Sec Form 1a Regulation A Offering Statement (Page 9 of 29) in pdf

Sec Form 1a Regulation A Offering Statement Page 9

Same as the jurisdictions in which the issuer intends to offer the securities.

[List will include all U.S. and Canadian jurisdictions, with an option to add and remove them individu-

ally, add all and remove all.]

ITEM 6.

Unregistered Securities Issued or Sold Within One Year

None

As to any unregistered securities issued by the issuer or any of its predecessors or afﬁliated issuers within one

year before the ﬁling of this Form 1-A, state:

(a) Name of such issuer.

(b) (1) Title of securities issued

(2) Total amount of such securities issued

(3) Amount of such securities sold by or for the account of any person who at the time was a di-

rector, ofﬁcer, promoter or principal securityholder of the issuer of such securities, or was an underwriter of any

securities of such issuer

thereof.

______________________________________________________________________________

__________________________________________________________________________________________

_________________________________________________________________________________________

(2) Aggregate consideration for which the securities listed in (b)(3) of this item (if any) were issued and

the basis for computing the amount thereof (if different from the basis described in (c)(1)).

(d) Indicate the section of the Securities Act or Commission rule or regulation relied upon for exemption

from the registration requirements of such Act and state brieﬂy the facts relied upon for such exemption: _____

__________________________________________________________________________________________

PART II — INFORMATION REQUIRED IN OFFERING CIRCULAR

(a) Financial statement requirements regardless of the applicable disclosure format are speciﬁed in Part F/S of

this Form 1-A. The narrative disclosure contents of offering circulars are speciﬁed as follows:

(1) The information required by:

(i) the Offering Circular format described below; or

(ii) The information required by Part I of Form S-1 (17 CFR 239.11) or Part I of Form S-11 (17

Sec Form 1a Regulation A Offering Statement Page 9