CR-SCOR-West Filing Requirements

State Agency Name Address - Mailing City/State/Zip - Mailing Address - Delivery City/State/Zip - Delivery Primary Examiner Phone Fax E-Mail Alternate Examiner Alternate Phone Alternate Fax E-Mail 2 Registration Fees - SCOR Registration Fees - Reg A Financial Statements - SCOR Financial Statements - Reg A Issue-Dealer Registration Issuer Sales Agent Registration Exam Requirements Application Form - SCOR Application Form - Reg A Exhibits - SCOR Exhibits - Reg A Notes
Alaska Division of Banking, Securites & Corporations P.O. Box 110807 Juneau AK 99811-0807 333 Willoughby Ave., 9th Floor Juneau AK 99811-0807 Franklin T. Elder 907-465-2521 907-465-2549 Terry_Elder@dced.state.ak.us Dennis Salveson 907-465-2521 907-465-2549 Dennis_Salveson@dced.state.ak.us $600 ($500 of which is refundable) for one year, or $1,100 ($1,000 of which is refundable) if an automatic extension of one year is desired by the issuer at the time the initial registration application is filed. $600 ($500 of which is refundable) for one year, or $1,100 ($1,000 of which is refundable) if an automatic extension of one year is desired by the issuer at the time the initial registration application is filed. Reviewed or audited as required by NASAA Policy Statement Regarding Small Company Registrations Same as required by SEC. N/A Not required for officers that will not receive commission. If registration is neccesary, a form U-4 and a $75 fee must be submitted for each registered agent Up to 5 issuer sales agents may registered without passing as examination. SCOR Form, U-1, U-2, U-2A SEC Form 1-A, U-1, U-2, U-2A As required by Part I of the SCOR Issuer's Manual As required by the SEC  
Arizona Corporation Commission - Securities Division 1300 West Washington, 3rd Floor Phoenix AZ 85007 Same Same Susan Baker Toth 602-542-0628 602-594-7405 sab@ccsd.cc.state.az.us         $250 .10% of maximum aggregate offering price to be offered in AZ. Min. = $200; Max. = $2,000 Reviewed or audited as required by NASAA Policy Statement Regarding Small Company Registrations Audited, as required by ARS 44-1894(A)(9) and (10) Yes. Form BD & $100 fee. Request instruction sheet from Division. Not required for bona fide executive officers and partners of the issuer. Other persons engaging in sales activity must register. Yes, Series 63 and relevent product exam, if registration is required. Exam requirements may be waived based on business experience. SCOR Form, U-1, U-2, U-2A SEC Form 1-A, U-1, U-2, U-2A As required by Part I of the SCOR Issuer's Manual As required by the SEC
Colorado Division of Securities 1580 Lincoln, Suite 420 Denver CO 80203 SAME SAME Henry Withers 303-894-2320 303-861-2126 henry.withers@dora.state.co.us Sheryl Lemon 303-894-2320 303-861-2126 sheryl.lemon@dora.state.co.us $100 $75 Exemption Notice Fee (Colorado does not require registration on Reg A offerings) Reviewed or audited as required by NASAA Policy Statement Regarding Small Company Registrations Same as those required by the SEC N/A Not required for Issuer Agents that will not receive commission No exams required for issuer agents that do not receive commissions SCOR Form; CO Forms RQ, B, and C; Form U-2, U-2A SEC Form 1-A As required by Part I of the SCOR Issuer's Manual As required by the SEC All checks should be made payable to the Colorado State Treasurer
Idaho Securities Bureau P.O. Box 83720 Boise ID 83720-0031 700 West State St, 2nd Floor Boise ID 83720 Nancy Ax 208-332-8076 208-332-8099 nax@fin.state.id.us Patty Highley 208-332-8077 208-332-8099 phighley@fin.state.id.us $300 $300 Reviewed or audited as required by NASAA Policy Statement Regarding Small Company Registrations Same as required by SEC N/A Yes - Form U-4 and $20 for each salesperson Exam requirement waived for up to 2 issuer agents that are also officers of the issuer. SCOR Form, U-1, U-2, U-2A, Form D SEC Form 1-A, U-1, U-2, U-2A As required by Part I of the SCOR Issuer's Manual and IC 30-1423 As required by the SEC
Montana Office of the State Auditor, Securities Department P.O. Box 4009 Helena MT 59604 126 North Sanders, Room 270 Helena MT 59604 Fiona Harpster 406-444-2040 406-444-5558 fharpster@mt.gov Lynne Egan 406-444-2040 406-444-5558 legan@mt.gov $200 for the 1st $100,000 to be offered in Montana plus .10% of the remainder $200 for the 1st $100,000 to be offered in Montana plus .10% of the remainder Reviewed or audited as required by NASAA Policy Statement Regarding Small Company Registrations Same as those required by SEC N/A Yes. Form U-4 and $50. None. SCOR Form, U-1, U-2, U-2A SEC Form 1-A, U-1, U-2, U-2A As required by Part I of the SCOR Issuer's Manual As required by the SEC
