Application For Qualification Of Recapitalizations And Reorganizations {DFPI-260.121}

DFPI-260.121, APPLICATION FOR QUALIFICATION OF RECAPITALIZATIONS AND REGORANIZATIONS (SECTION 260.121), An application pursuant to Section 25121 of the Code for the qualification of the offer and sale of securities in connection with any change in the rights, preferences, privileges, or restrictions of or on outstanding securities or in any exchange of securities by the issuer with its existing security holders exclusively or in any exchange in connection with any merger or consolidation or purchase of assets in consideration wholly or in part of the issuance of securities or in an entity conversion transaction shall, in addition to the facing page required by Section 260.110 of these rules, continue on the following form: NOTE: Any item which is inapplicable should be listed by number on the form followed simply by the word "inapplicable." (Register 2005, No. 39) (Rev. 11-20). www.FormsWorkflow.com