Electronic Filing Of Transfer Agent Forms - Securities And Exchange Commission Page 75

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APPENDIX C
OMB Approval
UNITED STATES
OMB Number:
3235-
SECURITIES AND
0151
EXCHANGE COMMISSION
Expires:
July 31,
Washington, D.C. 20549
2008
Estimated average
FORM TA-W
burden hours per
response . . . . 0.5
NOTICE OF WITHDRAWAL FROM REGISTRATION
AS TRANSFER AGENT
PURSUANT TO SECTION 17A OF THE SECURITIES EXCHANGE ACT OF
1934
Check to show blank box for
Form Version: 1.0.0
printingprinting
1(a).Filer CIK:
1(b).Filer CCC:
1(c). Live/Test
Live
Test
Filing?
1(d). Return
Yes
Copy?
The registrant may provide a single e-mail address for contact purposes.
1(e)(i). Contact Name:
1(e)(ii).Contact phone
1(e)(iii).Contact E-mail
Number:
Address:
The registrant may provide additional e-mail addresses for those
persons the filer would like to receive notification e-mails regarding the filing.
1(f).Notification E-mail Address:
2. Transfer Agent File No.:
084 -
3. Full name of registrant:
4. Name under which transfer agent activities are conducted, if different from
above:
75

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