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Form 2-E Report Pursuant To Rule 609 Of Regulation E 2-E - Official Federal Forms
| Form 2-E Report Pursuant To Rule 609 Of Regulation E Form. This is a national form and can be used in Securities And Exchange Commission . |
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You may not send a completed printout of this form to the SEC to satisfy a filing obligation. You can only satisfy an SEC filing obligation by submitting the information required by this form to the SEC in electronic format online at https://www.onlineforms.edgarling.sec.gov. UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 OMB APPROVAL OMB Number: 3235-0233 Expires: April 30, 2015 Estimated average burden hours per response. . . . . . 4.00 FORM 2-E 1. Name of issuer REPORT PURSUANT TO RULE 609 OF REGULATION E _____________________________________________________________________________ 2. Name of underwriter _____________________________________________________________________________ 3. Date of this report _____________________________________________________________________________ 4. (a) Date offering commenced _____________________________________________________________________ (b) Date offering completed, if completed ___________________________________________________________ (c) Ifofferinghasnotcommenced,statereasonsbriefly ________________________________________________ __________________________________________________________________________________________ 5. (a) Total number of shares or other units offered hereunder ______________________________________________ (b) Number of such shares or other units sold from commencement of offering to date ________________________ (c) Number of such shares or other units still being offered ______________________________________________ 6. (a) Total amount received from public from commencement of offering to date .............................. (b) Underwriting discount allowed ................................................................ $ __________ (c) Expenses paid to or for the account of the underwriters .......................... $ __________ (d) Otherexpensespaidtodatebyorfortheaccountoftheissuer: (1) Legal (including organization) ......................................................... $ __________ (2) Accounting ....................................................................................... $ __________ (3) Printing and advertising.................................................................... $ __________ (4) Other ................................................................................................. $ __________ (e) Total costs and expenses ((b), (c) and (d))..................................................................................... (f) Proceeds to issuer after above deductions ((a) minus (e)) ............................................................. 7.Statebrieflythenatureandextentofeachtypeoftheissuer'sprincipalactivitiestodate. 8.State whether the offering has been discontinued, and if so, state the date and describe briefly the reasons for such discontinuance. 9. List the names and addresses of all brokers and dealers who have, to the knowledge of the issuer or underwriters, participatedinthedistributionofthesecuritiesofferedduringtheperiodcoveredbythisreport. Instruction.Inreportsmadesubsequenttotheinitialreport,theinformationneedbegivenonlywithrespecttopersonsnot previouslyreported. SEC's Collection of Information.Anagencymaynotconductorsponsor,andapersonisnotrequiredtorespondto,a collectionofinformationunlessitdisplaysacurrentlyvalidcontrolnumber.FilingofthisFormismandatory.Thisformis usedbyasmallbusinessinvestmentcompanythathasengagedinalimitedofferingofitssecuritiestoreportsemiannually to the Commission on the progress of the offering, including the number of shares sold. The Commission estimates that the burdenforcompletingtheFormwillbeapproximately4hoursperfiling.AnypersonmaydirecttotheCommissionany commentsconcerningtheaccuracyoftheburdenestimateofthisFormandanysuggestionsforreducingthisburden.This collectionofinformationhasbeenreviewedbytheOfficeofManagementandBudgetinaccordancewiththeclearance requirementsof44U.S.C.ยง3507.Theresponsestothecollectionofinformationwillnotbekeptconfidential. SEC 1808 (10-06) Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. American LegalNet, Inc. www.FormsWorkFlow.com $ __________ $ __________ $ __________ issuer* Date By name and title* Date selling security holder* * Atleastonecopyofthereportshallbesignedmanuallybyeachpersonwhosesignatureisrequired.Anycopiesnotmanuallysignedshallbear typedorprintedsignatures. 2 American LegalNet, Inc. www.FormsWorkFlow.com
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