Form U-7 - Small Company Offering Registration (Scor) Form Page 33
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38105.
In the following table, provide the name and office street address of each person who
beneficially owns at least 10% of the common or preferred stock of the Company.
Average
No. of Shares
Price
No. of
Held After
Per
Shares
% of
Offering if
% of
Class of Shares Share
Now Held
Total
All Securities Sold
Total
106.
Number of shares beneficially owned by all Officers and Directors as a group:
106.
(a)
Before offering: _____________ shares
(_____% of total outstanding)
106.
(b)
After offering: Assuming minimum securities sold:_____ shares
(______% of total outstanding)
106.
(c)
After offering: Assuming maximum securities sold: _____ shares
(______% of total outstanding)
NOTE: These calculations assume that all outstanding options have been exercised
and all convertible securities have been converted.
MANAGEMENT RELATIONSHIPS AND TRANSACTIONS
FAMILY RELATIONSHIPS
107.
Is there a family relationship between any Officer, Director, key person, or principal
stockholder?
[ ] Yes
[ ] No
If yes, describe.
MANAGEMENT TRANSACTIONS
108.
(a)
Will the Company use any offering proceeds to acquire assets from any Officer,
Director, key person, or principal stockholder?
[ ] Yes
[ ] No
108.
(b)
Will the Company use any offering proceeds to acquire assets from an associate
of any Officer, Director, key person, or principal stockholder?
[ ] Yes
[ ] No
Small Company Offering Registration (SCOR) Form
Page - 33
Revised: September 28, 1999
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal