Report Of Sale Of Securities {3Q}

Form 3-Q - REPORT OF SALE OF SECURITIES 1707.03(Q). This form is used by issuers to notify the Ohio Division of Securities of sales of securities made in Ohio that occurred within 60 days prior to filing the form and were not previously reported. It is intended for issuers who are claiming an exemption from registration under Section 1707.03(Q) of the Ohio Revised Code, which applies only to issuers relying on Section 4(2) of the Securities Act of 1933 (private offerings). The form requires information about the issuer, the nature and timing of the securities sold, the number of purchasers, and details regarding any commissions or compensation paid in connection with the sales. A filing fee is also required—$100 for the initial filing and $50 for subsequent related filings within the same calendar year. www.FormsWorkflow.com