Form 14-25s - Notice Of Sale Of Securities Pursuant To Accredited Investor Exemption - Utah

ADVERTISEMENT

Page 1 of 2
(Rev. 11/16/98)
STATE OF UTAH
DEPARTMENT OF COMMERCE
DIVISION OF SECURITIES
FORM 14-25s
Accredited Investor Exemption
Uniform Notice of Transaction
Notice of Sale of Securities pursuant to Accredited Investor Exemption
1. Issuer:
Name:
Address:
Telephone Number:
2. Form of Organization: (check one)
9Corporation
9Unincorporated Association
9Limited Liability Company
9Limited Partnership
9Other (specify) ______________________________________
Issuer’s state or jurisdiction of Incorporation or Organization: ______________________
Date of Incorporation or Organization: ________________________________________
3. Officers and Directors: (or persons acting in a similar capacity)
Names, Business Addresses, and Business Phone Numbers
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
______________________________________________________________________
4. This Offering:
Description of
Price per
Number of Securities
Aggregate dollar
Security
Security
to be Offered
Amount of Offering
Debt
Equity (Common or
Preferred)
Convertible Security
Partnership Interests
Other (Specify)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2