###### Editorial Note on [Part 240](/current/title-17/part-240?toc=1)

#### Editorial Note:

Nomenclature changes to part 240 appear at [57 FR 36501](https://www.federalregister.gov/citation/57-FR-36501), Aug. 13, 1992, and [57 FR 47409](https://www.federalregister.gov/citation/57-FR-47409), Oct. 16, 1992.

#### § 240.14d-100 Schedule TO. Tender offer statement under section 14(d)(1) or 13(e)(1) of the Securities Exchange Act of 1934.

*Securities and Exchange Commission*,

Washington, D.C. 20549

Schedule TO

Tender Offer Statement under Section 14(d)(1) or 13(e)(1) of the Securities Exchange Act of 1934

(Amendment No. \_\_\_\_\_\_)\*

(Name of Subject Company (issuer))

(Names of Filing Persons (identifying status as offeror, issuer or other person))

(Title of Class of Securities)

(CUSIP Number of Class of Securities)

(Name, address, and telephone numbers of person authorized to receive notices and communications on behalf of filing persons)

[ ] Check the box if the filing relates solely to preliminary communications made before the commencement of a tender offer.

Check the appropriate boxes below to designate any transactions to which the statement relates:

[ ] third-party tender offer subject to Rule 14d-1.

[ ] issuer tender offer subject to Rule 13e-4.

[ ] going-private transaction subject to Rule 13e-3.

[ ] amendment to Schedule 13D under Rule 13d-2.

Check the following box if the filing is a final amendment reporting the results of the tender offer: [ ]

If applicable, check the appropriate box(es) below to designate the appropriate rule provision(s) relied upon:

[ ] Rule 13e-4(i) (Cross-Border Issuer Tender Offer)

[ ] Rule 14d-1(d) (Cross-Border Third-Party Tender Offer)

*General Instructions:*

A. File eight copies of the statement, including all exhibits, with the Commission if paper filing is permitted.

B. This filing must be accompanied by a fee payable to the Commission as required by [§ 240.0-11](/on/2024-09-16/title-17/section-240.0-11).

C. If the statement is filed by a general or limited partnership, syndicate or other group, the information called for by Items 3 and 5-8 for a third-party tender offer and Items 5-8 for an issuer tender offer must be given with respect to: (i) Each partner of the general partnership; (ii) each partner who is, or functions as, a general partner of the limited partnership; (iii) each member of the syndicate or group; and (iv) each person controlling the partner or member. If the statement is filed by a corporation or if a person referred to in (i), (ii), (iii) or (iv) of this Instruction is a corporation, the information called for by the items specified above must be given with respect to: (a) Each executive officer and director of the corporation; (b) each person controlling the corporation; and (c) each executive officer and director of any corporation or other person ultimately in control of the corporation.

D. If the filing contains only preliminary communications made before the commencement of a tender offer, no signature or filing fee is required. The filer need not respond to the items in the schedule. Any pre-commencement communications that are filed under cover of this schedule need not be incorporated by reference into the schedule.

E. If an item is inapplicable or the answer is in the negative, so state. The statement published, sent or given to security holders may omit negative and not applicable responses. If the schedule includes any information that is not published, sent or given to security holders, provide that information or specifically incorporate it by reference under the appropriate item number and heading in the schedule. Do not recite the text of disclosure requirements in the schedule or any document published, sent or given to security holders. Indicate clearly the coverage of the requirements without referring to the text of the items.

F. Information contained in exhibits to the statement may be incorporated by reference in answer or partial answer to any item unless it would render the answer misleading, incomplete, unclear or confusing. A copy of any information that is incorporated by reference or a copy of the pertinent pages of a document containing the information must be submitted with this statement as an exhibit, unless it was previously filed with the Commission electronically on EDGAR. If an exhibit contains information responding to more than one item in the schedule, all information in that exhibit may be incorporated by reference once in response to the several items in the schedule for which it provides an answer. Information incorporated by reference is deemed filed with the Commission for all purposes of the Act.

