Schedule Supporting Application For Approval Of A Public Offering {PTC-110} | Pdf Fpdf Doc Docx | Nevada

 Nevada /  Statewide /  Nevada Gaming Commission And State Gaming Contol Board /  Corporate Securities Division /
Schedule Supporting Application For Approval Of A Public Offering {PTC-110} | Pdf Fpdf Doc Docx | Nevada

Schedule Supporting Application For Approval Of A Public Offering {PTC-110}

This is a Nevada form that can be used for Corporate Securities Division within Statewide, Nevada Gaming Commission And State Gaming Contol Board.

Alternate TextLast updated: 11/8/2010

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OFFICIAL FORMS PTC-110 BEFORE THE NEVADA GAMING COMMISSION AND THE STATE GAMING CONTROL BOARD In the Matter of Exact Name of Applicant/ Registrant as Specified in Charter (Public Offering) SCHEDULE SUPPORTING APPLICATION FOR APPROVAL OF A PUBLIC OFFERING 1. Description of Securities. State the class of securities and the number of shares or principal amount of debt securities to be sold. 2. Terms of Offering. State the terms upon which the securities are to be offered. 3. Proceeds of the Offering. State the gross and net proceeds of the offering, including a detailed list of expenses. 4. Use of Proceeds. State the intended use of proceeds. 5. Underwriters. State the names and addresses of the lead underwriters and the participating underwriters in the selling group. 6. Other Laws. State intended compliance by the issuer and selling stockholders, if any, with applicable securities laws or other jurisdictions. 7. Counsel and Consultants. State the names and addresses of the Applicant's general counsel, local counsel, special securities counsel, independent auditors and any special consultants on the offering. American LegalNet, Inc. www.FormsWorkflow.com OFFICIAL FORMS PTC-110 8. Limited Offering. If any of the securities to be issued are not to be offered to the general public, state the names and addresses of other offerees and the form of the offering to them. 9. Filing and Effectiveness. State the date upon which the Applicant desires to file a registration statement ("Registration Statement") with the United States Securities and Exchange Commission, and whether or not the SEC will likely review the Registration Statement. Statement. The Applicant states that this Schedule, as amended and supplemented and as of the time it is accepted as filed, does not make a material misstatement of fact nor omit to state a material fact necessary to make the facts stated, in view of the circumstances under which such facts are set forth, no misleading. The Applicant states that this Schedule, as amended and supplemented and as of the time it is accepted as filed, is in full compliance with the Act and Regulations. The Applicant hereby undertakes to amend and supplement this Schedule as the Board or Commission may require from time to time. The Applicant hereby amends this Schedule on such date or dates as may be necessary to delay the effective date of the Application until such Application, as supplemented and amended, is accepted as filed or the Applicant specifically requests that the Application be accepted as filed, whichever occurs first. Pursuant to the Act and Regulations, the Applicant has duly caused this Schedule to be executed on its behalf by the undersigned, thereunto duly authorized. State the anticipated effective date of the Registration American LegalNet, Inc. www.FormsWorkflow.com OFFICIAL FORMS PTC-110 Applicant By manual signature typed signature title EXHIBITS: USE: Attach a copy of the proposed registration statement and exhibits. Form PTC-110 shall be used to support an application for approval of a public offering required by NGC Regulation 16.110, and shall include therein all information required to be provided by NGC Regulation 16.130. PTC-110 (Rev. 03/06) American LegalNet, Inc. www.FormsWorkflow.com

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