Last updated: 5/15/2024
Notification Of Claim Exemption
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Description
NOTIFICATION OF CLAIM OF EXEMPTION Pursuant to RCW 21.20.320(9), WAC 460-44A-504, and Securities and Exchange Commission Rule 147 or Rule 147A. This form is used by issuers outside Washington State to inform the Department of Financial Institutions Securities Division about their exemption claim from specific securities regulations within the state. It collects details about the issuer, contact person, related persons, industry group, type of filing, offering duration, types of securities offered, business combination transaction status, offering amount, minimum investment, use of proceeds, past securities sales, and requires a signature for submission. This form ensures issuers comply with relevant regulations and appoints the Director of the Department of Financial Institutions as their agent for service of process. www.FormsWorkflow.com