Form 08-111a - Follow-Up Report For As 45.55.900(B)(19)
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1FOLLOW-UP REPORT FOR AS 45.55.900(b)(19)
Complete and mail to:
Administrator of Securities
Division of Banking, Securities, and Corporations
P.O. Box 110807
Juneau, AK 99811-0807
Alaska File Number________________
Name of issuer:
The offer of rescission was made to
o
all persons listed with Form 08-111; or
o
note how different from list submitted with Form 08-111:
List differences here:
.
Use additional sheet if more room needed
o
All parties waived rescission per attached.
o
Some parties accepted rescission and were paid the amount listed with Form
08-111 filed earlier. List separately or resubmit list and highlight those paid.
The rescission period has expired and the rescissions were either accepted or
waived as detailed above.
Signature
Title
Date
08-111A (10/99)
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