Sec Form 1a Regulation A Offering Statement (Page 11 of 29) in pdf

If your name is the same as, or confusingly similar to, that of a company that is well known, include information

to eliminate any possible confusion with the other company. If your name indicates a line of business in which

you are not engaged or you are engaged only to a limited extent, include information to eliminate any mislead-

ing inference as to your business. In some circumstances, disclosure may not be sufﬁ cient and you may be re-

quired to change your name. You will not be required to change your name if you are an established company,

the character of your business has changed, and the investing public is generally aware of the change and the

character of your current business.

(b) Full mailing address of the issuer’s principal executive ofﬁces and the issuer’s telephone number (including

the area code) and, if applicable, website address.

(d) Title and amount of securities offered. Separately state the amount of securities offered by selling security-

holders, if any. Include a cross-reference to the section where the disclosure required by Item 14 of Part II of

this Form 1-A has been provided;

(e) The information called for by the applicable table below as to all the securities being offered, in substantially

the tabular format indicated. If necessary, you may estimate any underwriting discounts and commissions and

the proceeds to the issuer or other persons.

Price to public

Underwriting

Proceeds to

discount and

issuer

other persons

commissions

_______________________________________________________________________________________

Per

_____________

_________

share/unit:

Total:

_____________

_________

If the securities are to be offered on a best efforts basis, the cover page must set forth the termination date, if

any, of the offering, any minimum required sale and any arrangements to place the funds received in an escrow,

trust, or similar arrangement. The following table must be used instead of the preceding table.

Price to public

Underwriting

Proceeds to

discount and

issuer

other persons

commissions

______________________________________________________________________________________

Per share/unit: _____________

_____________

Total

_____________

Minimum:

Total

_____________

Maximum:

______________________________________________________________________________________

Instructions to Item 1(e):

1. The term “commissions” includes all cash, securities, contracts, or anything else of value, paid, to be

set aside, disposed of, or understandings with or for the beneﬁt of any other persons in which any underwriter is

Sec Form 1a Regulation A Offering Statement Page 11

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