Form R-4 - Information To Be Furnished By Promoters, Directors, Officers And Partners Of, Issuers Or Investment Advisers - 2013

Download a blank fillable Form R-4 - Information To Be Furnished By Promoters, Directors, Officers And Partners Of, Issuers Or Investment Advisers - 2013 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form R-4 - Information To Be Furnished By Promoters, Directors, Officers And Partners Of, Issuers Or Investment Advisers - 2013 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

FORM R-4
Rev. 03/13
COMMONWEALTH OF PUERTO RICO
COMMISSIONER OF FINANCIAL INSTITUTIONS
Centro Europa Building, Suite 600
1492 Ponce de León Ave.
San Juan, P.R. 00907-4127
Tel. (787) 723-8403 Fax (787) 724-2604
INFORMATION TO BE FURNISHED BY PROMOTERS, DIRECTORS, OFFICERS AND
PARTNERS OF, ISSUERS OR INVESTMENT ADVISERS
Instructions:
This form must be completed and signed by all promoters of an investment adviser and by its
directors, officers and/or partners whose services are to be performed in Puerto Rico; and by all
promoters, directors, officers and/or partners of an issuer where such issuer is to offer its
securities for sale in Puerto Rico and the issuer has not been organized and in operation for at
least two (2) years prior to the date of filing of the issuer’s registration statement.
The executed forms are to be filed as exhibits to the registration statement of the issuer or
investment adviser.
1.____________________________________________________________________________
Issuer or Investment Adviser with which principal is associated
2. _________________________________________
________________________________
Full name of the principal executing this form
Social Security No.
_________________________________________
________________________________
Place and Date of Birth
Citizenship
____________________________________________________________________________
Business Address
3. State whether you are an officer, director, partner, promoter or employee of the above named
dealer, issuer or investment adviser:
___________________________________________________________________________
4. Furnish the following information:
(a) Record of occupation for ten years immediately preceding date of this form. (Give full
details. Attach an additional sheet if necessary in order to provide particulars.)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Dvat 16a - Return To Be Furnished By A Casual Trader - Delhi Department Of Trade And Taxes Form Dvat 16a - Return To Be Furnished By A Casual Trader - Delhi Department Of Trade And Taxes Financial
Form 10 - Registration Statement To Be Filed By Professional Solicitors, Professional Fund-raising Counsel, And Commercial Co-venturers Form 10 - Registration Statement To Be Filed By Professional Solicitors, Professional Fund-raising Counsel, And Commercial Co-venturers Legal
To Be Completed By Students From People's Republic Of China To Be Completed By Students From People's Republic Of China Financial
Form 9003 - Additional Questions To Be Completed By All Applicants For Permanent Residence In The United States Form 9003 - Additional Questions To Be Completed By All Applicants For Permanent Residence In The United States Financial
Form 9003 - Additional Questions To Be Completed By Applicants For Permanent Residence In The United States Form 9003 - Additional Questions To Be Completed By Applicants For Permanent Residence In The United States Legal
Form 9003 - Additional Questions To Be Completed By All Applicants For Permanent Residence In The United States Form 9003 - Additional Questions To Be Completed By All Applicants For Permanent Residence In The United States Financial
Form 9003 - Additional Questions To Be Completed By All Applicants For Permanent Residence In The United States Form 9003 - Additional Questions To Be Completed By All Applicants For Permanent Residence In The United States Financial
Form 3222 - Fiscal Statement (to Be Completed By Local Unit) Form 3222 - Fiscal Statement (to Be Completed By Local Unit) Financial
Form Njbos-4 - Information Request Form For Central Registration Depository And/or Investment Adviser Registration Depository Information Form Njbos-4 - Information Request Form For Central Registration Depository And/or Investment Adviser Registration Depository Information Legal
Form To-1 - Information To Be Included In Long-form Ownership Information Statements, Amendments Or Registration Statement Of Take-over Offer Pursuant To Sections 552.03(1), 552.03(4) And 552.05(2), Wis. Stats. - 1996 Form To-1 - Information To Be Included In Long-form Ownership Information Statements, Amendments Or Registration Statement Of Take-over Offer Pursuant To Sections 552.03(1), 552.03(4) And 552.05(2), Wis. Stats. - 1996 Legal

Related Categories

Parent category: Financial
Download
Go
Page of 5