Form For Submission Of Paper Fomat Exhibits
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1
2OMB APPROVAL
UNITED STATES
OMB
Number:
3235-0327
SECURITIES AND EXCHANGE COMMISSION
October
31,
2018
Expires:
Washington, D. C. 20549
Estimated average burden
hours per response
0.10
FORM SE
FORM FOR SUBMISSION OF PAPER FORMAT EXHIBITS
BY EDGAR ELECTRONIC FILERS
Exact name of registrant as specified in charter
Registrant CIK Number
Electronic report, schedule or registration statement
SEC file number, if available
of which the documents are a part (give period of report)
S-_______________ ________________________________________
(Series identifier(s) and names(s), if applicable; add more lines as needed)
C-_______________ ________________________________________
(Class (contract) identifier(s) and names(s), if applicable; add more lines as needed)
________________________________________________
Report period (if applicable)
________________________________________________
Name of person filing this exhibit (if other than the registrant)
Identify the provision of Regulation S-T (§232 of this chapter) under which this exhibit is being filed in paper (check only one):
____
Rule 201 (Temporary Hardship Exemption)
____
Rule 202 (Continuing Hardship Exemption)
____
Rule 311 (Permitted Paper Exhibit)
SIGNATURES
Filings Made By the Registrant:
The Registrant has duly caused this form to be signed on its behalf by the undersigned, thereunto duly authorized, in the City
o f
, State of
, 20
.
(Registrant)
By:
(Name )
(Title)
Filings Made by Person Other Than the Registrant:
After reasonable inquiry and to the best of my knowledge and belief, I certify on _____________________, 20 _____, that the information set forth in
this statement is true and complete.
By:
(Name)
(Title)
P e r s o n s w h o r e s p o n d t o t h e c o l l e c t i o n o f i n f o r m a t i o n c o n t a i n e d
SEC 2082 (11-11)
in this form are not required to respond unless the form displays
a currently valid OMB control number.
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