Filing Of Information Pertaining To A Control Bid {041}

FORM 041 - FILING OF INFORMATION PERTAINING TO A CONTROL BID. This form is used to notify and provide detailed information to the Ohio Division of Securities regarding a control bid, as required by Section 1707.041 of the Revised Code of Ohio. This form is filed by an offeror (the entity making the bid) when they intend to acquire control of a subject company by purchasing its equity securities. The form collects comprehensive details about both the subject company and the offeror involved in the control bid. Responses may be made either directly on this form, by reference to documents and exhibits filed with this form, or a combination of both. If the space provided on this form is inadequate for full response, of if response will be made by referring to a document or exhibit filed with this form, attach an exhibit numbered to correspond to the number of the item being answered, and note that reference to the exhibit in the space provided. If the exhibit consists of more than one page, indicate the relevant page number(s). If there is more than one Offeror, each Offeror should fill out Part Two of this form. Please DO NOT LEAVE ANY ITEM BLANK. If an item will not be answered, note either that the item is not applicable (NA), or, if reasonable investigation of information actually or publicly available to the Offeror has not revealed the answer, that the answer is unknown (UK). www.FormsWorkflow.com