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Solicitation Of Interest Form - Nevada

Solicitation Of Interest Form Form. This is a Nevada form and can be used in Securities Division Blue Sky Secretary Of State .
 Fillable pdf Last Modified 4/6/2011
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ROSS MILLER Secretary of State 555 East Washington Ave., #5200 Las Vegas, Nevada 89101 Phone (702) 486-2440 Fax (702) 486-2452 Website: www.nvsos.gov Solicitation of Interest Form NAC 90.538 State of Nevada PAGE 1 ABOVE SPACE FOR OFFICE USE ONLY Name of Issuer: Address of Principal Office: Street Address City State Zip Code Issuer Phone Number: Amount of Proposed Offering: Date of Organization: Name of Chief Executive Officer: THIS IS A SOLICITATION ONLY: l No money or other consideration is being solicited and none will be accepted. l No sale of the securities will be made or commitment to purchase accepted until the delivery of a final offering circular that includes complete information about the issuer and the offering. l An indication of interest made by a prospective investor involves no obligation or commitment of any kind. l This offer is being made pursuant to an exemption from registration under the federal and state securities laws. No sale may be made until the securities are registered or exempt in the state of Nevada. l Neither federal nor state authorities have confirmed the accuracy or determined the adequacy of this document or any other document presented to you in connection with this Solicitation of Interest. THIS COMPANY: Has never conducted business operations. Is in the development stages. Is currently conducting operations. Has shown a profit for the last fiscal year. Other (specify) BUSINESS 1. Describe in general what business the company does or proposes to do, including what products or goods are or will be produced or services that are or will be rendered*: 2. Describe in general how these products or services are to be produced or rendered and how and when the company intends to carry out its activities*: * If additional space is needed, please attach page to this form. Nevada Secretary of State Solicitation of Interest Form Page 1 Revised 12-17-10 American LegalNet, Inc. www.FormsWorkFlow.com ROSS MILLER Secretary of State 555 East Washington Ave., #5200 Las Vegas, Nevada 89101 Phone (702) 486-2440 Fax (702) 486-2452 Website: www.nvsos.gov Solicitation of Interest Form NAC 90.538 State of Nevada PAGE 2 ABOVE SPACE FOR OFFICE USE ONLY OFFERING PROCEEDS 3. Describe in general how the company intends to use the proceeds of the proposed offering*: KEY PERSONNEL OF THE COMPANY 4. Provide the following information for all officers and directors or persons occupying similar positions*: a) Name b) Title c) Telephone Number d) Office Street Address e) Employment History f) Employers: title and dates of positions held during the past 5 years g) Education: degrees, schools and dates NOTE TO USERS: This form sets forth the minimum information required for soliciting indications of interest under federal and state securities laws. You may include additional information if you think it necessary or desirable. Remember that any discussion in the document is subject to the anti-fraud provisions of the federal and state securities laws and must thereby be complete. Also, any discussion of potential rewards of the proposed investment must be balanced by the discussion of the possible risks. You may alter the graphic presentation of this form in any was as long as the minimum information is clearly presented. * If additional space is needed, please attach page to this form. Nevada Secretary of State Solicitation of Interest Form Page 2 Revised 12-17-10 American LegalNet, Inc. www.FormsWorkFlow.com
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