Can the report be signed electronically?

Yes. Electronic signatures are legally effective under the ESIGN Act (15 U.S.C. §7001) and UETA in most jurisdictions; ensure intent, consent, signer attribution, and retention of an accessible record to meet the four ESIGN validity tests.

Is notarization required for investor signatures?

Not in all cases. Some jurisdictions or underlying documents (for example, certain powers of attorney or deed-related items) require notarization; Florida commonly requires two witnesses on specific documents, so confirm notarization and witness rules before execution.

What if an investor provides an incorrect TIN?

If a payer lacks a valid TIN, backup withholding at the IRS rate may be required and Form 1099 reporting can be impacted; correct TINs promptly to avoid IRC §6721 penalties and backup withholding consequences.

How long must executed reports be retained?

Retain for at least federal minimums: IRS-related records for 3 years (IRC §6501(a)) and HIPAA-covered documents for 6 years (45 CFR §164.530(j)); longer retention may be advisable for securities records.

Can remote online notarization (RON) be used?

RON availability varies by state and may require identity-proofing and audio-video recording; verify the state's permanent RON status and follow retention and technology requirements before using RON.

How to correct an executed electronic report?

If an error is clerical, prepare an amendment or corrective exhibit signed by authorized parties; maintain the original with the amendment and preserve a clear audit trail showing reason for correction.

Electronic Signature
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Florida Gaming Corporation Security Offering and Investment Report

Florida Gaming Corporation Security Offering and Investment Report

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

NON-FOREIGN AFFIDAVIT UNDER
INTERNAL REVENUE CODE
SECTION 1445(b)(2)

STATE OF KENTUCKY COUNTY OF )

I/WE, , the "Seller(s)", being first duly sworn, state under penalties of perjury:

1. That I/WE am/are the Transferor(s) of the property located at in the City of County of State of Kentucky, and described as follows:

District Section Block Township Range

or Parcel Number

2. That my/our United States taxpayer identification number is/are:

Seller: Tax ID:

Address:

City State Zip

Seller: Tax ID:

Address:

City State Zip

Seller: Tax ID:

Address:

City State Zip

Seller: Tax ID:

Address:

City State Zip

3. That I/WE am/are not a "foreign person" as that term is defined in Section 1445(f) of theInternal Revenue Code.

This affidavit is given to the "transferee(s) or Buyer(s)" of the property described in paragraph 1 above for the purpose of establishing and documenting the non-foreign affidavit exemption to the withholding requirement of Section 1445 of the Internal Revenue Code.

Seller

Date

Seller

Date

Seller

Date

Seller

Date

Sworn to and Subscribed before me this the day of 20

My Commission Expires:

NOTARY PUBLIC

What this Security Offering and Investment Report is

The Florida Gaming Corporation Security Offering and Investment Report is a formal disclosure package used when a Florida-based issuer offers securities to investors. It compiles the offering terms, subscription procedures, principal and beneficial ownership, audited or reviewed financial statements, risk factors, use of proceeds, and material contracts. The report supports compliance with federal and state securities rules, documents investor representations, and establishes the record for investor subscriptions, capital calls, and any required regulatory filings or notices.

Why a clear report matters for issuers and investors

A complete report reduces legal and operational risk by documenting material facts, investor eligibility, and subscription mechanics. It supports regulatory compliance and provides transparent terms so investors can evaluate risk and make informed decisions.

Primary users and stakeholders for this report

Parties that prepare, review, or rely on this report typically include corporate officers, counsel, and potential investors.

Issuer management and finance teams responsible for preparing disclosures and coordinating investor communications.
Corporate counsel and securities lawyers who verify exemptions, draft offering language, and advise on state or federal filing requirements.
Accredited and non-accredited investors performing due diligence before subscribing or transferring capital.

The document also supports auditors, transfer agents, and regulators who may request investment records or compliance evidence.

Who may legally sign or authorize the report

Issuer CEO

The chief executive officer or another officer with delegated authority signs offering certifications and subscription confirmations; their signature binds the corporation to representations and to the stated use of proceeds.

General Counsel

The corporation's general counsel or outside securities counsel typically signs legal compliance statements; counsel confirms exemptions relied upon and certifies that required disclosures are complete to the best of their knowledge.

Security and compliance facts to include

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest

Audit Trail: Timestamped events, IP address capture

Regulatory Standards: ESIGN and UETA compliant

HIPAA Support: BAA available where required

21 CFR Capabilities: Supports 21 CFR Part 11 controls

SOC/ISO: SOC 2 Type II and ISO 27001

Steps to prepare and issue the offering report

Follow these sequential steps to prepare a compliant offering report and process investor subscriptions.

01

Assemble Documents: Collect financial statements and material contracts.
02

Draft Disclosures: Include risk factors and use-of-proceeds.
03

Verify Investors: Confirm accredited status or suitability.
04

Execute Subscriptions: Collect signed agreements and receipts.

Typical digital workflow settings for e-submission

Configure an electronic workflow that secures signatures, records audit data, and routes executed documents to stakeholders.

