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Registration Statement For Registration By Filing Form. This is a Colorado form and can be use in Blue Sky Secretary Of State.
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Tags: Registration Statement For Registration By Filing, RF, Colorado Secretary Of State, Blue Sky
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
FORM RF
Colorado Division of Securities
1580 Lincoln St., Ste. 420 -againstDenver, CO 80203
Index No.
Calendar No.
:
JUDICIAL SUBPOENA
Plaintiff(s) Colorado File No.: RF ____________________
:
Amendment to Prior Filing?
Yes__ No ___
:
REGISTRATION STATEMENT FOR REGISTRATION BY FILING
Pursuant to the requirements of section 11-51-303, C.R.S. (1990), the following information is provided as the
:
registration statement regarding the described offering of securities:
Defendant(s)
:
. .1. . . . . . TITLE . . . SECURITIES: . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
. . . . . OF . . . . . . . . . . .
2.
NAME OF REGISTRANT:
3.
ADDRESS OF STATE OF NEW YORK
THE PEOPLE OF THE REGISTRANT:
4.
REGISTRANT’S FORM OF ORGANIZATION:
5.
JURISDICTION OF ORGANIZATION OF REGISTRANT:
6.
NAME AND ADDRESS OF PERSON
SUBMITTING STATEMENT:
TO
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
7.
AMOUNT TO BE REGISTERED: #
$
or adjourned date, to testify and give evidence as a witness in this action on the part of the
8.
a. Initial Registration?
b. Amendment to increase amount of previous registration?
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
c. Other this subpoena was issued
the party on whose behalfamendment to prior filing? for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
9.
Will less than 75% of the net proceeds from the sale of the registered securities be committed for use
in one or more specific lines of business?
Witness, Honorable
YES
NO
Court in
County,
, one of the Justices of the
If
day of yes, attach a ,copy of the escrow agreement.
20
10.
FILING FEE;
$
11.
SEC EFFECTIVE:
DATE:
(only for 8.a. or 8.b. filings)
SEC FILE NO: sign above and type name below)
(Attorney must
WILL ADVISE:
12.
FINAL PROSPECTUS:
ATTACHED: Attorney(s) for
WILL FOLLOW:
Signature
Office and P.O. Address
Type name and title
NOTE: No acknowledgement of this filing will be made unless Telephone No.:copy of this form and a selfone additional
Facsimile No.:
addressed stamped envelope are provided.
(Rev. 11/2002)
E-Mail Address:
Mobile Tel. No.:
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