Mo. Code Regs. Ann. tit. 15, § 30-52.273
PURPOSE: This rule provides a form for the refund of securities placed in escrow pursuant to 15 CSR 30-52.271 Missouri Issuer Registration. Offer of Refund
Dear Subscriber:
This letter is to inform you of your rights under the Missouri Uniform Securities Act, Chapter 409, RSMo.
The Missouri Issuer Registration rule (15 CSR 30-52.271 of the Missouri Code of State Regulations) which permits issuers to raise funds prior to the completion of an offering document by using a business plan as the means of disclosure provides that Subscribers have a right to a refund of their investment plus a pro rata share of interest earned on the account less escrow fees upon receipt of the completed offering document. If you do not respond to this offer within thirty (30) days after the date it was mailed to you, you will be deemed to have requested a refund and the amount of your investment, plus a pro rata share of any interest earned on the account minus a pro rata share of escrow fees and expenses, will be refunded to you.
(Name of Issuer) ____________________________________________________________________________________________________
(Signature) _________________________________________________________________________________________________________
(Name of Signatory) _________________________________________________________________________________________________
I have been informed of my right to a refund under the Missouri Uniform Securities Act. I do/do not (circle one) wish to take advantage of this refund offer.
Subscriber’s Signature
A Form W-9 is enclosed. Please sign and return.
AUTHORITY: section 409.413(a), RSMo (1986).* Original rule filed April 14, 1992, effective Jan. 15, 1993. *Original authority 1967.