Securities Inquiry

the defendant

All information is confidential. All Fields Required.
Your Personal Information
Your Name*
First MI Last
Your Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Contact Information*
Phone*
Are you a current or former employee of the defendant?*
Former Employee*
- Yes
- No
Your Transactions
Transactions
Please select security type below and provided your transactional data.
- Common Stock
- Preferred Stock
- Bonds
- Calls
- Puts
Common Stocks
Transaction Date # of Shares Price per Share
Preferred Stocks
Transaction Date of Transaction # of Shares Price Per Share
Bonds
Transaction Trans Date Principle Amt Amount Paid Serires/Cusip
Calls
Transaction Type Transaction Date # of Contracts Price per Contract Exercise Price Expiration Date
Puts
Transaction Type Transaction Date # of Contracts Price per Contract Exercise Price Expiration Date
Acceptance
Intent for Review*
- The law firm Kahn Swick & Foti, LLC will evaluate your submission. By clicking the button below, you acknowledge that this submission is not intended to and will not establish an attorney-client relationship between you and Kahn Swick & Foti, LLC (the "Firm"), and that the submission or receipt of information to the Firm or one of its attorneys via this form, website, e-mail or telephone does not create an attorney-client relationship.
Privacy*
- By checking this box, you acknowledge that you have read our privacy notice and understand what personal information Kahn Swick & Foti, LLC may collect about you and how this information may be used. You also understand that any information you provide through this website will be stored in the United States.
Please note that, should you wish to submit personal data protected under European data protection law (other than for purposes of responding to your inquiry and/or determining class eligibility), you should contact us prior to submitting such data.
Name
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Transaction	Date	# of Shares	Price per Share

Transaction	Date of Transaction	# of Shares	Price Per Share

Transaction	Trans Date	Principle Amt	Amount Paid	Serires/Cusip

Transaction Type	Transaction Date	# of Contracts	Price per Contract	Exercise Price	Expiration Date

Securities Inquiry

the defendant

Your Personal Information

Your Transactions

Acceptance

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