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Nevada
|
| |
47-3975872
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|
| |
(State or other jurisdiction of
incorporation or organization) |
| |
(IRS Employer
Identification Number) |
|
| |
Large accelerated filer:
☐
|
| |
Accelerated filer:
☐
|
|
| |
Non-accelerated filer:
☒
|
| |
Smaller reporting company:
☒
|
|
| | | | |
Emerging growth company:
☐
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SEC Registration Fee
|
| | | $ | 16,530 | | |
| |
Legal Fees and Expenses
|
| | | | * | | |
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Accounting Fees and Expenses
|
| | | | * | | |
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Printing and Engraving
|
| | | | * | | |
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Miscellaneous
|
| | | | * | | |
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Total:
|
| | | $ | * | | |
|
Exhibit
No. |
| |
Description
|
|
| 1.1 | | | Form of Underwriting Agreement.** | |
| 3.1 | | | | |
| 3.2 | | | | |
| 4.1 | | | | |
| 4.2 | | | Specimen Preferred Stock Certificate.** | |
| 4.3 | | | Form of Warrant Agreement.** | |
| 4.4 | | | Form of Warrant Certificate.** | |
| 4.5 | | | | |
| 4.6 | | | | |
| 4.7 | | | | |
| 4.8 | | | | |
| 4.9 | | | Form of Unit Agreement.** | |
| 4.10 | | | Form of Subscription Agreement.** | |
| 5.1 | | | | |
| 5.2 | | | | |
| 23.1 | | | | |
| 23.2 | | | | |
| 23.3 | | | | |
| 24.1 | | | | |
| 25.1 | | | Statement of Eligibility on Form T-1 of the Trustee for the Senior Debt Indenture.*** | |
| 25.2 | | | Statement of Eligibility on Form T-1 of the Trustee for the Subordinated Debt Indenture.*** | |
| 107 | | | |
| |
Signature
|
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Title
|
| |
Date
|
|
| |
/s/ Jon Niermann
Jon Niermann
|
| |
Chief Executive Officer and Director
(Principal Executive Officer) |
| |
December 22, 2022
|
|
| |
/s/ Neil Watanabe
Neil Watanabe
|
| |
Chief Financial Officer
(Principal Financial and Accounting Officer) |
| |
December 22, 2022
|
|
| |
/s/ Bruce Cassidy
Bruce Cassidy
|
| |
Chairman and Director
|
| |
December 22, 2022
|
|
| |
/s/ Denise Penz
Denise Penz
|
| |
Director
|
| |
December 22, 2022
|
|
| |
/s/ Sonya Zilka
Sonya Zilka
|
| |
Director
|
| |
December 22, 2022
|
|
| |
/s/ David Saint Fleur
David Saint Fleur
|
| |
Director
|
| |
December 22, 2022
|
|