General Form 1-K Electronic Worksheet Instructions and Information

The following information must be provided for the XML-based portion of Form 1-K and must be completed or updated before filing each offering statement or amendment thereto. The format of Part I shown below may differ from the electronic version available on EDGAR. All items must be addressed, unless otherwise indicated.

References:

Regulation A: http://www.ecfr.gov/cgi-bin/text-idx?&mc=true&node=sg17.3.230_1240.sg2

SEC Form 1-K and Instructions: http://www.sec.gov/about/forms/form1-k.pdf

Worksheet Instructions:

Click Enable Content to activate all macros in this file. Macros make the form functional and user friendly. The worksheet macros are compatible with Word 2007 and higher.

Complete the worksheet in Print Layout View.

Red asterisks (*) indicate a required/mandatory field.

Edit only the gray fields in the worksheet.

Do not copy/paste special characters (e.g. em/en dashes, foreign language characters) into the worksheet. The SEC does not allow these types of characters in XML filings.

When using the Add or Remove buttons, please note that rows will always be added to the bottom and removed from the bottom of the table. Reordering is not an option.

Filer Information

Note:	Filer Information is collected only for verifying submission header information and proofing purposes.

Submission Type:*Select

Issuer Filer Information:

CIK: *	Click here to enter text.
(must be 10 digits, include leading 0’s)
CCC: *	Click here to enter text.
(8 character limit)
Is the filer a Shell Company?*	Choose an item.
Is this filing by a successor company pursuant to Rule 257(b)(5) resulting from a merger or other business combination?*	Choose an item.
If Yes, indicate the File Number:	24R-Click here to enter text.
File Number: (Required for 1-K/A)	24R-Click here to enter text.
Period of Report:* (End date of reporting or date of future filing. Future dates are not allowed)	Click here to enter text. (MM-DD-YYYY format)

Co-Issuer Filer Information:

Co-Issuer Name (for reference only) (up to 15 Co-Issuers may be added)	CIK	CCC	File Number (if any)
Enter Co-Issuer Filer Name.	Enter CIK.	Enter CCC.	Enter File Number.

(add, or remove, items as needed - only the most recently added row will be removed)
Enter Co-Issuer Filer Name.	Enter CIK.	Enter CCC.	Enter File Number.

Notification via e-mail address (up to 3 may be added):
Click here to enter text. Click here to enter text. Click here to enter text.

Item 1: Issuer Information

This Form 1-K is to provide an:*	Choose an item.
Fiscal Year End:*	Click here to enter date.
(Note: This field must match the Period of Report date in the Filer Information section above.)

Exact name of issuer as specified in	Click here to enter text.
the issuer’s charter:*	(150 character limit)
(Note: This field must match the EDGAR profile on file with the SEC.)
Jurisdiction of incorporation / organization:*(SEC State/Country Codes)	Select
(Note: This field must match the EDGAR profile on file with the SEC.)
CIK:*	Click here to enter text.
(must be 10 digits, add leading 0’s)
I.R.S. Employer Identification Number:*	Click here to enter text.
(Note: This field must match the EDGAR profile on file with the SEC.)	(00-0000000 format)

(Note: A new section must be added for each additional Co-Issuer)
(add, or remove, items as needed - only the most recently added table will be removed)

Note:	To verify that the above information on the Form matches your EDGAR profile exactly, please enter your CIK Number into the search field on the EDGAR Company Database Search.
(http://www.edgarcompany.sec.gov/servlet/CompanyDBSearch?page=main)
If you require changes to your EDGAR profile, please contact your Customer Service Representative for assistance.

Address of Principal Executive Offices

Address 1*	Address 2
Click here to enter text.	Click here to enter text.
(40 character limit)	(40 character limit)
City*	State/Country*	Mailing Zip/ Postal Code*
Click here to enter text.	Select	Click here to enter text.
(30 character limit)
Phone Number*
Click here to enter text.
(20 character limit. Hyphens may be included to improve readability.)

Title of each class of securities issued pursuant to Regulation A *
Click here to enter text.
(255 character limit)
(add, or remove, items as needed - only the most recently added item will be removed)

Summary Information Regarding Prior Offering and Proceeds

The following information must be provided for any Regulation A offering that has terminated or completed prior to the filing of this Form 1-K, unless such information has been previously reported in a manner permissible under Rule 257. If such information has been previously reported, check this box and leave the rest of Part I blank.* false

Commission File Number of the offering statement:(1)	Click here to enter text.
Date of qualification of the offering statement:(1)	Click here to enter date.
(MM-DD-YYYY)
Date of commencement of the offering:(1)	Click here to enter date.
(MM-DD-YYYY)
Amount of securities qualified to be sold in the offering:(1)	Click here to enter text.
(0 is not allowed)
Amount of securities sold in the offering:(1)	Click here to enter text.
Price per security:	$	Click here to enter text.
The portion of aggregate sales attributable to securities sold on behalf of the issuer:(1)	$	Click here to enter text.
The portion of the aggregate sales attributable to securities sold on behalf of selling securityholders:(1)	$	Click here to enter text.
Fees in connection with this offering and names of service providers
Name of Service Provider (150 character limit)	Fees
Underwriters: Click here to enter text.	$	Click here to enter text.
(add, or remove, items as needed - only the most recently added item will be removed)
Sales Commissions: Click here to enter text.	$	Click here to enter text.
(add, or remove, items as needed - only the most recently added item will be removed)
Finders' Fees: Click here to enter text.	$	Click here to enter text.
(add, or remove, items as needed - only the most recently added item will be removed)
Audit: Click here to enter text.	$	Click here to enter text.
(add, or remove, items as needed - only the most recently added item will be removed)
Legal: Click here to enter text.	$	Click here to enter text.
(add, or remove, items as needed - only the most recently added item will be removed)
Promoters: Click here to enter text.	$	Click here to enter text.
(add, or remove, items as needed - only the most recently added item will be removed)
Sky Compliance: Click here to enter text.	$	Click here to enter text.
(add, or remove, items as needed - only the most recently added item will be removed)
CRD Number of any broker or dealer listed:	Click here to enter text.
Net proceeds to the issuer:	$	Click here to enter text.
Clarification of responses (if necessary):
Click here to enter text.
(255 character limit)

(add, or remove, items as needed - only the most recently added table will be removed)

(1)	Required if the check box above is not selected.