Submitted by Anonymous on Fri, 2014-09-26 10:02 Public Records Disclosure Act * Keep Information Exempt Do Not Keep Information Exempt The Washington Public Records Act (PRA), RCW 42.56, may require disclosure of a complaint after a file is closed. If you choose, you may keep your identifying information exempt from disclosure under the PRA. Please note that this exemption does not necessarily restrict the release of your identifying information pursuant to a court order, subpoena, or during litigation. Name * Birthdate * Mailing Address * Address Continued City * State * Zip Code * Phone Number * Best Time to Call Fax Number Email Address Business Name * Business Address Business City Business State * Business Zip Business Phone Who You Dealt With Business Email Business Website Names Names, addresses, phone numbers of any other businesses, or persons involved in your complaint. How and when did you first hear about this investment? How much money did you invest? What dates? What kind of investment(s) did you buy? How did you pay for your investment(s)? What method did you use to deliver the payment? How and when did the person first contact you? Please list any courier or postal service used by the person to contact you and when the contact occurred. Have you complained to the person or firm? If yes, please describe. Was your complaint in writing, or did you speak to someone? If in writing, please send a copy of the complaint. If you spoke with a person, who was it and when did it happen? Have you contacted any other regulator or taken any legal action? If yes, please describe. Complaint in Detail * Other Investors Do you know anyone else who purchased the investment that is the subject of this complaint? If so, please list their names, addresses, phone numbers. Declaration Name * Declaration Date * CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
