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PHONOLOGICAL AWARENESS SCREENING TEST (PAST) FORM D David A. Kirkpatrick, Ph.D. 2010 Adapted from the levels used in McGinnis (1999) & Roster (1973)Name: Date: Grade Age Teacher: D.O.B.: Evaluator:

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Form D alternate version is a simplified version of Form D that is used for certain offerings exempt from registration under the securities laws.

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Entities that are conducting securities offerings that qualify for Regulation D exemptions are required to file Form D alternate version.

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To fill out Form D alternate version, issuers must provide information about the offering, including issuer details, type of security, the amount being raised, and the number of investors.

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