FORM LOE
Delaware Department of Justice
Division of Securities
Notice of
th
Limited Offering Exemption
820 N. French Street, 5
Floor
Wilmington, DE 19801
1. Issuer’s Contact Information
Issuer’s Name:
Contact Person’s Name:
Contact Person’s Address:
Contact Person’s Telephone Number:
Contact Person’s E-Mail Address:
Address for Principal Place of Business (if different from above):
2. Type of Business
(Briefly described the type of business in which the issuer is engaged.)
3. Offering Amounts
Total amount to be offered (everywhere):
Total amount to be offered in Delaware:
Total amount raised so far (everywhere):
Total amount raised so far in Delaware: