First Notice Of Transaction Pursuant To Corporations Code Section 25102(N)(2006) printable pdf download

First Notice Of Transaction Pursuant To Corporations Code Section 25102(N)(2006)

(Department of Corporations Use Only)

DEPARTMENT OF CORPORATIONS FILE NO., if any:

Fee paid $ _________________________

___________________________________________

Receipt No. _______________________

Insert File Number(s) of Previous Filings

Before the Department, if any.

COMMISSIONER OF CORPORATIONS

STATE OF CALIFORNIA

FIRST NOTICE OF TRANSACTION

PURSUANT TO CORPORATIONS CODE SECTION 25102(n)

Check One: ( ) Transaction under Section 25102(n)

( ) Transaction under Rule 260.103 with Notice pursuant to Section 25102(n)

FEE: $600.00 (For Section 25102(n) filings including transactions under Section 25102(n) and Rule 260.103)

See Corporations Code Section 25608(x)

Name of Issuer: ______________________________________________________________________

Address of Issuer: ____________________________________________________________________

Street

City

State ZIP

Mailing Address: _____________________________________________________________________

Street

City

State ZIP

Area Code and Telephone Number: ______________________________________________________

Incorporation or organization of the Issuer. Check one:

( )

Issuer is a California corporation.

( )

Issuer is a foreign corporation subject to Corporations Code Section 2115. Issuer's state (or

other jurisdiction) of incorporation or organization: ____________________________.

( )

Issuer is another form of business entity organized under the laws of California (specify):

_________________________________________________________________.

Title of class or classes of securities to be sold in the transaction:

_________________________________________________________________________________

Type of filing under Securities Act of 1933, if applicable: __________________________________

_________________________________________________________________________________

Distribution of Disclosure Statements. Check one:

( )

Disclosure statements will be provided to each purchaser at least five business days before the

securities are sold to the purchaser; or

( )

Disclosure statements will not be provided based on the fact that all purchasers fall within Rule

206.102.13.

First Notice - Section 25102 (n) Revised 3/02

First Notice Of Transaction Pursuant To Corporations Code Section 25102(N)(2006)

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