Electronic Filing Of Transfer Agent Forms - Securities And Exchange Commission Page 55
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1003(d)(v).Postal Code
3(e). Telephone Number
(Include Area Code)
4. Does registrant conduct, or will it conduct, transfer agent
Yes
No
activities at any location other than that given in Question
3(c) above?
If "yes," provide address(es):
4(a)(i). Address #1
4(a)(ii). Address #2
4(a)(iii). City
4(a)(iv). State or Country
4(a)(v). Postal Code
5. Does registrant act, or will it act, as a transfer agent solely
Yes
No
for its own securities and/or securities of an affiliate(s)?
6. Has registrant, as a named transfer agent, engaged, or
Yes
No
will it engage, a service company to perform any transfer
agent functions?
If "yes," provide the name(s) and address(es) of all service companies engaged,
or that will be engaged, by the registrant to perform its transfer agent functions:
6(a). Name:
6(b). File
-
Number:
6(c)(i). Address 1
6(c)(ii). Address 2
6(c)(iii). City
55
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