Form Of Request For Designation

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10 CA ADC § 260.100.1
10 CCR § 260.100.1
Cal. Admin. Code tit. 10, § 260.100.1
BARCLAYS OFFICIAL CALIFORNIA CODE OF REGULATIONS
TITLE 10. INVESTMENT
CHAPTER 3. COMMISSIONER OF CORPORATIONS
SUBCHAPTER 2. CORPORATE SECURITIES
ARTICLE 2. EXEMPTIONS FROM QUALIFICATION
This database is current through 6/12/09, Register 2009, No. 24
§ 260.100.1. Form of Request for Designation.
Any organization which desires to be designated as one entitled to the exemption for the offer and sale of life
income contracts pursuant to Subdivision (k) of Section 25100, and which is not within the class designated
in Section 260.100 of these rules, may apply to the Commissioner for such a designation by order, on the
following form:
File No._______________________________________
(Insert file number of previous filings
before the Department, if any.)
Fee: $50
Date of Request________________________________
DEPARTMENT OF CORPORATIONS
STATE OF CALIFORNIA
Request for designation as an exempt organization pursuant to Subdivision (k) of Section 25100 of the
Corporate Securities Law of 1968.
1. _____________________________________________________________
(Name of Applicant)
2. _____________________________________________________________
(Principal business address of applicant)
3. _____________________________________________________________
(State whether applicant is a corporation, trust or other entity)
4. Is applicant organized exclusively for educational, benevolent, fraternal, religious, charitable, social, or
reformatory purposes and not for pecuniary profit?
5. _____________________________________________________________

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