Section 64 Form 144-Notice of Proposed Sale of Securities Under Rule 144
| Library | Business Transitions 2009 Forms |
The following form is available on the internet at the Missouri Secretary of State's website at:
www.sos.mo.gov/securities/registration2.asp
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| OMB APPROVAL |
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| OMB Number: 3235-0101 |
| Expires: December 31, 2009 |
| Estimated average burden |
| hours per response . . . 2.00 |
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| Sec Use Only |
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| Document Sequence No. |
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| Cusip Number |
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| Work Location |
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ATTENTION: Transmit for filing 3 copies of this form concurrently with either placing an order with a broker to execute sale or executing a sale directly with a market maker.
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| 1 (a) NAME OF ISSUER (Please type or print) | (b) IRS IDENT. NO. | (c) S.E.C. FILE NO. | | |
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| 1 (d) ADDRESS OF ISSUER | (e) TELEPHONE NO. |
+ ... STREET..... CITY....... STATE ...... ZIP CODE +-------------------------------------------------------------------------------------------------------+
| | AREA CODE | AREA CODE |
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| 2 (a) NAME OF PERSON FOR WHOSE ACCOUNT THE SECURITIES | (b) IRS IDENT. NO. | (c) RELATIONSHIP TO | (d)...Get this document and AI-powered insights with a free trial of vLex and Vincent AI
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