Form U-Sb - Uniform Surety Bond Form - Securities Department

FORM U-SB

PAGE 1 OF 2

UNIFORM SURETY BOND FORM

STATE OF ARKANSAS

SECURITIES DEPARTMENT

LITTLE ROCK, ARKANSAS

Bond No. ________________________

KNOW ALL PERSONS BY THESE PRESENTS:

That, _________________________________________________________________________

(name and address of broker-dealer, investment adviser, or agent of the issuer)

as Principal, having filed with the office of the Arkansas Securities Department (“Department”)

on or about the ______ day of _______________, 20____, an application to transact business in

the State of Arkansas as a ___________________________________________________ and

(designate whether principal is a broker-dealer, investment adviser, or agent of the issuer)

__________________________________________________________ as Surety, a corporation

(name and address of Surety)

organized under the laws of the State/Commonwealth/Territory of ________________________

and being duly authorized to transact the business of indemnity and surety in this State, do

hereby acknowledge our indebtedness to any person having a claim pursuant to a cause of action

brought against the Principal under the Arkansas Securities Act [Ark. Code Ann. § 23-42-101 et

seq.](“Act”). As required by the Act and Rules of the Arkansas Securities Commissioner

(“Rules”), this surety bond (“Bond”) is in the amount of ___________________________

dollars ($________), and provides that the aggregate liability hereunder to all persons shall not

exceed the amount specified for the bond, regardless of the number of claimants, and shall not be

construed as individual liability.

Liability for the payment of the amount to which we hereby obligate and bond ourselves, our

heirs, executors, administrators, successors and assigns, jointly and severally, becomes effective

upon the following conditions:

1. Registration of the Principal to transact business in the State of Arkansas as a

_____________________________________.

(broker-dealer, investment adviser, or agent of the issuer)

2. Failure by the Principal to strictly comply with all applicable provisions of the Act

and Rules.

This Bond shall expire at such time as the registration of the Principal is withdrawn, terminates

through non-renewal, or is revoked by the Arkansas Securities Commissioner, except as to

liability for acts or omissions which occur prior to such time. This Bond may also be cancelled

by the Surety upon sixty days prior written notice by registered mail to the Principal and to the

Form U-Sb - Uniform Surety Bond Form - Securities Department - Arkansas