The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete. The reader should not assume that the information is accurate and complete. |
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM D
Notice of Exempt Offering of Securities
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OMB APPROVAL |
OMB Number: |
3235-0076 |
Estimated average burden |
hours per response: |
4.00 |
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1. Issuer's Identity
CIK (Filer ID Number) |
Previous Names |
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Entity Type |
0001502961 |
Conestoga Settlement Trust |
Conestoga Settlement Services, LLC |
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Corporation |
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Limited Partnership |
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Limited Liability Company |
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General Partnership |
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Business Trust |
X |
Other (Specify) |
Trust |
Name of Issuer |
Conestoga Trust |
Jurisdiction of Incorporation/Organization |
DELAWARE |
Year of Incorporation/Organization |
X |
Over Five Years Ago |
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Within Last Five Years (Specify Year) |
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Yet to Be Formed |
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2. Principal Place of Business and Contact Information
Name of Issuer |
Conestoga Trust |
Street Address 1 |
Street Address 2 |
1455 PENNSYLVANIA AVE |
SUITE 400 |
City |
State/Province/Country |
ZIP/PostalCode |
Phone Number of Issuer |
WASHINGTON |
DISTRICT OF COLUMBIA |
00918 |
302-357-9385 |
3. Related Persons
Last Name |
First Name |
Middle Name |
McDermott |
Michael |
C. |
Street Address 1 |
Street Address 2 |
644 Ave. Fernandez Juncos |
Suite 301 |
City |
State/Province/Country |
ZIP/PostalCode |
San Juan |
PUERTO RICO |
00907 |
Relationship: |
|
Executive Officer |
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Director |
X |
Promoter |
Clarification of Response (if Necessary):
Trustor of the CI Trust
Last Name |
First Name |
Middle Name |
Dunne |
Robert |
L. |
Street Address 1 |
Street Address 2 |
9701 South Keeler Ave |
City |
State/Province/Country |
ZIP/PostalCode |
Oak Lawn |
ILLINOIS |
60453 |
Relationship: |
|
Executive Officer |
|
Director |
X |
Promoter |
Clarification of Response (if Necessary):
Trustee of the CI Trust
Last Name |
First Name |
Middle Name |
Trust |
CI |
Street Address 1 |
Street Address 2 |
C/O InCorp Services, Inc. |
400 North Main Ave, Suite 206 |
City |
State/Province/Country |
ZIP/PostalCode |
Sioux Falls |
SOUTH DAKOTA |
57104-5979 |
Relationship: |
|
Executive Officer |
|
Director |
X |
Promoter |
Clarification of Response (if Necessary):
Sole member of Conestoga International, LLC.
4. Industry Group
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Agriculture |
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Banking & Financial Services |
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Commercial Banking |
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Insurance |
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Investing |
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Investment Banking |
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Pooled Investment Fund |
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Is the issuer registered as an investment company under the Investment Company Act of 1940? |
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Other Banking & Financial Services |
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Business Services |
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Energy |
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Health Care |
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Manufacturing |
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Real Estate |
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Retailing |
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Restaurants |
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Technology |
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Travel |
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Tourism & Travel Services |
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Other |
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5. Issuer Size
Revenue Range |
OR |
Aggregate Net Asset Value Range |
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No Revenues |
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No Aggregate Net Asset Value |
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$1 - $1,000,000 |
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$1 - $5,000,000 |
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$1,000,001 - $5,000,000 |
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$5,000,001 - $25,000,000 |
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$5,000,001 - $25,000,000 |
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$25,000,001 - $50,000,000 |
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$25,000,001 - $100,000,000 |
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$50,000,001 - $100,000,000 |
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Over $100,000,000 |
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Over $100,000,000 |
X |
Decline to Disclose |
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Decline to Disclose |
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Not Applicable |
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Not Applicable |
6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)
| |
Rule 504(b)(1) (not (i), (ii) or (iii)) |
| |
Rule 504 (b)(1)(i) |
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Rule 504 (b)(1)(ii) |
