EXHIBIT 99.1
TRANSMERIDIAN EXPLORATION INCORPORATED
TRANSMERIDIAN EXPLORATION INC.
FORM OF REGISTRATION STATEMENT QUESTIONNAIRE
For purposes of the Equity Registration Statement, please provide us with the following information:
SECTION 1. Pursuant to the “Selling Shareholder” section of the Equity Registration Statement, please state your or your organization’s name exactly as it should appear in the Equity Registration Statement:
SECTION 2. Please provide the number of shares of Common Stock that you, your organization or any affiliates own immediately prior to the date of the Purchase Agreement:
| | |
Your Name (or name of Affiliated Entity) | | Number of Shares Owned |
SECTION 3. Have you or your organization had any position, office or other material relationship within the past three years with the Parent or its affiliates?
¨ Yes ¨ No
If yes, please indicate the nature of any such relationships below:
SECTION 4. (a) Are you (i) an NASD Member (see definition), (ii) a Controlling (see definition) shareholder of an NASD Member, (iii) a Person Associated with a Member of the NASD (see definition), or (iv) an Underwriter or a Related Person (see definition) with respect to the proposed offering; or (b) do you own any shares or other securities of any NASD Member not purchased in the open market; or (c) have you made any outstanding subordinated loans to any NASD Member?
Answer:¨ Yes ¨ No If “yes”, please describe below.
