Form U-7 - Small Company Offering Registration (Scor) Form Page 32
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38OPTIONS AND WARRANTS
100.
(a)
State the number of shares subject to issuance under outstanding stock purchase
agreements, stock options, warrants or rights.
_____________ shares
100.
(b)
The shares identified in Item 100(a) are ____% of the total shares to be outstanding
after the minimum offering.
100.
(c)
The shares identified in Item 100(a) are ____% of the total shares to be outstanding
after the maximum offering.
101.
In a table, describe these stock purchase agreements, stock options, warrants, and rights.
State the basic terms of these securities, including the expiration dates, the exercise prices, who
holds them, whether they are qualified or non qualified for tax purposes, and whether they have
been approved by stockholders.
102.
State the number of shares reserved for issuance under existing stock purchase or option
plans but not yet subject to outstanding purchase agreements, options, or warrants.
______________ shares
103.
Does the Company have any plans or commitments to issue or offer options in the future?
[ ] Yes
[ ] No
If yes, explain.
SALES OF SECURITIES
104.
(a)
Has the Company sold or issued securities during the last 12 months?
[ ] Yes
[ ] No
104.
(b)
If yes, in a table, provide the following information for each transaction: the date of
the transaction; the amount and type of securities sold or issued; the number of purchasers to whom
the securities were sold or issued; any relationship of the purchasers to the Company at the time of
sale or issuance; the price at which the securities were sold or issued; and a concise description of
any non-cash consideration.
PRINCIPAL STOCKHOLDERS
Small Company Offering Registration (SCOR) Form
Page - 32
Revised: September 28, 1999
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