Sec Form 1-N - Form And Amendments For Notice Of Registration As A National Securities Page 3

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U.S. SECURITIES AND EXCHANGE COMMISSION
Date filed
Form 1-N
WASHINGTON, D.C. 20549
Page 1
(MM/DD/YY):
FORM AND AMENDMENTS FOR NOTICE OF REGISTRATION AS A NATIONAL
Execution Page
SECURITIES EXCHANGE FOR THE SOLE PURPOSE OF TRADING SECURITY
FUTURES PRODUCTS PURSUANT TO SECTION 6(g) OF THE EXCHANGE ACT
WARNING: Failure to keep this form current and to file accurate supplementary information on a timely basis, or the failure to keep accurate books
and records or otherwise to comply with the provisions of law applying to the conduct of a national securities exchange would violate the federal
securities laws and may result in disciplinary, administrative or criminal action.
INTENTIONAL MISSTATEMENTS OR OMISSIONS OF FACTS MAY CONSTITUTE CRIMINAL VIOLATIONS
APPLICATION
AMENDMENT
1. State the name of the exchange:
_________________________________________________________________________________
2. Provide the Security Futures Product Exchange’s primary street address (Do not use a P.O. Box):
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
3. Provide the exchange’s mailing address (if different):
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
4. Provide the business telephone and facsimile number:
______________________________________________________________________________________________________________
(Telephone)
(Facsimile)
5. Provide the name, title and telephone number of a contact employee:
______________________________________________________________________________________________________________
(Name)
(Title)
(Telephone Number)
6. Provide the name and address of counsel for the exchange:
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
7. Provide the date that the exchange’s fiscal year ends:
______________________________________________________________
8. Indicate legal status of the exchange:
Corporation
Sole Proprietorship
Partnership
Limited Liability Company
Other (specify):
_________________________________________
If other than a sole proprietor, indicate the date and place where the exchange obtained its legal status (e.g., state where incorporated,
place where partnership agreement was filed, or where the Security Futures Product Exchange entity was formed):
(a) Date (MM/DD/YY):
______________________
(b) State/Country of formation:
___________________________________
(c) Statute under which the exchange was organized:
______________________________________________________________
EXECUTION:
The exchange consents that service of any civil action brought by or notice of any proceeding before the Securities and Exchange Commission in connection with the
exchange’s activities may be given by registered or certified mail or confirmed telegram to the exchange’s contact employee at the main address, or mailing address
if different, given in Items 2 and 3. The undersigned, being first duly sworn, deposes and says that he/she has executed this form on behalf of, and with the authority
of, said exchange. The undersigned and the exchange represent that the information and statements contained herein, including exhibits, schedules, or other documents
attached hereto, and other information filed herewith, all of which are made a part hereof, are current, true, and complete.
__________
_______________________
___ ____________________________ _____________
Date:
(MM/DD/YY)
(Name of Exchange)
__________
___________
____________
_____________
_______________________________
By:
(Signature)
(Printed Name and Title)
___________
______________________ _____
____________
________________________
Subscribed and sworn before me this
day of
,
by
(Month)
(Year)
(Notary Public)
______________________
______________________
_________________________________
My Commission expires
County of
State of
This page must always be completed in full with original, manual signature and notarization.
Affix notary stamp or seal where applicable.
DO NOT WRITE BELOW THIS LINE - FOR OFFICIAL USE ONLY

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