Form SR-2 "Annual Report for Renewal of Registration of Securities" - Missouri

What Is Form SR-2?

This is a legal form that was released by the Missouri Secretary of State - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2017;
  • The latest edition provided by the Missouri Secretary of State;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SR-2 by clicking the link below or browse more documents and templates provided by the Missouri Secretary of State.

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Download Form SR-2 "Annual Report for Renewal of Registration of Securities" - Missouri

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This form is designed to be filled out online for your convenience.
John R. Ashcroft
Secretary of State
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State of Missouri
Securities Division • 600 W. Main, Rm. 229 • PO Box 1276
Jefferson City, MO 65102
Annual Report for Renewal of Registration of Securities
1. Name and principal address of issuer:
2. Name, address and telephone number of correspondent:
3. Description of securities:
4. The total amount registered and sold to date in Missouri:
Total amount registered _____________________________________
Total amount sold $________________________________________
5. Have all amendments to the issuer’s registration been filed with the Missouri Securities Division pursuant to Missouri
regulation 15 CSR 30-52.300?
_______________________________________
If not, provide the following:
(a) Identify each amendment that was not provided to the Missouri Securities Division as required under Missouri regu-
lation 15 CSR 30-52.300.
(b) Provide an explanation as to why each amendment specified in 15 CSR 30-52.300 was not timely filed with the
Missouri Securities Division.
(c) Attach to this report all amended documents not filed with the Missouri Securities Division as identified above and
set forth in 15 CSR 30-52.300.
6. Attach to this report a current prospectus marked to show changes with current financial statements.
FORM SR-2 (01/2017)
This form is designed to be filled out online for your convenience.
John R. Ashcroft
Secretary of State
Print
Reset
State of Missouri
Securities Division • 600 W. Main, Rm. 229 • PO Box 1276
Jefferson City, MO 65102
Annual Report for Renewal of Registration of Securities
1. Name and principal address of issuer:
2. Name, address and telephone number of correspondent:
3. Description of securities:
4. The total amount registered and sold to date in Missouri:
Total amount registered _____________________________________
Total amount sold $________________________________________
5. Have all amendments to the issuer’s registration been filed with the Missouri Securities Division pursuant to Missouri
regulation 15 CSR 30-52.300?
_______________________________________
If not, provide the following:
(a) Identify each amendment that was not provided to the Missouri Securities Division as required under Missouri regu-
lation 15 CSR 30-52.300.
(b) Provide an explanation as to why each amendment specified in 15 CSR 30-52.300 was not timely filed with the
Missouri Securities Division.
(c) Attach to this report all amended documents not filed with the Missouri Securities Division as identified above and
set forth in 15 CSR 30-52.300.
6. Attach to this report a current prospectus marked to show changes with current financial statements.
FORM SR-2 (01/2017)
Date___________________________________
(CORPORATE SEAL)
__________________________________________________
Name of Issuer
By _______________________________________________
}
Name and Title
STATE OF _____________________________
ss.
County of ______________________________
The undersigned, __________________________________________________ , being first duly sworn, deposes and says:
That he has executed the foregoing report for and on behalf of the issuer named therein, that he is _______________________
of such issuer and is fully authorized to execute and file such report; that the statements made in the report, including all attachments
thereto, are not false in any material respect or misleading with respect to any material fact.
__________________________________________________
Name
Subscribed and sworn to before me, this _____________
day of _____________________ , 20 ______________ ,
_______________________________________________
(Notary Seal)
Notary Public
In and for the County of __________________________
State of ______________________________________ __
My Commission Expires: ________________________ _ _
FORM SR-2 (01-05)
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