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Notice Under Section 207(J) Of The Pennsylvania Securities Act Of 1972 Of Continuation Of Section 205 Offering Form. This is a Pennsylvania form and can be use in Blue Sky Department Of State.
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Tags: Notice Under Section 207(J) Of The Pennsylvania Securities Act Of 1972 Of Continuation Of Section 205 Offering, 207J, Pennsylvania Department Of State, Blue Sky
FORM 207-J
INSTRUCTION SHEET
EFFECTIVE: 9/26/02
REVISED: 1/1/00
PEN N SY LV A N IA SEC U R IT IES C O M M ISSIO N
Eastgate Office Building, 2nd Floor, 1010 N. 7th Street
Harrisburg, PA 17102-1410
(717) 787-8061
(1-800-600-0007 in PA)
N O T IC E U N D ER SEC T IO N 207(J) O F TH E PEN N SY LV A N IA SEC U R IT IES A C T
O F 1972 ("A C T ") FO R C O N T IN U A T IO N O F A N O FFER IN G
R EG ISTER ED U N D ER SEC TIO N 205
N O T E: U nder R egulation 603.011, a docum ent is not deem ed filed w ith the C om m ission unless co m plete and properly
executed in all m aterial respects.
W H O M U ST FILE: Issuers that w ant to extend the effective period of a Section 205 registration statem ent for an additional
period of one year provided, how ever, that filing Form 207-J shall not extend the offering for a period beyond the three years
from the initial effective date of the registration statem ent in this C om m onw ealth. Form 207-J m ay not be used if the issuer
w as required to file a new registration statem ent w ith the U nited States Securities and Exchange C om m ission.
W H EN TO FILE: At the C om m ission's H arrisbu rg o ffice prior to the expiration of the currently effective period of
registration of an offering of securities under Section 205.
G eneral Instructions
1.
O ne copy of the Form and all attachm ents shall be filed w ith the Pennsylvania Securities C om m ission. If m ailed,
it is advisable to send it by registered or certified m ail, postage prepaid, return receipt requested.
2.
T ypew rite or print all answ ers in the space provided. A nsw er each item com pletely. A n answ er of "not applicable"
is inappropriate. If the space is insufficient, attach a schedule to the Form and m ake reference in the Form to each
item included in the schedule.
3.
This Form shall be m anually signed by the issuer. If the issuer is a corporation, it should be signed in the nam e of
the corporation by an ex ecutive officer duly authorized; if a partnership, it should be signed in the nam e of the
partnership by a general partner; and if an unincorporated association or other organization not a partnership, this
Form should be signed in the nam e of such organization by a person responsible for the direction or m anagem ent
of its affairs.
4.
Please rem ove this instruction sheet before filing this Form .
EA C H PER SO N C O M PLET IN G T H IS FO R M O R PR O V ID IN G IN FO R M A T IO N TO BE IN C LU D ED IN TH IS
FO R M SH O U LD BE FA M ILIA R W IT H TH E PEN A LT IES C O N T A IN ED IN TH E A C T , A N D A LL
R EG U LA T IO N S A D O PT ED TH ER EU N D ER , FO R M A K IN G FA LSE O R IN C O M PLET E ST A T EM EN T S IN
C O N N EC T IO N W IT H TH E SA LE O F A SEC U R IT Y O R IN A N Y FILIN G W IT H TH E C O M M ISSIO N .
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FORM 207-J
Effective: 9/26/92
Revised: 1/1/00
C O M M O N W EA LT H O F PEN N SY LV A N IA
PEN N SY LV A N IA SEC U R IT IES C O M M ISSIO N
N otice under Section 207(j) of the Pennsylvania Securities A ct of 1972
of C ontinuation of Section 205 O ffering
1.
Exact nam e of Issuer:
2.
A ddress of principal office of Issuer:
N um ber and Street
State
3.
Zip C ode
Telephone N o.
N am e and address of person to w hom correspondence regarding this filing should be sent:
N am e
C ity
4.
T itle
State
Street
Zip C ode
Telephone N o.
(A )
Initial effective date of registration statem ent in Pennsylvania:
(B)
5.
C ity
D escription of securities registered:
T he person executing this Form on behalf of the Issuer hereby affirm s that:
(a)
Such p erso n is fam iliar w ith the provisions of Section 207(j) under the A ct and all regulations adopted
thereunder, including R egulation 207.101
(b)
T he statem ents m ade in this Form , including all attachm ents hereto, are not incom plete in any m aterial
respect or false or m isleading w ith respect to any m aterial fact.
IN
W ITNESS
W HEREO F,
this
________________________________________
Form
has
been
duly
executed
(Insert D ate)
(N am e of Issuer)
By:
(Title)
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