Form Wup-3 - List Of Owners Of Unclaimed Stock And Other Securities

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WUP-3 Rev. 07/15
WUP-WEB
STATE OF WYOMING
LIST OF OWNERS OF UNCLAIMED STOCK AND OTHER SECURITIES
FORM WU P-3
This form is used when reporting less than 10 owners.
You must file your report electronically if reporting 10 or more owners.
HOLDER (Name of Business)
Report Year
ADDRESS
FED ID#
Period Covered MO/DAY/YR
CITY/STATE/ZIP
From:
To:
Telephone Number: (
)
Contact Person:____________________________________________
_______________________________________
Owner
Owner Name
Last Known Address
No. of
Date of Last
Description of Services
Property
Owner
Social Security No.,
Shares
Transaction
Type
Class
Issuer Name
Last
First
No. & Street/City/State/ZIP
or
This is a 2-line field - press
Code
Certificate No.
Middle
County
nd
enter to go to 2
line
Federal Tax ID No.
This is a 2-line field - press
This is a 2-line field – press enter to go to 2
This is a 2-line field – press enter to go to 2
nd
nd
line
nd
enter to go to 2
line
line
(5)
(6)
(7)
(8)
(9)
(2)
(4)
(1)
(3)

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