Wednesday, June 25, 2014

FORM NO PAS-4 PRIVATE PLACEMENT OFFER LETTER

FORM NO PAS-4
PRIVATE PLACEMENT OFFER LETTER
[Pursuant to section 42 and rule 14(1) of Companies (Prospectus and Allotment of Securities) Rules, 2014]
1.      GENERAL INFORMATION

Name of Company

Address of Company

Website of Company

Contact No. of Company

The above details are same for both registered office and corporate office of the company

Date of incorporation of the company

Business carried on by the company

Business carried on by its subsidiaries

Management of the company

Details of Directors of Company
S.No
Name
Address
DIN
Occupation















Management's perception of risk factors

Details of default
Amount

Duration

Present Status(Repayment)
Statutory dues
Debentures and interest thereon
Deposits and interest thereon
Loan from any bank or PFI & interest thereon




Details of Compliance Officer
Name
Address

Designation
Phone No.
Email Id






2.       PARTICULARS OF THE OFFER

Date of passing of board resolution


Date of passing resolution in general meeting, authorizing offer of securities


Class of security offered
Shares

Debentures

Price at which the security is being offered
Face Value

Discount

Premium

Total(Justification)

Details of Valuer
Name

Address

Amount to be raised by security


Terms of raising securities
Duration

Rate of Dividend(Interest)

Mode of payment(repayment)

Validity of Letter of Offer(Period)


Purpose & objects of the offer


Contribution being made by the promoters or directors


Principle terms of assets charged as security






3.      DISCLOSURES WITH REGARD TO INTEREST OF DIRECTORS, LITIGATION ETC.

i. No financial or other material interest of the directors, promoters or key managerial personnel in the offer and thus no such effect of such interest in so far as it is different from the interests of other persons. (if any, mention)

ii. No litigation or legal action pending or taken by any Ministry or Department of the Government or a statutory authority against any promoter of the offeree company during the last three years immediately preceding the year of the circulation of the offer letter and any direction issued by such Ministry or Department or statutory authority upon conclusion of such litigation or legal action shall be disclosed (if any, mention)

iii. Remuneration of directors (during the current year and last three financial years);

iv. No related party transactions entered during the last three financial years immediately preceding the year of circulation of offer letter including with regard to loans made or, guarantees given or securities provided (if any, mention)

v. No reservations or qualifications or adverse remarks of auditors in the last five financial years immediately preceding the year of circulation of offer letter and of their impact on the financial statements and financial position of the company and the corrective steps taken and proposed to be taken by the company for each of the said reservations or qualifications or adverse remark (if any, mention)

vi. No inquiry, inspections or investigations initiated or conducted under the Companies Act or any previous company law in the last three years immediately preceding the year of circulation of offer letter in the case of company and all of its subsidiaries. Also if there were any prosecutions filed (whether pending or not) fines imposed, compounding of offences in the last three years immediately preceding the year of the offer letter and if so, section-wise details  thereof for the company and all of its subsidiaries(if any, mention)

vii. No acts of material frauds committed against the company in the last three years (if any, and if so, the action taken by the company)


4.      FINANCIAL POSITION OF THE COMPANY

(a)  Capital structure of the company

Particulars
Number of Securities
Description
Aggregate Nominal Value
Authorised Capital




Issued Capital




Subscribed Capital




Paid up Capital




Size of the present offer


Paid up Capital

After the Offer

After Conversion of Convertible instruments (if applicable)

Share premium account
Before the Offer

After the Offer

Details of the existing share capital of Company
Date of allotment
Number of shares alloted
Face Value of shares alloted
Price
Form of Consideration















Total





(b)  Others

Profits before and after making provision for tax
Details
Preceding Year 1
Preceding Year 2
Preceding Year 3
PBT



PAT



Dividends declared by the company

Dividend



Interest Coverage Ratio
ICR



Cash profit after tax plus interest paid
Cash Profit






© Summary of the financial position of the company
BALANCE SHEET
PARTICULARS
Preceding Year 1
Preceding Year 2
Preceding Year 3
I. EQUITY AND LIABILITIES



(1) Shareholder's Funds



(a) Share Capital



(b) Reserves and Surplus



(c) Money received against share warrants







(2) Share Application Money Pending Allotment







(3) Non- Current Liabilities



(a) Long Term Borrowings



(b) Deferred Tax Liability







(4) Current Liabilities



(a) Short-term borrowings



(b) Trade payables



(c) Other Current Liabilities



(d) Short-term provisions







Total







II.Assets



(1) Non-current assets



(a) Fixed Assets



       - Tangible



      - Intangible



(b) Non Current Investment



(c)  Long Term Loans & Advances



(d) Defferred Tax Assest



(e) Other Non Current Asset







(2) Current assets



(a) Current investments



(b) Inventories



(c) Trade receivables



(d) Cash & Cash Equivalent



(e) Short-term loans and advances



(f) Other Current Asset







Total



Significant Accounting policies & notes on accounts ( No Change in Accounting Policy during last three Financial Years)





               
5.  A DECLARATION BY THE DIRECTORS

 a. The company has complied with the provisions of the Act and the rules made there under;

 b. The compliance with the Act and the rules does not imply that payment of dividend or         interest or repayment of debentures, if applicable, is guaranteed by the Central Government;

 c. The monies received under the offer shall be used only for the purposes and objects indicated in the Offer letter;

I am authorized by the Board of Directors of the Company vide resolution number ___________ dated   ___________      to sign this form and declare that all the requirements of Companies Act, 2013 and the rules made there under in respect of the subject matter of this form and matters incidental thereto have been complied with. Whatever is stated in this form and in the attachments thereto is true, correct and complete and no information material to the subject matter of this form has been suppressed or concealed and is as per the original records maintained by the promoters subscribing to the Memorandum of Association and Articles of Association


It is further declared and verified that all the required attachments have been completely, correctly and legibly attached to this form


Date:                                                                                                                          
Signed

Place:





















                          
Attachments:-
Audited Cash Flow Statement for the three years immediately preceding the date of circulation of offer letter

Copy of board resolution

Copy of shareholders resolution

Copy of Optional attachments, if any

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