Form 08-111a - Follow-Up Report For As 45.55.900(B)(19) - Alaska Division Of Banking, Securities, And Corporations

Download a blank fillable Form 08-111a - Follow-Up Report For As 45.55.900(B)(19) - Alaska Division Of Banking, Securities, And Corporations in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 08-111a - Follow-Up Report For As 45.55.900(B)(19) - Alaska Division Of Banking, Securities, And Corporations with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Follow-up Report for AS 45.55.900(b)(19)
(Rescissions)
(To be filed after the rescission offer has been completed.)
Please fill out this form and submit to:
Administrator of Securities
Alaska Division of Banking, Securities,
and Corporations
P.O. Box 110807
Alaska File No
Juneau, AK 99811-0807
.:________________________
(907) 465-2521
THIS FORM TO BE FILED WITHIN 30 DAYS AFTER ALL RESCISSION
OFFERS ARE COMPLETE AND ALL OFFEREES HAVE RESPONDED.
1. Name, Address and Telephone number of person filing this notice:
Full Name of contact person
Address
Phone
Fax
The person signing this form must show name & address above. If for some reason that person is not available to sign,
please request a waiver in writing and give reason.
2. Name, Address, and Telephone number of Issuer:
Name of issuer
Address
Phone
Date rescission offer was completed:_________________________
3. Describe any ADDITIONAL special considerations you asked the administrator to consider (see Form 08-111) and
the results:
4.
LIST NAMES AND ADDRESSES OF THE PERSONS OFFERED RESCISSION AND DOLLAR AMOUNTS OF THE
. I
.
SECURITIES INVOLVED
NDICATE THOSE WHO ACCEPTED
ALSO LIST THOSE WHO REJECTED OR FAILED TO
.
ACCEPT THE RESCISSION OFFER AND RETAINED THE ORIGINAL SECURITIES
IF ALL OFFEREES MADE THE SAME
,
.
DECISION
ONLY ONE LIST NEED BE SUBMITTED
(Use additional sheets as necessary.)
08-111A (rev. 02/02)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2