Field	Configuration
Authentication Method	Email link, SMS code, or KBA
Template Setup	Lock critical clauses; use conditional fields
Bulk Distribution	Enable bulk send for many investors
Storage Retention	Encrypted cloud storage with retention rules

How electronic submission typically flows

A concise sequence showing how documents move from sender to completed record using eSignature and secure storage.

Upload Document: Sender uploads master offering report PDF.
Place Fields: Add signature, date, and checkbox fields.
Invite Signers: Send email or secure link to investors.
Complete Execution: Signer authenticates, signs, and receives copy.

Technical and integration considerations before eSubmission

Confirm platform capabilities, authentication strength, and integration with document storage and investor relation systems.

Integrations: Salesforce, NetSuite, Google Workspace, Box
File Formats: PDF, DOCX, and Excel supported
Signer Authentication: Email, SMS, or KBA options

Ensure the chosen platform preserves an audit trail, supports your retention policy, and meets any required regulatory controls such as 21 CFR Part 11 or HIPAA where applicable.

eSignature vendor comparison for executing offering documents

Compare starting prices and key capabilities relevant to high-volume security offerings and investor workflows; signNow is listed first per vendor ordering rules.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial, no credit card	Varies by vendor	Varies by vendor	Varies by vendor	Varies by vendor
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No
Envelope Cap	No envelope cap	100 envelopes/user/year	Varies	Varies	Varies

Key penalties and legal risks from incorrect or incomplete reports

Securities Enforcement: Civil fines and rescission risk

Investor Lawsuits: Fraud or omission claims exposure

Tax Penalties: 1099 filing penalties (IRC §6721)

I-9 Violations: Potential fines for employment forms

Regulatory Delays: Late filings can suspend offerings

Reputational Harm: Loss of investor confidence

Common preparation mistakes to avoid

Failing to verify investor accreditation or suitability, which can jeopardize an exemption and expose the issuer to rescission and penalties if discovered.
Using inconsistent issuer names or mismatched entity information across the offering materials, subscription agreements, and regulatory filings, causing delays or rejection.
Omitting material risk disclosures or using boilerplate language that does not reflect specific business, regulatory, or market risks facing the gaming enterprise.
Not retaining a complete audit trail of signer authentication, consent, and executed documents, which complicates enforcement and regulatory review.

Key tax and reporting deadlines related to investor payments

Certain reporting deadlines are relevant when the offering results in payments, dividends, or reportable income to investors.

W-9 Provision:

Provide W-9 when requested to avoid backup withholding

1099-NEC Deadline:

File and furnish by Jan 31 for nonemployee compensation

1099-MISC Recipient:

Recipients receive by Jan 31 for miscellaneous payments

1099-MISC IRS (Paper):

Paper filing deadline Feb 28

1099-MISC IRS (Electronic):

Electronic filing deadline Mar 31

Frequently asked questions and practical answers

Answers to common questions about e-signing, notarization, filing, and recordkeeping for this offering report.

Need help? Contact support

Can the report be signed electronically?
Yes. Electronic signatures are legally effective under the ESIGN Act (15 U.S.C. §7001) and UETA in most jurisdictions; ensure intent, consent, signer attribution, and retention of an accessible record to meet the four ESIGN validity tests.
Is notarization required for investor signatures?
Not in all cases. Some jurisdictions or underlying documents (for example, certain powers of attorney or deed-related items) require notarization; Florida commonly requires two witnesses on specific documents, so confirm notarization and witness rules before execution.
What if an investor provides an incorrect TIN?
If a payer lacks a valid TIN, backup withholding at the IRS rate may be required and Form 1099 reporting can be impacted; correct TINs promptly to avoid IRC §6721 penalties and backup withholding consequences.
How long must executed reports be retained?
Retain for at least federal minimums: IRS-related records for 3 years (IRC §6501(a)) and HIPAA-covered documents for 6 years (45 CFR §164.530(j)); longer retention may be advisable for securities records.
Can remote online notarization (RON) be used?
RON availability varies by state and may require identity-proofing and audio-video recording; verify the state's permanent RON status and follow retention and technology requirements before using RON.
How to correct an executed electronic report?
If an error is clerical, prepare an amendment or corrective exhibit signed by authorized parties; maintain the original with the amendment and preserve a clear audit trail showing reason for correction.

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Florida Gaming Corporation Security Offering and Investment Report

NON-FOREIGN AFFIDAVIT UNDERINTERNAL REVENUE CODESECTION 1445(b)(2)

What this Security Offering and Investment Report is

Why a clear report matters for issuers and investors

Primary users and stakeholders for this report

Who may legally sign or authorize the report

Issuer CEO

General Counsel

Security and compliance facts to include

Steps to prepare and issue the offering report

Typical digital workflow settings for e-submission

How electronic submission typically flows

Technical and integration considerations before eSubmission

eSignature vendor comparison for executing offering documents

Key penalties and legal risks from incorrect or incomplete reports

Common preparation mistakes to avoid

Key tax and reporting deadlines related to investor payments

W-9 Provision:

1099-NEC Deadline:

1099-MISC Recipient:

1099-MISC IRS (Paper):

1099-MISC IRS (Electronic):

Frequently asked questions and practical answers

Explore Templates

NON-FOREIGN AFFIDAVIT UNDER
INTERNAL REVENUE CODE
SECTION 1445(b)(2)