G. A filing person may amend its previously filed Schedule 13D ([§ 240.13d-101](/on/2024-09-16/title-17/section-240.13d-101)) on Schedule TO ([§ 240.14d-100](/on/2024-09-16/title-17/section-240.14d-100)) if the appropriate box on the cover page is checked to indicate a combined filing and the information called for by the fourteen disclosure items on the cover page of Schedule 13D ([§ 240.13d-101](/on/2024-09-16/title-17/section-240.13d-101)) is provided on the cover page of the combined filing with respect to each filing person.

H. The final amendment required by [§ 240.14d-3(b)(2)](/on/2024-09-16/title-17/section-240.14d-3#p-240.14d-3(b)(2)) and [§ 240.13e-4(c)(4)](/on/2024-09-16/title-17/section-240.13e-4#p-240.13e-4(c)(4)) will satisfy the reporting requirements of section 13(d) of the Act with respect to all securities acquired by the offeror in the tender offer.

I. Amendments disclosing a material change in the information set forth in this statement may omit any information previously disclosed in this statement.

J. If the tender offer disclosed on this statement involves a going-private transaction, a combined Schedule TO ([§ 240.14d-100](/on/2024-09-16/title-17/section-240.14d-100)) and Schedule 13E-3 ([§ 240.13e-100](/on/2024-09-16/title-17/section-240.13e-100)) may be filed with the Commission under cover of Schedule TO. The Rule 13e-3 box on the cover page of the Schedule TO must be checked to indicate a combined filing. All information called for by both schedules must be provided except that Items 1-3, 5, 8 and 9 of Schedule TO may be omitted to the extent those items call for information that duplicates the item requirements in Schedule 13E-3.

K. If the filing relates to a de-SPAC transaction, as defined in [§ 229.1601(a)](/on/2024-09-16/title-17/section-229.1601#p-229.1601(a)) (Item 1601(a) of Regulation S-K), then the provisions of [§§ 229.1603](/on/2024-09-16/title-17/section-229.1603), [229.1604(b)(1)](/on/2024-09-16/title-17/section-229.1604#p-229.1604(b)(1)) through [(6)](/on/2024-09-16/title-17/section-229.1604#p-229.1604(b)(6)) and [(c)](/on/2024-09-16/title-17/section-229.1604#p-229.1604(c)) and [229.1605](/on/2024-09-16/title-17/section-229.1605) through [229.1609](/on/2024-09-16/title-17/section-229.1609) (Items 1603, 1604(b)(1) through (6) and (c) and 1605 through 1609 of Regulation S-K) apply in addition to the provisions of this schedule and disclosure thereunder must be provided in this schedule, and the structured data provisions of [§ 229.1610](/on/2024-09-16/title-17/section-229.1610) (Item 1610 of Regulation S-K) apply to those disclosures. The information required by [§ 229.1604(b)(1)](/on/2024-09-16/title-17/section-229.1604#p-229.1604(b)(1)) through [(6)](/on/2024-09-16/title-17/section-229.1604#p-229.1604(b)(6)) must be briefly described in the front of the disclosure document. If the filing by a special purpose acquisition company, as defined in [§ 229.1601(b)](/on/2024-09-16/title-17/section-229.1601#p-229.1601(b)) (Item 1601(b) of Regulation S-K), relates to any other redemption of securities offered to security holders, then the provisions of [§ 229.1608](/on/2024-09-16/title-17/section-229.1608) (Item 1608 of Regulation S-K) apply in addition to the provisions of this schedule and disclosure thereunder, if applicable, must be provided in this schedule and the structured data provisions of [§ 229.1610](/on/2024-09-16/title-17/section-229.1610) (Item 1610 of Regulation S-K) apply to those disclosures. To the extent that the applicable disclosure requirements of subpart 229.1600 of Regulation S-K are inconsistent with the disclosure requirements of this filing, the requirements of subpart 229.1600 of this chapter are controlling.

L. An Interactive Data File must be included in accordance with [§ 232.405](/on/2024-09-16/title-17/section-232.405) (Rule 405 of Regulation S-T) and the EDGAR Filer Manual where applicable pursuant to General Instruction K and [§ 232.405(b)](/on/2024-09-16/title-17/section-232.405#p-232.405(b)).

