Form 133.29 - Intrastate Exemption Notice
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133.29
Texas State Securities Board
P.O. Box 13167
Austin, Texas 78711-3167
Intrastate Exemption Notice
(§109.13(l))
This form is used to notify the Texas State Securities Board of an issuer’s intent to sell securities
under §109.13(l).
All answers required by this form must be completed and this form must be submitted to the Texas
State Securities Board at least 10 business days before any sale may be consummated under
§109.13(l).
Where needed, please attach answers on a separate sheet of paper and number answers to
correspond to the numbers on this Form.
Name of issuer:
Contact persons and telephone numbers:
State of organization:
Address of principal place of business:
1. Description of the issuer’s plan of business:
2. Information on securities to be sold:
(a)
Description of securities to be sold (including title and class):
08-16-2010
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