This article is from the Investing Articles: Public Offerings: IPO and DPO series.
13. Indicate the capitalization of the Company as of the most recent balance sheet date (adjusted to reflect any subsequent stock splits, stock dividends, recapitalizations or refinancings) and as adjusted to reflect the sale of the minimum and maximum amount of securities in this offering and the use of the net proceeds therefrom:
Amount Outstanding
As of: As Adjusted
/ / (date) Minimum Maximum
Debt:
Short-term debt (average
interest rate _______%) $ $ $
Long-term debt (average
interest rate ________%) $ $ $
Total debt $ $ $
Stockholders equity (deficit):
Preferred stock - par or stated
value (by class of preferred
in order of preferences)
_______________________________ $ $ $
_______________________________ $ $ $
_______________________________ $ $ $
Common stock--par or stated
value $ $ $
Additional paid in capital $ $ $
Retained earnings (deficit) $ $ $
Total stockholders equity (deficit) $ $ $
Total Capitalization $ $ $
______________________
Number of preferred shares
authorized to be outstanding:
Number of Par Value
Class of Preferred Shares Authorized Per Share
__________________ ________________ $_____________
__________________ ________________ $_____________
__________________ ________________ $_____________
Number of common shares authorized: ________________ shares. Par or stated value per share, if any: $_________________
Number of common shares reserved to meet conversion requirements or for the issuance upon exercise of options, warrants or rights: ________________ shares.
 
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