Form Br - Uniform Branch Office Registration Form Instructions Page 5

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Rev. Form BR (04/2014)
Types of Activities
Check all applicable types of financial industry activities conducted by the applicant
at this branch office.
Office of Supervisory Jurisdiction
Indicate whether this branch office is an Office of Supervisory Jurisdiction (OSJ).
Supervisor Detail
Answer "yes" if this branch office is an Office of Supervisory Jurisdiction (OSJ). Then
in the “Supervisor Detail” section enter the CRD number of the Supervisor(s)
physically located at this OSJ that is responsible for supervising this branch office;
entering the CRD number will populate the individual’s name. The “Type of Activity”
field is optional.
Supervisory OSJ Branch and Person-In-Charge Detail
Answer “no” if this branch office is not an OSJ. Then in the “Supervisory OSJ Branch
Detail” section enter the CRD branch number(s) for the OSJ(s) that has supervisory
responsibility for this branch office and the CRD number(s) of the Supervisor(s) at
the OSJ that supervise(s) this branch office. In addition, in the “Person-in-Charge
Detail” section enter: the CRD number(s) of the Person(s)-in-Charge physically
located at this branch office. Entering the CRD number will populate the individual’s
name. The “Type of Activity” field is optional and allows this branch office to identify
specific lines of business for each supervisor and person-in-charge.
Office of Municipal Supervisory Jurisdiction
If your firm is registered with the Municipal Securities Rulemaking Board
(MSRB), indicate whether or not this branch office is an Office of Municipal
Supervisory Jurisdiction, as defined under MSRB rules. This field is optional. If the
applicant is not registered with MSRB or chooses not to report this information, leave
this field blank.
3. OTHER BUSINESS ACTIVITIES/NAMES/WEBSITES
Other Business Activities
Indicate whether any associated individual conducts, at this branch office, any
investment-related activity in addition to those activities conducted by the applicant
that are identified in Section 2 (Registration/Notice Filing/Type of Office/Activities). If
you answer “yes”, for each such activity, provide the name under which the other
business activity is conducted; describe the activity; and indicate whether the
activity is conducted on behalf of a firm affiliated with the applicant.
Other Business Names
Indicate whether any associated individual conducts any investment-related activity
of the applicant, at this branch office, under any “doing business as” name, other
than those names disclosed on the applicant’s Form BD and/or Form ADV.
Website Addresses
Indicate whether this branch office or any of its associated individuals maintains a
website, other than the primary website address maintained by the applicant. If you
answer “yes”, enter all website addresses maintained by this branch office or any of
its associated individuals.
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