| Agency: Office of the Secretary of State,
Securities Division Address:
302 West Washington, Room E111
Indianapolis, IN 46204
Contact: Patrick Sanders, Chief Counsel
Telephone Number: (317) 232-6681
E-mail: psanders@sos.state.in.us
Fax Number: (317) 233-3675
Website Address: http://www.ai.org/sos/index.html
Checks Payable To: Indiana Secretary of State
Rule 504 Filing Fees: No Fees
Reg A Filing Fees: 1/20 of 1% of amount to be registered in IN, minimum of $250,
maximum of $1000
Agent Issuer Fees and Filing and Testing Requirements: No fees, State Form 26203
(R/6-92) (instead of U-4), Reg A filings only.
Post-Effective Filing That Requires Fee: None
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