Form Com4542 - Explanatory Statement/non-Prejudice Statement - Ohio Dept.of Commerce
ADVERTISEMENT
1
2nd
77
South High St
treet, 22
Floo
or
C
Columbus, Ohi
io 43215-6131
Telephone: (61
14) 644-7381
Explanato
ory Stateme
ent/Non-Pre
ejudice Stat
tement
Dear
:
in which
you own an in
nterest, has
applied to the
Ohio Division
n of Securities u
under Section
1707.39 of the
e Ohio Revised
d Code for the
retroactive qu
alification
of the securitie
es you purchas
sed on
.
In order to pro
ocess our applic
cation with the
e Ohio Division
n of Securities,
, we are requir
red to notify yo
ou of the follow
wing:
1. The s
securities sold t
to you were so
old in violation
of the Ohio Se
ecurities Act b
ecause
.
2. Acco
ordingly, under
r Section 1707.
.43 of the Ohio
o Revised Cod
de you may hav
ve the right to
void your pur
rchase and
obtain
n a refund of y
your purchase p
price.
3. You m
may wish to co
onsult an attorn
ney before com
mpleting this fo
orm.
Please place
e a check ma
ark in one of
f the followin
ng boxes.
I am
satisfied that t
the sale made t
to me, while it
t may have bee
en in violation
n of law or adm
ministrative rul
le, did not
damage or def
fraud me. I do
o not wish my
investment retu
urned to me. I
I hereby waive
e my rights un
der 1707.43 of
f the Ohio
Revised Code
which I posses
ss because of t
the above stated
d violation.
I desi
ire a return of m
my original inv
vestment.
I do n
not desire a ret
turn of my inv
vestment but do
o not wish to w
waive any of m
my rights unde
er section 1707
7.43 of the
Ohio Revised
Code at this tim
me because: (s
state reason)
Note: Ohio R
Revised Code S
Section 1707.4
43 provides tha
at an investor’
’s right to resc
cind terminates
s thirty (30) da
ays after a
written offer t
to take back t
the security an
nd refund the
purchase price
e. This could
d constitute su
ch an offer un
nder Ohio
Revised Code
Section 1707.4
43.
COM4542
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