Fillable Form N-54a Notification Of Election To Be Subject To Sections printable pdf download

UNITED STATES

OMB APPROVAL

SECURITIES AND EXCHANGE COMMISSION

OMB Number:

3235-0237

Washington, D.C. 20549

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FORM N-54A

NOTIFICATION OF ELECTION TO BE SUBJECT TO SECTIONS 55

THROUGH 65 OF THE INVESTMENT COMPANY ACT OF 1940 FILED

PURSUANT TO SECTION 54(a) OF THE ACT

The undersigned business development company hereby notifies the Securities and Exchange Commission that it elects, pursuant

to the provisions of section 54(a) of the Investment Company Act of 1940 (the “Act”), to be subject to the provisions of sections

55 through 65 of the Act and, in connection with such notification of election, submits the following information:

Name:

Address of Principal Business Office (No. & Street, City, State, Zip Code):

Telephone Number (including area code):

Name and address of agent for service of process:

Check one of the following:

[ ] The company has filed a registration statement for a class of equity securities pursuant to section 12 of the Securities

Exchange Act of 1934. Give the file number of the registration statement or, if the file number is unknown or has not yet

been assigned, give the date on which the registration statement was filed:

_____________________________________________________________________

[ ] The company is relying on rule 12g-2 under the Securities Exchange Act of 1934 in lieu of filing a registration statement

for a class of equity securities under that Act.

The file number of the registration as an investment company pursuant to section 8(a) of the Act, if any, of the company:

_____________________________________________

The file number of the registration as an investment company pursuant to section 8(a) of the Act, if any, of any subsidiary of the

company: ______________________________

The undersigned company certifies that it is a closed-end company organized under the laws of ___________ (state) and with its

principal place of business in ___________ (state); that it will be operated for the purpose of making investments in securities

described in section 55(a)(1) through (3) of the Investment Company Act of 1940; and that it will make available significant

managerial assistance with respect to issuers of such securities to the extent required by the Act.

Pursuant to the requirements of the Act, the undersigned company has caused this notification of election to be subject to

sections 55 through 65 of the Investment Company Act of 1940 to be duly signed on its behalf in the city of_______________

____________ and state of ___________ on the _____day of____________, 20___.

[SEAL]

Signature

(Name of Company)

(Name of director, officer, or general partner

signing on behalf of the company)

Title

Attest: __________________________________

(Name)

__________________________________

(Title)

Persons who respond to the collection of information contained in this

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valid OMB control number.

Form N-54a Notification Of Election To Be Subject To Sections

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