Form Bd Uniform Application For Broker-Dealer Registration (Page 11 of 28) in pdf

Schedule B of FORM BD

OFFICIAL USE

INDIRECT OWNERS

Applicant Name:_____________________________________________

Date:____________________

Firm CRD No.: _______________

(Answer for Form BD Item 3)

1. Use Schedule B only in new applications to provide information on the indirect owners of the applicant. Use Schedule A in new

applications to provide information on direct owners. File all amendments on Schedule C. Complete each column.

2. With respect to each owner listed on Schedule A, (except individual owners), list below:

(a) in the case of an owner that is a corporation, each of its shareholders that beneficially owns, has the right to vote, or has the power

to sell or direct the sale of, 25% or more of a class of a voting security of that corporation;

For purposes of this Schedule, a person beneficially owns any securities (i) owned by his/her child, stepchild, grandchild, parent,

stepparent, grandparent, spouse, sibling, mother-in-law, father-in-law, son-in-law, daughter-in-law, brother-in-law, or sister-in-law,

sharing the same residence; or (ii) that he/she has the right to acquire, within 60 days, through the exercise of any option, warrant

or right to purchase the security.

(b) in the case of an owner that is a partnership, all general partners and those limited and special partners that have the right to receive

upon dissolution, or have contributed, 25% or more of the partnership’s capital; and

(d) in the case of an owner that is a Limited Liability Company (“LCC”), (i) those members that have the right to receive upon dissolution,

or have contributed, 25% or more of the LLC’s capital, and (ii) if managed by elected managers, all elected managers.

3. Continue up the chain of ownership listing all 25% owners at each level. Once a public reporting company (a company subject to Sections

12 or 15(d) of the Securities Exchange Act of 1934) is reached, no ownership information further up the chain of ownership need be given.

4. In the “DE/FE/I” column, enter “DE” if the owner is a domestic entity, or enter “FE” if owner is an entity incorporated or domiciled in a foreign

country, or enter “I” if the owner is an individual.

5. Complete the “Status” column by entering status as partner, trustee, shareholder, etc., and if shareholder, class of securities owned (if

more than one is issued).

6. Ownership codes are:

C - 25% but less than 50%

D - 50% but less than 75%

E - 75% or more

F - Other General Partners

7. (a) In the “Control Person” column, enter “Yes” if person has “control” as defined in the instructions to this form, and enter “No” if the

person does not have control. Note that under this definition most executive officers and all 25% owners, general partners, and

trustees would be“control persons”.

(b) In the “PR” column, enter “PR” if the owner is a public reporting company under Sections 12 or 15(d) of the Securities Exchange Act

of 1934.

Date

Control

CRD No. If None:

Official

FULL LEGAL NAME

DE/FE/I

Entity in Which

Status Acquired Ownership

Person

S.S. No., IRS Tax No.

Use

(Individuals: Last Name, First Name,

Interest is Owned

Status

Code

or Employer ID.

Only

Middle Name)

MM YYYY

Form Bd Uniform Application For Broker-Dealer Registration Page 11

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