Appendix B - SOLICITATION OF INTEREST FORM
__________________________________________
NAME OF COMPANY
Street Address of Principal Office:
Company Telephone Number:
Date of Organization:
Amount of the Proposed Offering: ________________
Name of the Chief Executive Officer: __________________
THIS IS A SOLICITATION OF INTEREST ONLY. NO MONEY OR OTHER CONSIDERATION IS BEING SOLICITED AND NONE WILL BE ACCEPTED.
NO SALES OF THE SECURITIES WILL BE MADE OR COMMITMENT TO PURCHASE ACCEPTED UNTIL THE DELIVERY OF A FINAL OFFERING CIRCULAR THAT INCLUDES COMPLETE INFORMATION ABOUT THE ISSUER AND THE OFFERING.
AN INDICATION OF INTEREST MADE BY A PROSPECTIVE INVESTOR INVOLVES NO OBLIGATION OR COMMITMENT OF ANY KIND.
THIS OFFER IS BEING MADE PURSUANT TO AN EXEMPTION FROM REGISTRATION UNDER THE FEDERAL AND STATE SECURITIES LAWS. NO SALE MAY BE MADE UNTIL THE OFFERING STATEMENT IS QUALIFIED BY THE SEC AND IS REGISTERED IN THIS STATE.
This company ( ) Has never conducted business operations.
( ) Is in the development stage.
( ) Is currently conducting operations.
( ) Has shown a profit for the last fiscal year.
( ) Other (please specify)_______________________
BUSINESS:
1. Describe in general what business the company does or proposes to do, including what products or goods are or will be produced or services that are or will be rendered.
2. Describe in general how these products or services are to be produced or rendered and how and when the company intends to carry out its activities.
OFFERING PROCEEDS:
3. Describe in general how the company intends to use the proceeds of the proposed offering.
KEY PERSONNEL OF THE COMPANY:
4. Provide the following information for all officers and directors or persons occupying similar positions:
Name, Title, Office, Street, Address, Telephone Number, Employment History, (Employers, Titles and dates of positions held during the past five years), and Education (degrees schools and dates).