Document And Disclosure Checklist Uniform Limited Offering Exemption Filing Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Document And Disclosure Checklist Uniform Limited Offering Exemption Filing Form. This is a Georgia form and can be use in Blue Sky Secretary Of State.
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Tags: Document And Disclosure Checklist Uniform Limited Offering Exemption Filing, 8D, Georgia Secretary Of State, Blue Sky
SECURITIES AND BUSINESS REGULATION
2 Martin Luther King, Jr. Drive, S.E.
Ste 802, West Tower
Atlanta, Georgia 30334
(404) 656-3920
http://www.sos.state.ga.us/securities/
KAREN HANDEL
Commissioner of Securities
ROBERT D. TERRY
Assistant Commissioner of Securities
Document and Disclosure Checklist
Uniform Limited Offering Exemption Filing
Georgia Securities Act of 1973, As Amended
OCGA 10-5-9(16) and Rule 590-4-5-.01
Office Use ONLY
Control #: __________
Examiner: __________
APPLICANT:
Location
YES
NO
Description of Document
1. APPLICATION FOR EXEMPTION
A. Form D
B. Form 8D (Checklist)
2. CONSENT TO SERVICE OF PROCESS
(Form U2 or Georgia Form 6)
3. FEES (Non refundable)
A. Original - $250.00
B. Renewal - $100.00
C. Amendment - no fee
4. PROSPECTUS/OFFERING MEMORANDUM
(Not required for offerings made solely to Accredited
Investors)
5. QUALIFICATION
A. Bad Boy Disqualification
B. Rule 505 Offering
C. Rule 506 Offering
D. Section 4(2) Offering
E. Accredited Investors Only
F. Have sales been made prior to this filing?
(attach explanatory statement)
OCGA 10-5-9
(16)(A)(i)
590-4-5-.01(d)1
(16)(A)(iii) and
590-4-5-.01(d) 1.(ii)
(16)(A)(ii) and
590-4-5-.01(d)1.(i)
590-4-5-.01(d)2.(ii)
590-4-5-.01(d)1.(iii)
590-4-5-.01(b)
590-4-5-.01
590-4-5-.01
6. TO BE SOLD IN GEORGIA BY:
Form 8D Rev. 1/2007
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