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Information To Be Included In Long-Form Ownership Information Statements Amendments Or Registration Statement Of Take-Over Offer Form. This is a Wisconsin form and can be use in Blue Sky Secretary Of State.
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Form TO-1--Information to be Included in Long-Form Ownership Information Statements, Amendments or Registration Statement of Take-Over Offer pursuant to Sections 552.03(l), 552.03(4) and 552.05(2), Wis. Stats. Item A. Equity Security and Target Company a. Clearly identify the title of the class of equity securities to which this statement relates, even though there may be only one class of equity securities outstanding; for example, "common stock," " Class A Common Stock." "$6 Convertible Preferred Stock. " "5% Debentures Due in 1985," etc. b. State the name of the target company and the address of its principal office. Item A (a) Class of equity securities Class of equity securities Class of equity securities Name of Target Company Address of principal office of Target Company (b) Item B. Identity and Background State the following with respect to the persons filing this statement: (1) (2) (3) (4) Name and business address; Residence address; Present principal occupation or employment and the name, principal business and address of any corporation or other organization in which such employment is carried on. Material occupations, positions, offices or employments during the last 10 years, giving the starting and ending dates of each and the name, principal business and address of any business corporation or other organization in which each such occupation, position, office or employment was carried on; and Whether or not, during the last 10 years, such person has been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors) and, if so, give the dates, nature of conviction, name and location of court, and penalty imposed, or other disposition of the case. A negative answer to this subitem need not be furnished to security holders. (5) If there is insufficient space provided on the form below for details related to disclosures required in Item B, an Exhibit "B" should be attached stating such details. American LegalNet, Inc. www.USCourtForms.com Item B Name and Business Address: (Item B(1)) Residence Address: (Item B(2)) Occupation or Employment Information: (Item B(3)) Employment History: (Item B(4)) Criminal Convictions: (Item B(5)) American LegalNet, Inc. www.USCourtForms.com Item C. Source and Amount of Funds or other Consideration State the source and amount of funds or other consideration used or to be used in acquiring any equity security, including a description of any securities which are being offered in exchange for the equity securities of the target company, and if any part of the acquisition price is or will be represented by borrowed funds or other consideration, a description of the transaction and the names of the parties thereto. If there is insufficient space provided on the form below for details related to disclosures required in Item C, an Exhibit "C" should be attached stating such details. Item C Source and Amount of Funds or Other Consideration If securities offered in exchange for equity securities of target company, a description thereof. If borrowed funds or other consideration is used, a description of the transaction including names of parties thereto. American LegalNet, Inc. www.USCourtForms.com Item D. Purpose of Transaction State the purpose or purposes of the acquisition or proposed acquisition of the equity securities of the target company. If the purpose or one of the purposes of the acquisition or proposed acquisition is to acquire control of the business of the target company, describe any plans or proposals which those acquiring may have upon gaining control, to liquidate the target company, sell its assets, effect its merger or consolidation, or make any other major change in its business, corporate structure, management or personnel. An Exhibit "D" should be attached stating the details of the disclosures required under Item D. Item E. Interests in Securities of the Issuer State the number of shares or units of any equity security of the target company which are beneficially owned, and the number of shares concerning which there is a right to acquire, directly or indirectly, by (i) such persons, (ii) each associate of such person, and (iii) if this filing is in connection with a take-over offer, each person included as an offeror, giving the name and address of each such person or associate. Furnish information as to all transactions in the class of securities to which this statement relates which were effected during the past 60 days by the person filing this statement and by its subsidiaries and their officers, directors and affiliated persons. Item E Number of shares or units of target company beneficially owned. Number of shares concerning which there is a right to acquire, directly or indirectly Person(s) filing this statement Associate(s) of such person(s) filing this statement Person(s) included as an offeror American LegalNet, Inc. www.USCourtForms.com Item F. Contracts, Arrangements or Understandings With Respect to Equity Securities of the Target Company Furnish material information as to any contracts, arrangements, or understandings with any person with respect to any equity security of the target company, including transfers of any equity security, joint ventures, loan or option arrangements, puts or calls, guarantees of loans, guarantees against loss or guarantees of profits division of losses or profits, or the giving or withholding of proxies, naming the persons with whom such contracts, arrangements or understandings have been entered into and giving the details thereof. An Exhibit "F" should be attached stating the details of the disclosures required under Item F. Item G. Copies of the Take-Over Offer Three copies be attached. thereof, and delivered to of the proposed Take-Over Offer, each labelled "Exhibit G," should The propsed Take-Over offer should include all material terms it should be in the form proposed to be published or sent or security holders of the target company. Item H. Persons Retained, Employed or to be Compensated Where the form TO-1 relates to a take-over offer, identify all persons and classes of persons employed, retained or to be compensated by the person filing this form TO-1, or by any person on his behalf, to make solicitations to equity security holders of the target company and describe briefly the terms of such employment, retainer or arrangement for compensation. Item I. Where the Offeror is a Corporation, A Detailed Description of Its Organization and Op