Electronic Filing Of Transfer Agent Forms - Securities And Exchange Commission Page 53
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100APPENDIX B
OMB Approval
UNITED STATES
OMB Number:
3235-
SECURITIES AND
0084
EXCHANGE COMMISSION
Expires:
June 30,
Washington, D.C. 20549
2009
Estimated average
burden hours per
FORM TA-1
response …... 2.00
UNIFORM FORM FOR REGISTRATION AS A TRANSFER AGENT AND FOR
AMENDMENT
TO REGISTRATION PURSUANT TO SECTION 17A OF THE
SECURITIES EXCHANGE ACT OF 1934
Form TA-1 is to be used to register or amend registration as a transfer agent
with the Comptroller of the Currency, the Board of Governors of the Federal
Reserve System, the Federal Deposit Insurance Corporation or the Securities
GENERAL:
and Exchange Commission pursuant to Section 17A of the Securities
Exchange Act of 1934.
Read all instructions before completing this form. Please print or type all
responses.
Check to show blank form for
printingo
Form Version: 1.0.0
show blank form for printing
1(a).Filer CIK:
1(b).Filer CCC:
1(c). Live/Test
Live
Test
Filing?
1(d). Return Copy
Yes
1(e). Is this filing an amendment to a
Yes
previous filing?
1(e)(i). File Number:
084 -
1(f)(i). Contact Name:
1(f)(ii). Contact Phone
1(f)(iii). Contact E-mail
Number:
Address:
1(g). Notification E-mail Address:
53
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