Undertaking Regarding Non-Issuer Sales Pursuant To Section 139.14 Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Undertaking Regarding Non-Issuer Sales Pursuant To Section 139.14 Form. This is a Texas form and can be use in Blue Sky Secretary Of State.
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Tags: Undertaking Regarding Non-Issuer Sales Pursuant To Section 139.14, 133.34, Texas Secretary Of State, Blue Sky
Form
133.34
Texas State Securities Board
P.O. Box 13167
Austin, Texas 78711-3167
Undertaking Regarding Non-issuer Sales
(§139.14)
Re: Sales of _________________________________________________________ securities.
(Name of Issuer)
The undersigned, (Check one or more as applicable)
director
executive officer
owner of 15% or more of a class of voting securities or other ownership interests
of the issuer of the securities sought to be sold pursuant to §139.14, hereby affirms that none of
the proceeds from the sale(s) of such securities will inure to the benefit of the issuer.
Date:
By:
(Full Name - Printed or Typed)
(Signed Name)
Subscribed and sworn to before me this ______ day of ________________________, 20_____.
Notary Public in and for the County of
State of
My commission expires
08-16-2010
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