LD 509
pg. 30
Page 29 of 94 PUBLIC Law Chapter 65 Page 31 of 94
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LR 441
Item 1

 
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;

 
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;

 
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
than the underwriters, with a specification of the person or
class; the basis on which the offering is to be made if
otherwise than for cash; the estimated aggregate
underwriting and selling discounts or commissions and
finder's fees, including separately cash, securities,
contracts or anything else of value to accrue to the
underwriters or finders in connection with the offering or,
if the selling discounts or commissions are variable, the
basis of determining them and their maximum and minimum
amounts; the estimated amounts of other selling expenses,
including legal, engineering and accounting charges; the
name and address of each underwriter and each recipient of a
finder's fee; a copy of any underwriting or selling group
agreement under which the distribution is to be made or the
proposed form of any such agreement whose terms have not yet
been determined; and a description of the plan of
distribution of any securities that are to be offered
otherwise than through an underwriter;

 
I.__The estimated monetary proceeds to be received by the issuer
from the offering; the purposes for which the proceeds are to be
used by the issuer; the estimated amount to be used for each
purpose; the order or priority in which the proceeds will be used
for the purposes stated; the amounts of any funds to be raised
from other sources to achieve the purposes stated; the sources of
the funds; and,


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