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Rule 504 (b)(1)(iii) |
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Rule 505 |
| X |
Rule 506(b) |
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Rule 506(c) |
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Securities Act Section 4(a)(5) |
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Investment Company Act Section 3(c) |
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Section 3(c)(1) |
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Section 3(c)(9) |
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Section 3(c)(2) |
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Section 3(c)(10) |
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Section 3(c)(3) |
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Section 3(c)(11) |
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Section 3(c)(4) |
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Section 3(c)(12) |
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Section 3(c)(5) |
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Section 3(c)(13) |
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Section 3(c)(6) |
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Section 3(c)(14) |
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7. Type of Filing
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New Notice |
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Date of First Sale |
2010-05-28 |
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First Sale Yet to Occur |
X |
Amendment |
8. Duration of Offering
Does the Issuer intend this offering to last more than one year? |
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9. Type(s) of Securities Offered (select all that apply)
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Equity |
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Pooled Investment Fund Interests |
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Debt |
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Tenant-in-Common Securities |
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Option, Warrant or Other Right to Acquire Another Security |
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Mineral Property Securities |
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Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security |
X |
Other (describe) |
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Specified beneficial percentage interest in death benefits payable under a life insurance policy. |
10. Business Combination Transaction
Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer? |
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Clarification of Response (if Necessary):
11. Minimum Investment
Minimum investment accepted from any outside investor |
$5,000
|
USD |
12. Sales Compensation
Recipient |
Recipient CRD Number |
X |
None |
|
Joshua Allen |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
4415 66th St. |
Suite 101 |
City |
State/Province/Country |
ZIP/Postal Code |
Lubbock |
TEXAS |
79414 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
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All States |
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Recipient |
Recipient CRD Number |
X |
None |
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Jessica Baumler |
None |
(Associated) Broker or Dealer |
X |
None |
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(Associated) Broker or Dealer CRD Number |
X |
None |
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None |
None |
Street Address 1 |
Street Address 2 |
616 County Road |
City |
State/Province/Country |
ZIP/Postal Code |
Grand Marsh |
WISCONSIN |
53936 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
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All States |
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Recipient |
Recipient CRD Number |
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None |
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Vernon Bell |
4541332 |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
6136 Frisco Square Blvd. |
Suite 400 |
City |
State/Province/Country |
ZIP/Postal Code |
Frisco |
TEXAS |
75034 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
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All States |
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Recipient |
Recipient CRD Number |
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None |
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R. Mark Betts |
2425560 |
(Associated) Broker or Dealer |
X |
None |
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(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
7206 Danwood Dr. |
City |
State/Province/Country |
ZIP/Postal Code |
Austin |
TEXAS |
78759 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
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All States |
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Recipient |
Recipient CRD Number |
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None |
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Thomas Beno |
5583773 |
(Associated) Broker or Dealer |
X |
None |
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(Associated) Broker or Dealer CRD Number |
X |
None |
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None |
None |
Street Address 1 |
Street Address 2 |
650 Kalmia Ct. NW |
City |
State/Province/Country |
ZIP/Postal Code |
Issaquah |
WASHINGTON |
98027 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
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All States |
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Recipient |
Recipient CRD Number |
X |
None |
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Charles Brown |
None |
(Associated) Broker or Dealer |
X |
None |
