Statement Of Issuer {SI}

STATEMENT OF THE ISSUER. This is a form required by the South Dakota Division of Insurance – Securities Regulation for entities seeking an exemption from registering securities under SDCL 47-31B-203. This form is used by issuers of securities, such as corporations or partnerships, to apply for a transactional exemption that allows them to legally offer or sell securities without going through the full registration process. The form collects detailed information about the issuer, including its name, organizational details, contact information, business nature, past registration activity, and any previous securities sales. It also requires disclosure of the type and amount of securities being offered, the intended number of investors in South Dakota, any commissions involved, and the proposed start and end dates for the offering. Issuers must also affirm that all purchasers are buying for investment purposes only and provide supporting documents such as an investment letter, consent to service of process if out-of-state, a legal opinion on the validity of the securities offering, and a private placement memorandum with financial details, ownership structure, and use of proceeds. www.FormsWorkflow.com