Form Fis 0564 - Application To Register Securities By Notification (Page 2 of 5) in pdf

Form Fis 0564 - Application To Register Securities By Notification Page 2

5. Describe fully the security being registered (give in detail its rights, preferences, and restrictions)

The amount and units to be offered in Michigan:

State the dollar amount and number of units of such securities in the

total offering:

Name the states in which a registration statement or similar document in connection with this offering has been or is to be filed:

Has any order, judgment, or decree been entered in

If yes, give details:

connection with this offering by the regulatory authorities

in any state or by any court or by the S.E.C.?

YES

State the proposed offering price per unit or the method by which it is to be computed:

Will this price vary as to any person or class of persons

If yes, give details:

(other than underwriters)?

YES

Is the offering, or any part thereof, to be made

If yes, give details:

otherwise than for cash?

YES

State the estimated aggregate underwriting and selling discounts and commissions, and finders' fees (show separately if payable by cash, securities,

contracts, or other means)

Form Fis 0564 - Application To Register Securities By Notification Page 2