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(Associated) Broker or Dealer CRD Number |
X |
None |
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None |
None |
Street Address 1 |
Street Address 2 |
27 Vista Barranca |
City |
State/Province/Country |
ZIP/Postal Code |
Rancho Santa Margarita |
CALIFORNIA |
92688 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
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Recipient |
Recipient CRD Number |
X |
None |
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William Brandenburg |
None |
(Associated) Broker or Dealer |
X |
None |
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(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
7774 Cross Cut Trail |
City |
State/Province/Country |
ZIP/Postal Code |
Woodruff |
WISCONSIN |
54568 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
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All States |
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Recipient |
Recipient CRD Number |
X |
None |
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Debra Carter |
None |
(Associated) Broker or Dealer |
X |
None |
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(Associated) Broker or Dealer CRD Number |
X |
None |
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None |
None |
Street Address 1 |
Street Address 2 |
PO Box 42 |
City |
State/Province/Country |
ZIP/Postal Code |
Dennis |
TEXAS |
76439 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
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All States |
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Recipient |
Recipient CRD Number |
X |
None |
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Paul Carter |
None |
(Associated) Broker or Dealer |
X |
None |
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(Associated) Broker or Dealer CRD Number |
X |
None |
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None |
None |
Street Address 1 |
Street Address 2 |
13705 SE 87th Ter. |
City |
State/Province/Country |
ZIP/Postal Code |
Summerfield |
FLORIDA |
34491 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
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Recipient |
Recipient CRD Number |
X |
None |
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Ray Chadwick |
None |
(Associated) Broker or Dealer |
X |
None |
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(Associated) Broker or Dealer CRD Number |
X |
None |
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None |
None |
Street Address 1 |
Street Address 2 |
539 W. Crossland Blvd. |
City |
State/Province/Country |
ZIP/Postal Code |
Grand Prarie |
TEXAS |
75052 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
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All States |
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Recipient |
Recipient CRD Number |
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None |
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Aase Christensen |
1723547 |
(Associated) Broker or Dealer |
X |
None |
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(Associated) Broker or Dealer CRD Number |
X |
None |
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None |
None |
Street Address 1 |
Street Address 2 |
1417 Pacific Avenue |
City |
State/Province/Country |
ZIP/Postal Code |
Santa Barbara |
CALIFORNIA |
34491 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
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All States |
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Recipient |
Recipient CRD Number |
X |
None |
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Jeff Converse |
None |
(Associated) Broker or Dealer |
X |
None |
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(Associated) Broker or Dealer CRD Number |
X |
None |
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None |
None |
Street Address 1 |
Street Address 2 |
11631 Allwood Drive |
City |
State/Province/Country |
ZIP/Postal Code |
Riverside |
CALIFORNIA |
92503 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
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Recipient |
Recipient CRD Number |
X |
None |
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Michael Correll |
None |
(Associated) Broker or Dealer |
X |
None |
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(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
16831 N 58th Street |
#125 |
City |
State/Province/Country |
ZIP/Postal Code |
Scottsdale |
ARIZONA |
85254 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
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Recipient |
Recipient CRD Number |
X |
None |
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Etienn Couret |
None |
(Associated) Broker or Dealer |
X |
None |
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(Associated) Broker or Dealer CRD Number |
X |
None |
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None |
None |
Street Address 1 |
Street Address 2 |
352 West 110th St. |
10c |
City |
State/Province/Country |
ZIP/Postal Code |
New York |
NEW YORK |
10025 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
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All States |
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Recipient |
Recipient CRD Number |
X |
None |
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Michael Cox |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
6508 2nd St. |
City |
State/Province/Country |
ZIP/Postal Code |
Lubbock |
TEXAS |
79416 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
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Recipient |
Recipient CRD Number |
|
None |
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Chris Dantin |
3088863 |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
9241 Blue Bonnet Blvd. |
Ste. C |
City |
