State | Agency Name | Address - Mailing | City/State/Zip - Mailing | Address - Delivery | City/State/Zip - Delivery | Primary Examiner | Phone | Fax | 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 | |
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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 |
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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 |
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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 |
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Nevada | Securities Division | 555 E. Washington Ave., Suite 5200 | Las Vegas NV 89101 | Same |
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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 |
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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 |
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Washington | Securities Division | P.O. Box 9033 | Olympia WA 98507-9033 | 150 Israel Road | Tumwater WA 98501 |
Bill Beatty
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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 |
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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 |