Ny Form Nf - Uniform Investment Company Notice Filing - 2006 Page 2
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3NEW YORK STATE DEPARTMENT OF LAW
NY FORM NF
INVESTMENT PROTECTION BUREAU
120 Broadway, 23rd Floor
New York, NY 10271-0332
1-800-771-7755 TDD (for hearing impaired) 1-800-788-9898
UNIFORM INVESTMENT COMPANY NOTICE FILING
State File No. ____________________
Notice to the State/Commonwealth of _______________________________________________________________________
1.
Name of Issuer _____________________________________________________________________________________
__________________________________________________________________________________________________
2.
Address __________________________________________________________________________________________
__________________________________________________________________________________________________
3.
Type of Filing: (check all that apply)
[ ] Open-end Mutual Fund
[ ] Unit Investment Trust
[ ] Closed-end Mutual Fund
[ ] Initial Filing
[ ] Renewal Filing
[ ] Exemption Filing
[ ] Termination
[ ] Withdrawal
[ ] Sales Report
[ ] Increase Dollar Amount
[ ] Amendments* __________________________________________________________________________________
For name changes, provide former name:___________________________________________________________________
___________________________________________________________________________________________________
For amendments, specify nature of the change(s): ____________________________________________________________
___________________________________________________________________________________________________
*The fee for amendments is $30.00. Please remit.
4.
Description and Name of Securities
Description _______________________________________________________________________________________
Name of Fund _____________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Portfolio(s) ________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Class(es) __________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Are all of the securities described on this form offered in one prospectus? [ ] Yes [ ] No
5.
Contact Person:
Name __________________________________________ Firm _____________________________________________
Address __________________________________________________________________________________________
_________________________________________________________________________________________________
E-Mail ___________________________________________________________________________________________
City ____________________________________________ State _____________________ Zip ____________________
Telephone _______________________________________ Fax _____________________________________________
IPS Form NF (11/06) Page 1 of 2
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