State/Province/Country |
ZIP/Postal Code |
Baton Rouge |
LOUISIANA |
70810 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
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Recipient |
Recipient CRD Number |
X |
None |
|
Kevin W. Day |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
2427 Boysford Ave |
City |
State/Province/Country |
ZIP/Postal Code |
Altoona |
WISCONSIN |
54720 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
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Recipient |
Recipient CRD Number |
X |
None |
|
Jerry DeRose |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
13229 Willow Lake Blvd. |
City |
State/Province/Country |
ZIP/Postal Code |
Vadnais Heights |
MINNESOTA |
55110 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
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|
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Recipient |
Recipient CRD Number |
X |
None |
|
Michael Donaldson |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
1286 Nestor Ct. |
City |
State/Province/Country |
ZIP/Postal Code |
Haslett |
MICHIGAN |
48840 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
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Recipient |
Recipient CRD Number |
X |
None |
|
Paul Dow |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
2412 Wildwood Ct. |
City |
State/Province/Country |
ZIP/Postal Code |
Fullerton |
CALIFORNIA |
92835 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Robert Dunne |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
9701 S. Keeler Ave |
City |
State/Province/Country |
ZIP/Postal Code |
Oak Lawn |
ILLINOIS |
60453 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Danielle Dupuy |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
40 E. Main St. |
Suite 582 |
City |
State/Province/Country |
ZIP/Postal Code |
Newark |
DELAWARE |
19711 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Michael Durand |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
1501 Rushmore Dr. |
City |
State/Province/Country |
ZIP/Postal Code |
Burnsville |
MINNESOTA |
55306 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Scott Elsasser |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
1024 S. 37 Street |
City |
State/Province/Country |
ZIP/Postal Code |
Omaha |
NEBRASKA |
68105 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
George Fossing |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
405 Deerfield Dr. |
City |
State/Province/Country |
ZIP/Postal Code |
Greer |
SOUTH CAROLINA |
29650 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
NORTH CAROLINA |
SOUTH CAROLINA |
|
Recipient |
Recipient CRD Number |
X |
None |
|
Gary Franke |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
227 Bellevue Way NE |
City |
State/Province/Country |
ZIP/Postal Code |
Bellevue |
WASHINGTON |
98004 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Anthony Friendshuh |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
5200 Shady Island Circle |
City |
State/Province/Country |
ZIP/Postal Code |
Sherwood |
MINNESOTA |
55364 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Byron Frisch |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
3304 Corte Cadiz |
City |
State/Province/Country |
ZIP/Postal Code |
Carlsbad |
CALIFORNIA |
92009 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Deidre A. Gibson |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
6403 Genstar Lane |
City |
State/Province/Country |
ZIP/Postal Code |
Dallas |
TEXAS |
75252 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Stephen Gardner |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
865 E. 12200 S. |
City |
State/Province/Country |
ZIP/Postal Code |
Draper |
UTAH |
84020 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
ARIZONA |
CALIFORNIA |
FLORIDA |
ILLINOIS |
NEBRASKA |
NORTH CAROLINA |
SOUTH CAROLINA |
TENNESSEE |
TEXAS |
VIRGINIA |
WISCONSIN |
|
Recipient |
Recipient CRD Number |
X |
None |
|
Michael Giaime |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
144 Fifty Acres Rd. South |
City |
State/Province/Country |
ZIP/Postal Code |
Smithtown |
NEW YORK |
11787 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Daniel Gilles |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
6120 Andrew Dr. |
City |
State/Province/Country |
ZIP/Postal Code |
Eau Claire |
WISCONSIN |
54701 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Daniel Goodmanson |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
3308 Williams Dr. |
City |
State/Province/Country |
ZIP/Postal Code |
Burnsville |
MINNESOTA |
55337 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Bill Grigorieff |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
PO Box 500 |
City |
State/Province/Country |
ZIP/Postal Code |
LaPine |
OREGON |
97739 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
CALIFORNIA |
IDAHO |
OREGON |
WASHINGTON |
|
Recipient |
Recipient CRD Number |
X |
None |
|
Kathryn Gunderson |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
1316 Fairfax St. |
City |
State/Province/Country |
ZIP/Postal Code |
Eau Claire |
WISCONSIN |
54701 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Matthew Hoffman |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
Sanctuary Financial |
290 Calybark Trl. |
City |
State/Province/Country |
ZIP/Postal Code |
Concord |
NORTH CAROLINA |
28027 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Kurt Hanusa |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
426 2nd St. |
Suite A |
City |
State/Province/Country |
ZIP/Postal Code |
Baraboo |
WISCONSIN |
53913 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Sandy Heiar |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
N8218 HWY 33 |
City |
State/Province/Country |
ZIP/Postal Code |
Beaver Dam |
WISCONSIN |
53916 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