M. For purposes of this statement, the following definitions apply:

(1) The term *offeror* means any person who makes a tender offer or on whose behalf a tender offer is made;

(2) The term *issuer tender offer* has the same meaning as in Rule 13e-4(a)(2); and

(3) The term third-party tender offer means a tender offer that is not an issuer tender offer.

# Special Instructions for Complying With Schedule TO

Under Sections 13(e), 14(d) and 23 of the Act and the rules and regulations of the Act, the Commission is authorized to solicit the information required to be supplied by this schedule.

Disclosure of the information specified in this schedule is mandatory. The information will be used for the primary purpose of disclosing tender offer and going-private transactions. This statement will be made a matter of public record. Therefore, any information given will be available for inspection by any member of the public.

Because of the public nature of the information, the Commission can use it for a variety of purposes, including referral to other governmental authorities or securities self-regulatory organizations for investigatory purposes or in connection with litigation involving the federal securities laws or other civil, criminal or regulatory statutes or provisions.

Failure to disclose the information required by this schedule may result in civil or criminal action against the persons involved for violation of the federal securities laws and rules.

## Item 1. Summary Term Sheet

Furnish the information required by Item 1001 of Regulation M-A ([§ 229.1001 of this chapter](/on/2024-09-16/title-17/section-229.1001)) unless information is disclosed to security holders in a prospectus that meets the requirements of [§ 230.421(d) of this chapter](/on/2024-09-16/title-17/section-230.421#p-230.421(d)).

## Item 2. Subject Company Information

Furnish the information required by Item 1002(a) through (c) of Regulation M-A ([§ 229.1002 of this chapter](/on/2024-09-16/title-17/section-229.1002)).

## Item 3. Identity and Background of Filing Person

Furnish the information required by Item 1003(a) through (c) of Regulation M-A ([§ 229.1003 of this chapter](/on/2024-09-16/title-17/section-229.1003)) for a third-party tender offer and the information required by Item 1003(a) of Regulation M-A ([§ 229.1003 of this chapter](/on/2024-09-16/title-17/section-229.1003)) for an issuer tender offer.

## Item 4. Terms of the Transaction

Furnish the information required by Item 1004(a) of Regulation M-A ([§ 229.1004 of this chapter](/on/2024-09-16/title-17/section-229.1004)) for a third-party tender offer and the information required by Item 1004(a) through (b) of Regulation M-A ([§ 229.1004 of this chapter](/on/2024-09-16/title-17/section-229.1004)) for an issuer tender offer.

## Item 5. Past Contacts, Transactions, Negotiations and Agreements

Furnish the information required by Item 1005(a) and (b) of Regulation M-A ([§ 229.1005 of this chapter](/on/2024-09-16/title-17/section-229.1005)) for a third-party tender offer and the information required by Item 1005(e) of Regulation M-A ([§ 229.1005](/on/2024-09-16/title-17/section-229.1005)) for an issuer tender offer.

## Item 6. Purposes of the Transaction and Plans or Proposals

Furnish the information required by Item 1006(a) and (c)(1) through (7) of Regulation M-A ([§ 229.1006 of this chapter](/on/2024-09-16/title-17/section-229.1006)) for a third-party tender offer and the information required by Item 1006(a) through (c) of Regulation M-A ([§ 229.1006 of this chapter](/on/2024-09-16/title-17/section-229.1006)) for an issuer tender offer.

## Item 7. Source and Amount of Funds or Other Consideration

Furnish the information required by Item 1007(a), (b) and (d) of Regulation M-A ([§ 229.1007 of this chapter](/on/2024-09-16/title-17/section-229.1007)).

## Item 8. Interest in Securities of the Subject Company

Furnish the information required by Item 1008 of Regulation M-A ([§ 229.1008 of this chapter](/on/2024-09-16/title-17/section-229.1008)).

## Item 9. Persons/Assets, Retained, Employed, Compensated or Used

Furnish the information required by Item 1009(a) of Regulation M-A ([§ 229.1009 of this chapter](/on/2024-09-16/title-17/section-229.1009)).

