Form Nf - Uniform Investment Company Notice Filing Form Page 2
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3The issuer to have its notice filing period begin with SEC effectiveness and thereby
agrees to provide the above state prompt notice of such effectiveness.
8.
Notice Fee: $ _____________________
No Filing Fee Required
Sales Report Fee (if applicable): $ __________________
Other Fee: $ _______________ Explain: ______________________________________
9.
To determine the basis used for calculating the filing fee, provide the following:
Indefinite Amount
Definite Amount
$ _______________________
Exemption Filing
Net Assets:
$ _______________________
10.
For filing to increase the dollar amount of securities reported during the notice period,
provide the following:
1. Previous Amount of Securities: ___________________________________________
2. Amount of Increase: ____________________________________________________
3. Cumulative Amount of Securities: _________________________________________
11.
Sales Report [To the extent not applicable, place N/A in the blank(s)]
Period Covered:
Beginning date: ___________
Ending: ___________
Balance at beginning of period:
$ ________________________________________
Increases during period:
$ ________________________________________
Amount available for sale:
$ ________________________________________
Sales during the period:
$ ________________________________________
Unsold balance at end of period:
$ ________________________________________
12.
Uniform Consent to Service of Process (select one)
1.
Was previously filed with state with respect to the issuer of the securities
by this notice and is incorporated by reference
2.
Is attached
3.
Not Applicable (explain): ______________________________________
13.
Signatures
The undersigned under penalties of perjury certifies that s/he has executed this Uniform Investment
Company notice of behalf of, and with the authority of the issuer. The undersigned and the issuer represent
that the information and statements contained in the notice filed, are current true and complete to the best of
his or her knowledge, information and belief and that any documents submitted with the notice are true
copies of the originals, and that the securities covered by this Notice are Covered Securities as defined by
Section 18(b)(2) of the Securities Act of 1933.
Dated this _______ day of __________, ______
Month
Year
For: ____________________________________
By: ___________________________________
Name of Issuer
Signature of Authorized Agent of Issuer
________________________________________
_______________________________________
Print Name
Title of Agent for Issuer
Form NF
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Parent category: Legal