Corporate Deal Tracker Submission Page

BASIC INFORMATION

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* 1. Firm Submitting

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* 2. Name of Person Submitting

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* 3. Email of Person Submitting

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* 4. Name of Client

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* 5. Which best describes your firm's CLIENT in this transaction?

BUYER

SELLER

TARGET

INVESTOR

COMMITTEE

ISSUER

FINANCIAL ADVISOR

UNDERWRITER

Other (please specify)

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* 6. Deal Title (e.g. "CTA Acquisition," "Basin-Birch Merger," "Beckwith IPO" etc.

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* 7. Lead Counsel

First Name

Last Name

Location

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* 8. Co-Lead Counsel

First Name

Last Name

Location

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* 9. Other Deal Team Members (Location)

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* 10. How would you classify this transaction?

M&A

SECURITIES OFFERING

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* 11. PUBLICATION information

Yes. (Publication of deal information is authorized)

No. (DO NOT PUBLISH)