## Item 10. Financial Statements

If material, furnish the information required by Item 1010(a) and (b) of Regulation M-A ([§ 229.1010 of this chapter](/on/2024-09-16/title-17/section-229.1010)) for the issuer in an issuer tender offer and for the offeror in a third-party tender offer.

*Instructions to Item 10:* 1. Financial statements must be provided when the offeror's financial condition is material to security holder's decision whether to sell, tender or hold the securities sought. The facts and circumstances of a tender offer, particularly the terms of the tender offer, may influence a determination as to whether financial statements are material, and thus required to be disclosed.

2. Financial statements are *not* considered material when: (a) The consideration offered consists solely of cash; (b) the offer is not subject to any financing condition; *and* either: (c) the offeror is a public reporting company under Section 13(a) or 15(d) of the Act that files reports electronically on EDGAR, or (d) the offer is for all outstanding securities of the subject class. Financial information may be required, however, in a two-tier transaction. *See* Instruction 5 below.

3. The filing person may incorporate by reference financial statements contained in any document filed with the Commission, solely for the purposes of this schedule, if: (a) The financial statements substantially meet the requirements of this item; (b) an express statement is made that the financial statements are incorporated by reference; (c) the information incorporated by reference is clearly identified by page, paragraph, caption or otherwise; and (d) if the information incorporated by reference is not filed with this schedule, an indication is made where the information may be inspected and copies obtained. Financial statements that are required to be presented in comparative form for two or more fiscal years or periods may not be incorporated by reference unless the material incorporated by reference includes the entire period for which the comparative data is required to be given. *See* General Instruction F to this schedule.

4. If the offeror in a third-party tender offer is a natural person, and such person's financial information is material, disclose the net worth of the offeror. If the offeror's net worth is derived from material amounts of assets that are not readily marketable or there are material guarantees and contingencies, disclose the nature and approximate amount of the individual's net worth that consists of illiquid assets and the magnitude of any guarantees or contingencies that may negatively affect the natural person's net worth.

5. Pro forma financial information is required in a negotiated third-party cash tender offer when securities are intended to be offered in a subsequent merger or other transaction in which remaining target securities are acquired and the acquisition of the subject company is significant to the offeror under [§ 210.11-01(b)(1) of this chapter](/on/2024-09-16/title-17/section-210.11-01#p-210.11-01(b)(1)). The offeror must disclose the financial information specified in Item 3(f) and Item 5 of Form S-4 ([§ 239.25 of this chapter](/on/2024-09-16/title-17/section-239.25)) in the schedule filed with the Commission, but may furnish only the summary financial information specified in Item 3(d), (e) and (f) of Form S-4 in the disclosure document sent to security holders. If pro forma financial information is required by this instruction, the historical financial statements specified in Item 1010 of Regulation M-A ([§ 229.1010 of this chapter](/on/2024-09-16/title-17/section-229.1010)) are required for the bidder.

6. The disclosure materials disseminated to security holders may contain the summarized financial information specified by Item 1010(c) of Regulation M-A ([§ 229.1010 of this chapter](/on/2024-09-16/title-17/section-229.1010)) instead of the financial information required by Item 1010(a) and (b). In that case, the financial information required by Item 1010(a) and (b) of Regulation M-A must be disclosed in the statement. If summarized financial information is disseminated to security holders, include appropriate instructions on how more complete financial information can be obtained. If the summarized financial information is prepared on the basis of a comprehensive body of accounting principles other than U.S. GAAP, the summarized financial information must be accompanied by a reconciliation as described in Instruction 8 of this Item.

7. If the offeror is not subject to the periodic reporting requirements of the Act, the financial statements required by this Item need not be audited if audited financial statements are not available or obtainable without unreasonable cost or expense. Make a statement to that effect and the reasons for their unavailability.