John Barry Herring |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
541 Epworth Rd. |
City |
State/Province/Country |
ZIP/Postal Code |
Kilgore |
TEXAS |
75662 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Richard Hersey |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
419 Los Robles Ln |
City |
State/Province/Country |
ZIP/Postal Code |
Santa Barbara |
CALIFORNIA |
93111 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Gregory Hersey |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
5138 San Lucas Way |
City |
State/Province/Country |
ZIP/Postal Code |
Santa Barbara |
CALIFORNIA |
93111 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Paul Hess |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
1309 White Wing Ct. |
City |
State/Province/Country |
ZIP/Postal Code |
Southlake |
TEXAS |
76092 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Kevin J. Hilbert |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
61 Misty Road |
City |
State/Province/Country |
ZIP/Postal Code |
Rocky Point |
NEW YORK |
11778 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
Recipient |
Recipient CRD Number |
X |
None |
|
Everett W. Knell |
None |
(Associated) Broker or Dealer |
X |
None |
|
(Associated) Broker or Dealer CRD Number |
X |
None |
|
None |
None |
Street Address 1 |
Street Address 2 |
2627 Tucker Lane |
City |
State/Province/Country |
ZIP/Postal Code |
Los Alamitos |
CALIFORNIA |
90720 |
State(s) of Solicitation (select all that apply) Check “All States” or check individual States |
|
All States |
|
|
|
13. Offering and Sales Amounts
Total Offering Amount |
$192,000,000
|
USD |
|
Total Amount Sold |
$173,110,322
|
USD |
Total Remaining to be Sold |
$18,889,678
|
USD |
|
Clarification of Response (if Necessary):
TOA is the face value of life insurance policies in which participants may purchase a fixed % of the death benefit. Total amount sold is also expressed in terms of the face value of such life insurance policies. These numbers are as of 07/01/16.14. Investors
|
Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors, and enter the number of such non-accredited investors who already have invested in the offering. |
|
|
Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering: |
|
15. Sales Commissions & Finder's Fees Expenses
Provide separately the amounts of sales commissions and finders fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.
Sales Commissions |
$17,593,338
|
USD |
|
Finders' Fees |
$0
|
USD |
|
Clarification of Response (if Necessary):
As of Sept. 2011, commission structure changed so that commissions do not exceed 10% of the face value of any participation. These numbers are as of July 1, 201616. Use of Proceeds
Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.
Clarification of Response (if Necessary):
Signature and Submission
Please verify the information you have entered and review the Terms of Submission below before signing and clicking SUBMIT below to file this notice.
Terms of Submission
In submitting this notice, each issuer named above is: |
- Notifying the SEC and/or each State in which this notice is filed of the offering of
securities described and undertaking to furnish them, upon written request, in the accordance with applicable
law, the information furnished to offerees.*
- Irrevocably appointing each of the Secretary of the SEC and, the Securities Administrator
or other legally designated officer of the State in which the issuer maintains its principal
place of business and any State in which this notice is filed, as its agents for service of
process, and agreeing that these persons may accept service on its behalf, of any notice,
process or pleading, and further agreeing that such service may be made by registered or
certified mail, in any Federal or state action, administrative proceeding, or arbitration
brought against the issuer in any place subject to the jurisdiction of the United States, if the
action, proceeding or arbitration (a) arises out of any activity in connection with the
offering of securities that is the subject of this notice, and (b) is founded, directly or
indirectly, upon the provisions of: (i) the Securities Act of 1933, the Securities Exchange
Act of 1934, the Trust Indenture Act of 1939, the Investment Company Act of 1940, or the
Investment Advisers Act of 1940, or any rule or regulation under any of these statutes, or (ii)
the laws of the State in which the issuer maintains its principal place of business or any State
in which this notice is filed.
- Certifying that, if the issuer is claiming a Regulation D exemption for the offering, the issuer is not disqualified from relying on Regulation D for one of the reasons stated in Rule 505(b)(2)(iii) or Rule 506(d).
|
Each Issuer identified above has read this notice, knows the contents to be true, and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person.
For signature, type in the signer's name or other letters or characters adopted or authorized as the signer's signature.
Issuer |
Signature |
Name of Signer |
Title |
Date |
Conestoga Trust |
BHP |
Brett H Pavony |
Law Clerk |
2016-09-13 |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
* This undertaking does not affect any limits Section 102(a) of the National Securities Markets
Improvement Act of 1996 ("NSMIA") [Pub. L. No. 104-290, 110 Stat. 3416 (Oct. 11, 1996)] imposes on the ability of States to
require information. As a result, if the securities that are the subject of this Form D are "covered securities" for purposes
of NSMIA, whether in all instances or due to the nature of the offering that is the subject of this Form D, States cannot
routinely require offering materials under this undertaking or otherwise and can require offering materials only to the
extent NSMIA permits them to do so under NSMIA's preservation of their anti-fraud authority.