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Report Of Securities Sales And Use Of Proceeds 08-112 - Alaska

Report Of Securities Sales And Use Of Proceeds Form. This is a Alaska form and can be used in General Blue Sky Secretary Of State .
 Fillable pdf Last Modified 9/26/2005
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REPORT OF SECURITIES SALES AND USE OF PROCEEDS Complete and return to: Administrator of Securities Division of Banking, Securities, and Corporations P.O. Box 110807 Juneau, AK 99811-0807 (907) 465-2521 Alaska file number:______________________ Registrant name: Managing underwriter: (if any) Date offering commenced: Date offering completed: Total amount of securities registered: $ Amount registered in Alaska: $ Amount of securities sold in Alaska: $ Total amount received from the public: $ Use of proceeds, itemized statement: (List separately a) underwriting discounts and commissions; b) expenses paid to or for underwriters; c) other expense s of the offering paid by or for the account of the registrant; and d) other purposes for which a su bstantial amount of proceeds were used. For each category, list separately payments to dire ctors, officers, and affiliates. If any proceeds were used for purposes other than in the pr ospectus, please state the reason for deviating. If all proceeds were used as indicated in the pro spectus, please so state.) Continue on back of form 08-112 (10/99) American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2Signature Title Date08-112 (10/99) American LegalNet, Inc. www.USCourtForms.com
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