8. If the financial statements required by this Item are prepared on the basis of a comprehensive body of accounting principles other than U.S. GAAP, provide a reconciliation to U.S. GAAP in accordance with Item 17 of Form 20-F ([§ 249.220f of this chapter](/on/2024-09-16/title-17/section-249.220f)), unless a reconciliation is unavailable or not obtainable without unreasonable cost or expense. At a minimum, however, when financial statements are prepared on a basis other than U.S. GAAP, a narrative description of all material variations in accounting principles, practices and methods used in preparing the non-U.S. GAAP financial statements from those accepted in the U.S. must be presented.

## Item 11. Additional Information.

Furnish the information required by Item 1011(a) and (c) of Regulation M-A ([§ 229.1011 of this chapter](/on/2024-09-16/title-17/section-229.1011)).

## Item 12. Exhibits

File each of the following as an exhibit to the Schedule:

(a) All documents specified in Item 1016(a), (b), (d), (g) and (h) of Regulation M-A ([§ 229.1016 of this chapter](/on/2024-09-16/title-17/section-229.1016));

(b) If the filing relates to a de-SPAC transaction, as defined in [§ 229.1601(a)](/on/2024-09-16/title-17/section-229.1601#p-229.1601(a)) (Item 1601(a) of Regulation S-K), all reports, opinions, or appraisals required to be filed or included by [§ 229.1607(c)](/on/2024-09-16/title-17/section-229.1607#p-229.1607(c)) (Item 1607(c) of Regulation S-K); and

(c) The transaction valuation, fee rate, amount of filing fee and, as applicable, information relating to reliance on [§ 240.0-11(a)(2)](/on/2024-09-16/title-17/section-240.0-11#p-240.0-11(a)(2)) in the tabular form indicated.

# Calculation of Filing Fee Tables

Table 1—Transaction Valuation

| | Transaction valuation | Fee rate | Amount of filing fee |
| --- | --- | --- | --- |
| Fees to Be Paid | X | X | X |
| Fees Previously Paid | X | | X |
| Total Transaction Valuation | X | | |
| Total Fees Due for Filing | | | X |
| Total Fees Previously Paid | | | X |
| Total Fee Offsets | | | X |
| Net Fee Due | | | X |

Table 2—Fee Offset Claims and Sources

| | Registrant or filer name | Form or filing type | File number | Initial filing date | Filing date | Fee offset claimed | Fee paid with fee offset source |
| --- | --- | --- | --- | --- | --- | --- | --- |
| Fee Offset Claims | | X | X | X | | X | |
| Fee Offset Sources | X | X | X | | X | | X |

*Instructions to the Calculation of Filing Fee Tables and Related Disclosure (“Instructions”):*

1. General Requirements.

A. Applicable Table Requirements.

The “X” designation indicates the information required to be disclosed, as applicable, in tabular format. Add as many rows of each table as necessary.

B. Fee Rate.

For the current fee rate, *see <https://www.sec.gov/ofm/Article/feeamt.html>.*

C. Explanations.

If not otherwise explained in response to these instructions, disclose specific details relating to the fee calculation as necessary to clarify the information presented in each table, including references to the applicable provisions of Rule 0-11 ([§ 240.0-11 of this chapter](/on/2024-09-16/title-17/section-240.0-11)). All disclosure these Instructions require that is not specifically required to be presented in tabular format must appear in narrative format immediately after the table(s) to which it corresponds.

D. Submission Method.

If a filing fee exhibit is required to be provided pursuant to this Item 12(b), it must be submitted as required by Rule 408 of Regulation S-T ([§ 232.408 of this chapter](/on/2024-09-16/title-17/section-232.408)).

2. Table 1: Transaction Valuation Table and Related Disclosure.

A. Fees to Be Paid and Fees Previously Paid.

i. Fees to Be Paid.

Provide the information Table 1 requires for the line item “Fees to Be Paid” as follows:

a. Initial Filings.

For an initial filing on this schedule, provide the required information for the total transaction valuation.

b. Amendments with Then-Current Total Transaction Valuation Higher than Highest Total Transaction Valuation Previously Reported. For amendments to this schedule that reflect a then-current total transaction valuation higher than the highest total transaction valuation previously reported, provide the required information for the incremental increase.

ii. Fees Previously Paid.

Provide the information Table 1 requires for the line item “Fees Previously Paid” for the prior initial filing or amendment to this schedule that reflected a then-current total transaction valuation that was the highest total transaction valuation previously reported.

