Your bad-actor questionnaire

The company named you as one of its covered persons: an officer, director, owner of 20% or more, or promoter. Florida (s. 517.0616) and the SEC's Rule 506(d) bar an offering if a covered person has one of the events below. Answer each question for yourself and sign in your own name. StateCF keeps your signed answers with the company's file. This is not legal advice; if you are unsure about an answer, ask your own attorney before you sign.