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amount of the securities covered by the registration statement | | to which the person has indicated an intention to subscribe; | | and a description of any material interest of the person in | | any material transaction with the issuer or a significant | | subsidiary effected within the previous 3 years or proposed to | | be effected; |
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| | | C.__With respect to persons covered by paragraph B, the | | aggregate sum of the remuneration paid to those persons | | during the previous 12 months and estimated to be paid | | during the next 12 months, directly or indirectly, by the | | issuer and all predecessors, parents, subsidiaries and | | affiliates of the issuer; |
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| | | D.__With respect to a person owning of record or owning | | beneficially, if known, 10% or more of the outstanding | | shares of any class of equity security of the issuer, the | | information specified in paragraph B other than the person's | | occupation; |
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| | | E.__With respect to a promoter, if the issuer was organized | | within the previous 3 years, the information or records | | specified in paragraph B, any amount paid to the promoter | | within that period or intended to be paid to the promoter | | and the consideration for the payment; |
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| | | F.__With respect to a person on whose behalf any part of the | | offering is to be made in a nonissuer distribution, the | | person's name and address; the amount of securities of the | | issuer held by the person as of the date of the filing of | | the registration statement; a description of any material | | interest of the person in any material transaction with the | | issuer or any significant subsidiary effected within the | | previous 3 years or proposed to be effected; and a statement | | of the reasons for making the offering; |
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| | | G.__The capitalization and long-term debt, on both a current | | and pro forma basis, of the issuer and any significant | | subsidiary, including a description of each security | | outstanding or being registered or otherwise offered, and a | | statement of the amount and kind of consideration, whether | | in the form of cash, physical assets, services, patents, | | goodwill or anything else of value, for which the issuer or | | any subsidiary has issued its securities within the previous | | 2 years or is obligated to issue its securities; |
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| | | H.__The kind and amount of securities to be offered; the proposed | | offering price or the method by which it is to be computed; any | | variation at which a proportion of the offering is to be made to | | a person or class of persons other |
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