B. Other Tabular Information.

Provide the following information in the table for the line items “Fees to Be Paid” and “Fees Previously Paid”, as applicable:

i. The transaction valuation computed pursuant to Exchange Act Rule 0-11;

ii. The fee rate; and

iii. The filing fee due without regard to any previous payments or offsets.

C. Totals.

i. Total Transaction Valuation.

Provide the sum of the transaction valuations for the line items “Fees to Be Paid” and “Fees Previously Paid.”

ii. Total Fees Due for Filing.

Provide the sum of the fees due without regard to any previous payments or offsets for the line items “Fees to Be Paid” and “Fees Previously Paid.”

iii. Total Fees Previously Paid.

Provide the aggregate of filing fees previously paid with this filing.

iv. Total Fee Offsets.

Provide the aggregate of the fee offsets that are claimed in Table 2 pursuant to Instruction 3.

v. Net Fee Due.

Provide the difference between (a) the total fees due for this schedule from the Total Fees Due for Filing row; and (b) the sum of (i) the aggregate of filing fees previously paid from the Total Fees Previously Paid row; and (ii) the aggregate fee offsets claimed from the Total Fee Offsets row.

D. Narrative Disclosure.

Explain how the transaction valuation was determined.

3. Table 2: Fee Offset Claims and Sources.

A. Terminology.

For purposes of this Instruction 3 and Table 2, the term “submission” means any (i) initial filing of, or amendment (pre-effective or post-effective), to a fee-bearing document; or (ii) fee-bearing form of prospectus filed under Rule 424 under the Securities Act ([§ 230.424 of this chapter](/on/2024-09-16/title-17/section-230.424)), in all cases that was accompanied by a contemporaneous fee payment. For purposes of these instructions to Table 2, a contemporaneous fee payment is the payment of a required fee that is satisfied through the actual transfer of funds, and does not include any amount of a required fee satisfied through a claimed fee offset. Instruction 3.B.ii requires a filer that claims a fee offset under Rule 0-11(a)(2) to identify previous submissions with contemporaneous fee payments that are the original source to which the fee offsets claimed on this filing can be traced. *See* Instruction 3.C for an example.

B. Rule 0-11(a)(2).

If relying on Rule 0-11(a)(2) to offset some or all of the filing fee due on this tender offer statement by amounts paid in connection with earlier filings (other than this Schedule TO) relating to the same transaction, provide the following information:

i. Fee Offset Claims.

For each earlier filed Securities Act registration statement or Exchange Act document relating to the same transaction from which a fee offset is being claimed, provide the information that Table 2 requires for the line item “Fee Offset Claims”. The “Fee Offset Claimed” column requires the dollar amount of the previously paid filing fee to be offset against the currently due fee.

Note to Instruction 3.B.i.

If claiming an offset from a Securities Act registration statement, provide a detailed explanation of the basis for the claimed offset.

ii. Fee Offset Sources.

With respect to amounts claimed as an offset under Rule 0-11(a)(2), identify those submissions with contemporaneous fee payments that are the original source to which those amounts can be traced. For each submission identified, provide the information that Table 2 requires for the line item “Fee Offset Sources”. The “Fee Paid with Fee Offset Source” column requires the dollar amount of the contemporaneous fee payment made with respect to each identified submission that is the source of the fee offset claimed pursuant to Rule 0-11(a)(2).

C. Fee Offset Source Submission Identification Example.

A filer:

• Initially files a registration statement on Form S-1 on 1/15/20X1 (assigned file number 333-123456) with a fee payment of $10,000;

• Files pre-effective amendment number 1 to the Form S-1 (333-123456) on 2/15/20X1 with a fee payment of $15,000 and the registration statement goes effective on 2/20/20X1;

• Initially files a registration statement on Form S-1 on 1/15/20X4 (assigned file number 333-123467) with a fee payment of $25,000 and relies on Rule 457(p) to claim an offset of $10,000 related to the unsold securities registered on the previously filed Form S-1 (333-123456) and apply it to the $35,000 filing fee due and the registration statement goes effective on 2/15/20X4.

