Uniform Notice Of Federal Crowdfunding Offering {U-CF} | Pdf Fpdf Doc Docx | Official Federal Forms

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Uniform Notice Of Federal Crowdfunding Offering {U-CF} | Pdf Fpdf Doc Docx | Official Federal Forms

Last updated: 3/22/2017

Uniform Notice Of Federal Crowdfunding Offering {U-CF}

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UNIFORM NOTICE OF FEDERAL CROWDFUNDING OFFERING Form U-CF Pursuant to Section 18(b)(4)(C) of the Securities Act of 1933 Item 1. Issuer's Identity Name of Issuer Previous Name(s) Entity Type (Select one) Jurisdiction of Incorporation/Organization Year of Incorporation/Organization: CIK Number for Issuer: Item 2. Principal Place of Business Street Address Line 1 City Phone No. Street Address Line 2 State/Province/Country Website ZIP/Postal Code Item 3. Contact Person Directions: Provide the name and contact information for the person to contact with questions about the filing of this notice. Last Name Street Address Line 1 City Phone No. Fax First Name Street Address Line 2 State/Province/Country E-mail ZIP/Postal Code Firm Name Item 4. Information about the Offering Type of filing: SEC File Number for this offering: Does the issuer intend this offering to last more than one year? Has 50% or more of the aggregate offering amount in this offering been sold to residents of a state other than the state where the issuer has its principal place of business? If yes, indicate the state where 50% or more of the offering amount has been sold: Total offering amount Date of first sale: $ 1 American LegalNet, Inc. www.FormsWorkFlow.com Item 5. Identification of Intermediary Name of funding portal or broker CRD Number Jurisdiction of principal place of business Identification of electronic crowdfunding platform (e.g. website address or app.) Item 6. Related Persons Directions: Provide contact information for all executive officers, directors, and promoters. Last Name Street Address Line 1 City First Name Street Address Line 2 State/Province/Country ZIP/Postal Code Middle Name Relationship(s): Executive Officer Director Promoter Clarification of Response (if Necessary) Last Name Street Address Line 1 City First Name Street Address Line 2 State/Province/Country Middle Name ZIP/Postal Code Relationship(s): Executive Officer Director Promoter Clarification of Response (if Necessary) Last Name Street Address Line 1 City First Name Street Address Line 2 State/Province/Country Middle Name ZIP/Postal Code Relationship(s): Executive Officer Director Promoter Clarification of Response (if Necessary) Identify additional related persons by checking this box and attaching Item 6 Continuation Page(s). 2 American LegalNet, Inc. www.FormsWorkFlow.com Item 7. Sales Compensation Directions: Enter the requested information for each person that has been or will be paid directly or indirectly any commission or other similar compensation in cash or other consideration in connection with sales of securities in the offering, including finders. If more than five persons to be listed are associated persons of the same broker or dealer, enter only the name of the broker or dealer, its CRD number and street address, and the jurisdictions in which the named person has solicited or intends to solicit investors. Recipient Recipient CRD Number No CRD Number (Associated) Broker or Dealer (if applicable) (Associated) Broker or Dealer CRD Number No CRD Number Street Address Line 1 City Street Address Line 2 State/Province/Country ZIP/Postal Code Jurisdictions of Solicitation: AL All States AK IN NE AZ AR KS NH CA KY NJ CO LA NM CT ME NY DE MD NC DC MA ND FL MI OH GA MN OK HI MS OR ID MO PA IL MT IA NV RI SC SD TN TX UT Puerto Rico VT VA WA WV WI WY U.S. Virgin Islands Identify additional person(s) being paid compensation by checking this box and attaching Item 7 Continuation Page(s). Item 8. Signature and Submission By filing this notice, the issuer hereby represents that: · · All documents previously or subsequently filed with the Securities and Exchange Commission under the file number for this offering indicated above are hereby incorporated by reference with this notice. The issuer hereby irrevocably appoints the Securities Administrator or other legally designated officer of the jurisdiction(s) in which this notice is filed as its agent for service of process upon whom may be served any notice, process or pleading in any action or proceeding against it arising out of, or in connection with, the sale of securities and the undersigned does hereby consent that any such action or proceeding against it may be commenced in any court of competent jurisdiction and proper venue within the jurisdiction in which this notice is filed by service of process upon the officers so designated with the same effect as if the undersigned was organized or created under the laws of that jurisdiction and have been served lawfully with process in that jurisdiction. It is requested that a copy of any notice, process, or pleading served hereunder be mailed to: Name Address · The issuer has included the required filing fees (if any) with the submission of this notice to each jurisdiction indicated. The issuer has read this notice, knows the contents to be true, and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person. Signature Name of Signer (Print) Title Date 3 American LegalNet, Inc. www.FormsWorkFlow.com Item 6. Related Persons, Continuation Page Directions: Provide contact information for all executive officers, directors, and promoters. Attach additional continuation pages if necessary. Last Name Street Address Line 1 City First Name Street Address Line 2 State/Province/Country ZIP/Postal Code Middle Name Relationship(s): Executive Officer Director Promoter Clarification of Response (if Necessary) Last Name Street Address Line 1 City First Name Street Address Line 2 State/Province/Country Middle Name ZIP/Postal Code Relationship(s): Executive Officer Director Promoter Clarification of Response (if Necessary) Last Name Street Address Line 1 City First Name Street Address Line 2 State/Province/Country Middle Name ZIP/Postal Code Relationship(s): Executive Officer Director Promoter Clarification of Response (if Necessary) Last Name Street Address Line 1 City First Name Street Address Line 2 State/Province/Country Middle Name ZIP/Postal Code 4 American LegalNet, Inc. www.FormsWorkFlow.com Relationship(s): Executive Officer Director Promoter Clarification of Response (if Necessary) Item 7. Sales Compensation, Continuation Page Directions: Enter the requested information for each person that has been or will be paid directly or indirectly any commission or other similar compensation in cash or other consideration in connection with sales of securities in the offering, including finders. If more than fi

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