Nevada Securities Division 555 E. Washington Ave., Suite 5200 Las Vegas NV 89101 Same
Ed Apenbrink 702-486-2440 702-486-2452 nvsecurities@prodigy.net Bob Bevill 702-486-2440 702-486-2452 nvsecurities@prodigy.net .10% of amount to be offered in NV. Min. = $350 .10% of amount to be offered in NV. Min. = $350; Max. = $2,500 Reviewed or audited as required by NASAA Policy Statement Regarding Small Company Registrations Audited financial statements are required pursuant to NRS 90.490(q) N/A Yes. Form U-4 and $55. Series 63. SCOR Form, U-1, U-2, U-2A SEC Form 1-A, U-1, U-2, U-2A As required by Part I of the SCOR Issuer's Manual As required by the SEC
New Mexico Securities Division P.O. Box 25101 Sante Fe NM 87504 725 St. Michaels Drive Sante Fe NM 87501 Terri Orton 505-827-7140 505-984-0617 nmsecd@nm-us.campus.mci.net John Martinez 505-827-7140 505-984-0617 nmsecd@nm-us.campus.mci.net .10% of amount to be offered in NM. Min. = $350; .10% of amount to be offered in NM. Min. = $350; Max. = $2,500 Reviewed or audited as required by NASAA Policy Statement Regarding Small Company Registrations Audited N/A Not required for Issuer Agents in SCOR offerings that will not receive commission No exams required for issuer agents that do not receive commissions. SCOR Form, U-1, U-2, U-2A SEC Form 1-A, U-1, U-2, U-2A As required by Part I of the SCOR Issuer's Manual As required by the SEC ortonnm@ix.netcom.com
Oregon Division of Corporate Securities PO Box 14610 Salem, OR 97309-0445 350 Winter Street NE, Room 410 Salem, OR 97301-3881 Dave Weiss 503-947-7169 503-947-7862 david.t.weiss@state.or.us Jason Ambers 503-947-7169 503-947-7862 jason.e.ambers@state.or.us OAR 441-065-0001(1): 1/10 of 1% of the amount offered in Oregon, with a minimum fee of $200 and a maximum fee of $1500 OAR 441-065-0001(1): 1/10 of 1% of the amount offered in Oregon, with a minimum fee of $200 and a maximum fee of $1500. Reviewed or audited as required by NASAA Policy Statement Regarding Small Company Registrations. Contact the Division of Finance and Corporate Securities N/A Yes - Form U-4 and $15 for each issuer agent No exams required for issuer agents SCOR Form SEC Form 1-A, U-1 As required by Part I of the SCOR Issuer's Manual Contact the Division of Finance and Corporate Securites OAR 441-11-0040(3)(a) states that an application for registration of securities pursuant to ORS 59.065, other than limited partnership interests, shall include audited financial statements if the aggregate offering price exceeds $500,000.
Utah Division of Securities P.O. Box 146760 Salt Lake City UT 84114-6760 160 East 300 South, 2nd Floor Salt Lake City UT 84111 Joel Nelson 801-530-6600 801-530-6980 jnelson@br.state.ut.us Mark Snyder 801-530-6600 801-530-6980 msnyder@br.state.ut.us $300 $750 Reviewed or audited as required by NASAA Policy Statement Regarding Small Company Registrations. (Audited Statements required for non-regional review offerings) Same as those required by the SEC. N/A Yes - Form U-4 and $45 for each salesperson Series 63. May be waived at the discretion of the Division for officers and directors that do not receive commissions SCOR Form, U-1 (if non-regional review, then substitute UT Form 10-2-1), U-2, U-2A SEC Form 1-A, U-1, U-2, U-2A As required by Part I of the SCOR Issuer's Manual, UT statute 61-1-10, & UT rule R164-10-2 As required by the SEC
Washington Securities Division P.O. Box 9033 Olympia WA 98507-9033 150 Israel Road Tumwater WA 98501 Bill Beatty

 

360-902-8760 360-586-5068 bbeatty@dfi.wa.gov   360-902-8760 360-586-5068 fwelsh@dfi.wa.gov $100 for the 1st $100,000 to be offered in Washington plus .05% of the remainder $100 for the 1st $100,000 to be offered in Washington plus .025% of the remainder GAAP financial statements with appropriate footnotes. No review or audit required. Compilation by CPA strongly recommended. Same as those required by the SEC, except that if the offering exceeds $1,000,000, such statements shall be audited N/A Yes - Form U-4 and $40 for each salesperson No exams required for issuer agents that do not receive commissions SCOR Form, U-1, U-2, U-2A SEC Form 1-A, U-1, U-2, U-2A As required by Part I of the SCOR Issuer's Manual As required by the SEC
Wyoming Thomas Cowan 200 W 24th St Room 109 Cheyenne WY 82002-0020 Same Same Tom Cowan 307-777-5348 307-777-5339 tcowan@missc.state.wy.us