Form 133.7 - Application For Registration Of Securities

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133.7
Texas State Securities Board
P.O. Box 13167
Austin, Texas 78711-3167
Application for Registration of Securities,
Section 7, Article 581, Vernon’s Annotated Civil Statutes
The Texas Securities Act
ANSWER ALL QUESTIONS. IF NOT APPLICABLE, SO STATE.
1.
Name of applicant. If the applicant is not the issuer, state the capacity in which the
application is made (e.g., licensed dealer):
2.
Correspondent:
Firm:
Address:
Telephone:
(_______)
3.
Name of Issuer:
(a)
Address of Issuer’s principal office:
(b)
Address of Issuer’s principal office in Texas:
4.
Is the filing under the Texas Securities Act, Section 7.A
, 7.B
, or 7.C
?
G
G
G
NOTE: An applicant filing under the Texas Securities Act, Section 7.A, is cautioned to
observe the audited financial statement requirements of Sections 7.A(1)f and 7.D, unless
the issuer is a “small business issuer” as defined in Rule 113.5. (See Rule 113.5 for
financial statement requirements.)
5.
Date of Issuer’s fiscal year end:
02-21-2008

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