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Takeover Offeror Report Regarding Participating Broker-Dealer And Affiliate Transactions With The Target Company TDL1 - Pennsylvania
| Takeover Offeror Report Regarding Participating Broker-Dealer And Affiliate Transactions With The Target Company Form. This is a Pennsylvania form and can be used in Securities Blue Sky Department Of State . |
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FORM TDL-1 eff: 3/10/90 COMMONWEALTH OF PENNSYLVANIA PENNSYLVANIA SECURITIES COMMISSION Takeover Offeror Report Regarding Participating Broker-Dealer and Affiliate Transactions with the Target Company 1. Exact Name of Offeror: 2. Address of Principal Office of Offeror: Number and Street City State Zip Code Telephone No.3. Name and address of person to whom correspondence regarding this filing should be sent: Name Title Number and Street City State Zip Code Telephone No.4. State the name and address of each of the following: (A) Broker-dealer(s) participating as a Dealer Manager(s) on beh alf of the Offeror in the Takeover. (B) Broker-dealer(s), including any affiliate(s) thereof, provid ing financial advice to the Offeror in connection with the Takeover Offer. 5. If any person identified in Item 4 was engaged, within 3 years prior to the date of filing of this Form, in providing services in connection with underwriting or merger an d acquisition activities for or on behalf of the Target Company, the Offeror shall obtain from su ch person and provide the following information with respect to such services. If no person iden tified in Item 4 provided such services to the Target Company, the Offeror should so state. (A) The name of the firm which provided the service(s). (B) The type of service(s) provided. (C) The time period during which the service(s) were provided. (D) The fee or other compensation received for providing the servic e(s). 64 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 26. The Offeror, by executing this Form, hereby represents with respect to I tems 1-4 that: (A) It is familiar with the provisions of the Act and regulations ad opted thereunder. (B) The statements made herein, including attachments hereto, are not incomplete in any material respect or false or misleading with respect to a material fact. IN WITNESS WHEREOF, this Form has been duly executed on (Insert Date) (NAME OF OFFEROR) By: (Signature) (Typed Name and Title) 65 American LegalNet, Inc. www.USCourtForms.com
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