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VI. INFORMATION AND DOCUMENTS REQUIRED
A. States in which a registration statement or similar document in connection with this offering
has been or is to be filed. ___________________________________________________
________________________________________________________________________
B. State whether any withdrawal or any adverse order, judgment, or decree has been entered in
connection with this offering by the regulatory authorities in any state or by any court or by
the Securities and Exchange Commission. _____________________________________
If so, give details. _________________________________________________________
________________________________________________________________________
C. (1). Proposed offering price per unit (or the method by which it is to be computed).
____________________________________________________________________
____________________________________________________________________
(2). State whether the price will vary as to any person or class of persons other than
underwriters. _________________________________________________________
If so, give details. _____________________________________________________
____________________________________________________________________
(3). Is this offering, or any part thereof, to be made other than for cash? ______________
If so, give details. _____________________________________________________
____________________________________________________________________
D. (1). Estimated aggregate underwriting and selling discounts or commissions and finder’s fees.
Show each means of payment separately (e.g., cash, securities, contracts). _________
____________________________________________________________________
(2). If the selling discounts and commissions are variable, state the basis of determining them,