OMB APPROVAL 

Not subject to 

P.L. 96-5110 

UNITED STATES 

SECURITIES AND EXCHANGE COMMISSION 

Washington, D.C. 20549 

FORM S-20 

REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933 

(Exact name of registrant as specified in its charter) 

(Address, including zip code, and telephone number, including area code, of registrant’s 

principal executive offices) 

(Name, address, including zip code, and telephone number, including area code, of agent for 

service) 

Approximate date of commencement of proposed sale to the public 

Calculation of Registration Fee 

Title of 

Securities to be 

Registered 

Amount to be 

Registered 

Proposed 

Maximum Fee 

or Charge Per 

Unit 

Proposed 

Maximum 

Aggregate Fee 

or Charge 

Amount of 

Registration Fee 

Note: Specific details relating to the fee calculation shall be furnished in notes to the table, 

including references to provisions of Rule 457 (§230.457 of this chapter) relied upon, if the basis 

of the calculation is not otherwise evident from the information presented in the table. 

GENERAL INSTRUCTIONS 

I. Eligibility Requirement for Use of Form S-20 

This form may be used for registration of standardized options under the Securities Act of 1933 

(“Securities Act”) provided that the registrant undertakes not to issue, clear, guarantee or accept 

an option registered on Form S-20 unless there is a definitive options disclosure document 

meeting the requirements of Rule 9b-1 of the Securities Exchange Act of 1934 with respect to 

the options class. 

SEC 2013 (2-21) 
 

 

II. Application of General Rules and Regulations 

A. Attention is directed to the General Rules and Regulations under the Securities Act, 

particularly those comprising Regulation C [17 CFR 230.400 to 230.494] thereunder. 

That Regulation contains general requirements regarding the preparation and filing of the 

registration statement. 

B. Attention is directed to Regulation S-K [17 CFR Part 229] for the requirements 

applicable to the content of the non-financial statement portions of registration statements 

under the Securities Act. Where this Form directs the registration to furnish information 

required by Regulation S-K and the item of Regulation S-K so provides, information 

need to be furnished to the extent appropriate. 

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PART I. INFORMATION REQUIRED IN PROSPECTUS 

Item 1. Forepart of the Registration Statement and Outside Front Cover Page of 

Prospectus. 

Set forth in the forepart of the registration statement and on the outside front cover page of the 

prospectus the information required by Item 501 of Regulation S-K [§229.501 of this chapter]. In 

the case of a foreign registrant, the information required by Item 502(f) of Regulation S-K 

[§229.502(f) of this chapter] also shall be included. In addition, the outside front cover page of 

the prospectus shall contain a statement to the effect that (1) an options disclosure document 

containing a description of the risks of options transactions is required to be furnished to option 

investors and stating from whom such a document may be obtained; (2) the financial statements 

and certain additional information required by Part II of the registration statement, other than 

exhibits, can be obtained without charge upon request from the registrant; and (3) the exhibits 

required by Part II of the registration statement can be inspected at the offices of the registrant or 

obtained from the registrant or the Securities and Exchange Commission upon payment of an 

appropriate fee. 

Item 2. Description of Registrant. 

(a) State the year in which the registrant was organized, its form of organization and the 

name of the State or other jurisdiction under the laws of which it was organized. 

(b) List all the parents of the registrant showing the basis of control. 

(c) Briefly describe the business of the registrant and the services rendered by it. 

Item 3. Description of Securities to be Registered. 

State the title of securities to be registered, the rights evidenced by such securities, whether 

certificates representing these securities are issued, the contractual obligations of the registrant 

with respect to such securities and any restrictions on the purchase of such securities. 

Instruction. This item only requires a brief summary of the provisions of the security. A 

complete legal description of the provisions referred to is not required and should not be given; 

only a succinct resume is required. 

PART II. INFORMATION NOT REQUIRED IN PROSPECTUS 

Item 4. Directors and Executive Officers. 

Furnish the information required by Item 401 of Regulation S-K [§229.401 of this chapter]. 

Item 5. Legal Proceedings. 

Furnish the information required by Item 103 of Regulation S-K [§229.103 of this chapter]. 

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Item 6. Legal Options and Experts. 

Furnish the information required by Items 601(b)(5) and 601(b)(24) of Regulation S-K 

[§229.601 of this chapter]. 

Item 7. Financial Statements. 

Include financial statements meeting the requirements of Regulation S-X [17 CFR 210] and the 

supplementary financial information specified by Item 302 of Regulation S-K [17 CFR 229.302]. 

Item 8. Undertakings. 

Furnish the following undertakings: 

1. The undersigned registrant hereby undertakes to file a post-effective amendment, not 

later than 120 days after the end of each fiscal year subsequent to that covered by the 

financial statements presented herein, containing financial statements meeting the 

requirements of Regulation S-X [17 CFR Part 210] and the supplementary financial 

information specified by Item 302 of Regulation S-K [17 CFR 229.302]. 

2. The undersigned registrant hereby undertakes not to issue, clear, guarantee or accept any 

security registered herein until there is a definitive options disclosure document meeting 

the requirements of Rule 9b-1 of the Securities Exchange Act of 1934 with respect to the 

class options. 

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SIGNATURES 

Pursuant to the requirements of the Securities Act of 1933, the registrant certifies that it has 

reasonable grounds to believe that it meets all of the requirements for filing on Form S-20 and 

has duly caused this registration statement to be signed on its behalf by the undersigned, 

thereunto duly authorized, in the City of , State of , 

on , . 

(Registrant) 

By 

(Signature) 

(Title) 

Pursuant to the requirements of the Securities Act of 1933, this registration statement has been 

signed by the following persons in the capacities and on the dates indicated. 

(Signature) 

(Title) 

(Date) 

Instructions: 

1. The registration statement shall be signed by the registrant, its principal executive officer 

or officers, its principal financial officer, its controller or principal accounting officer and by at 

least a majority of the board of directors or persons performing similar functions. If the registrant 

is a foreign person, the registration statement shall also be signed by its authorized representative 

in the United States. 

2. The name of each person who signs the registration statement shall be typed or printed 

beneath his signature. Any person who occupies more than one of the specified positions shall 

indicate each capacity in which he signs the registration statement. Attention is directed to Rule 

402 concerning manual signatures and to Item 601 of Regulation S-K concerning signature 

pursuant to powers of attorney. 

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