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Department of Professional and Occupational Regulation 9960 Maryland Drive, Suite 400 Richmond, VA 232331485 cicombudsman@dpor.virginia.gov www.dpor.virginia.gov PHONE (804) 3672941 VA RELAY 711 FAX
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F491-CICNOTE is a notice of a change in control of a corporation.
Any individual or entity that acquires direct or indirect control of 10% or more of a corporation's voting securities.
The form must be completed with accurate information regarding the change in control, including details of the acquiring party.
The purpose is to inform regulatory authorities and shareholders about significant changes in corporate ownership that may impact decision-making.
Information such as the names of acquirer and target company, the percentage of voting securities acquired, and the date of the transaction.
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