• Initially files a registration statement related to a tender offer on Form S-4 (assigned file number 333-123478) on 1/15/20X7 with a fee payment of $15,000 and relies on Rule 457(p) to claim an offset of $30,000 related to the unsold securities registered on the most recently effective Form S-1 (333-123467) filed on 1/15/20X4 and apply it to the $45,000 filing fee due.

• Initially files a Schedule TO related to the same tender offer on 1/22/20X7 and relies on Rule 0-11(a)(2) to claim an offset of $45,000 from the fee paid directly and by offset claimed on the Form S-4 (333-123478) filed 1/15/20X7 and apply it to the $45,000 filing fee due.

For the Schedule TO filed on 1/22/20X7, the filer can satisfy the submission identification requirement when it claims the $45,000 fee offset from the Form S-4 (333-123478) filed on 1/15/20X7 by referencing any combination of the Form S-4 (333-123478) filed on 1/15/20X7, the Form S-1 (333-123467) filed on 1/15/20X4, the pre-effective amendment to the Form S-1 (333-123456) filed on 2/15/20X1 or the initial filing of the Form S-1 (333-123456) on 1/15/20X1 in relation to which contemporaneous fee payments were made equal to $45,000.

One example could be:

• The Form S-4 (333-123478) filed on 1/15/20X7 in relation to the payment of $15,000 made with that submission;

• the Form S-1 (333-123467) filed on 1/15/20X4 in relation to the payment of $25,000 made with that submission; and

• the pre-effective amendment to the Form S-1 (333-123456) filed on 2/15/20X1 in relation to the payment of $5,000 out of the payment of $15,000 made with that submission (it would not matter if the filer cited to this pre-effective amendment and/or the initial submission of this Form S-1 (333-123456) on 1/15/20X1 as long as singly or together they were cited as relating to a total of $5,000 in this example).

In this example, the filer could not satisfy the submission identification requirement solely by citing to the Form S-4 (333-123478) filed on 1/15/20X7 because even though the offset claimed and available from that filing was $45,000, the contemporaneous fee payment made with that filing ($15,000) was less than the offset being claimed. As a result, the filer must also identify a prior submission or submissions with an aggregate of contemporaneous fee payment(s) of $30,000 as the original source(s) to which the rest of the claimed offset can be traced.

## Item 13. Information Required by Schedule 13E-3

If the Schedule TO is combined with Schedule 13E-3 ([§ 240.13e-100](/on/2024-09-16/title-17/section-240.13e-100)), set forth the information required by Schedule 13E-3 that is not included or covered by the items in Schedule TO.

*Signature.* After due inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

(Signature)

(Name and title)

(Date)

*Instruction to Signature:* The statement must be signed by the filing person or that person's authorized representative. If the statement is signed on behalf of a person by an authorized representative (other than an executive officer of a corporation or general partner of a partnership), evidence of the representative's authority to sign on behalf of the person must be filed with the statement. The name and any title of each person who signs the statement must be typed or printed beneath the signature. See [§§ 240.12b-11](/on/2024-09-16/title-17/section-240.12b-11#p-240.12b-11(h)) and [240.14d-1(h)](/on/2024-09-16/title-17/section-240.14d-1#p-240.14d-1(h)) with respect to signature requirements.

[[64 FR 61462](https://www.federalregister.gov/citation/64-FR-61462), Nov. 10, 1999, as amended at [72 FR 45112](https://www.federalregister.gov/citation/72-FR-45112), Aug. 10, 2007; [73 FR 17814](https://www.federalregister.gov/citation/73-FR-17814), Apr. 1, 2008; [73 FR 60093](https://www.federalregister.gov/citation/73-FR-60093), Oct. 9, 2008; [76 FR 6046](https://www.federalregister.gov/citation/76-FR-6046), Feb. 2, 2011; [86 FR 70259](https://www.federalregister.gov/citation/86-FR-70259), Dec. 9, 2021; [89 FR 14324](https://www.federalregister.gov/citation/89-FR-14324), Feb. 26, 2024]