid to its Officers, Directors, and key persons for
the last fiscal year:
Cash
Other
Chief Executive Officer
$
$
Chief Operating Officer
Chief Financial Officer
Key Persons:
Total:
$
$
Officers as a group
(number of persons ___)
$
$
Directors as a group
(number of persons ___)
$
$
Key Persons as a group
(number of persons ___)
$
$
84.
(a)
Has compensation been unpaid in prior years?
[ ] Yes
[ ] No
84.
(b)
Does the Company owe any Officer, Director, or employee any compensation for
prior years?
[ ] Yes
[ ] No
84.
(c)
Explain any “yes” answer to Item 84(a) or 84(b).
Small Company Offering Registration (SCOR) Form
Page - 27
Revised: September 28, 1999
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