Form Adv-W - Notice Of Withdrawal From Registration As An Investment Adviser Page 2

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Instructions for Form ADV-W
Page 2
You are permitted to “post-date” the Form ADV-W to December 31 anytime between November 1 and
December 31. You are permitted to enter a cease date of December 31 to avoid being charged state
renewal fees in jurisdictions from which you are withdrawing (during the last part of December each year
the IARD suspends filing operations for several days to process renewals of state registrations and state
notice filings; and you are unable to submit any filings during that time). However, you cannot enter any
date other than December 31, and you can only enter a December 31 cease date after November 1.
4.
I have completed Form ADV-W and filed it with the SEC. When will it become effective?
Your Form ADV-W will become effective when it is filed with the SEC. However, your Form ADV-W will
not be deemed “filed” until the SEC receives it and determines that it is not deficient. The effective date
of a Form ADV-W filed with the state securities authorities may be different.
5.
How should I file my Form ADV-W?
You are required to file Form ADV-W electronically on the IARD.
In the event you are unable to submit an electronic filing, you must apply for a temporary or continuing
hardship exemption pursuant to rule 203-3. If you can rely on a temporary or continuing hardship
exemption, you must mail one manually signed Form ADV-W and one copy to: IARD Document
Processing, FINRA, P.O. Box 9495, Gaithersburg, MD 20898-9495.
Whether you file on the IARD or are permitted to submit paper filings, you must preserve in your records
a copy of the Form ADV-W that you file with the SEC.
6.
What are the Schedules to Form ADV-W?
Form ADV-W contains two Schedules, Schedule W1 and W2. Your answers to Form ADV-W will
determine whether you are required to complete both Schedules, or only Schedule W1.
Schedule W1 is a “continuation page” for Item 5 and a “response page” for Item 8. The names of
individuals listed on Schedule W1 must be given in full. If you have assigned advisory contracts to
another person (as indicated on Item 5 of Form ADV-W), you must complete Section 5 of Schedule W1.
If you are filing for full withdrawal or you are a state-registered investment adviser, you must provide the
name of each person who has or will have custody or possession of your books and records, and each
location where the records are or will be kept (Item 8). You may have to complete multiple Schedule W1s,
depending on the number of persons who have or will have custody or possession of your books and
records and/or the number of locations where your records are or will be kept. Instruction number seven,
below, provides several examples that should help you properly respond to Item 8 to Form ADV-W.
Schedule W2 requires basic financial information relating to your investment advisory business. If you
check “yes” to Items 3, 4, or 6, you are required to complete Schedule W2.
7.
Questions about Item 8. The following examples are intended to assist you in completing Section 8 of
Schedule W1 for any persons who have or will have custody of your books and records, and the
location(s) at which those records are or will be kept.
a. After I withdraw from registration, two persons (Persons A and B) will have custody of my books and
records, but my books and records will be kept at a single location. How should I complete the
Schedule W1?
You would complete two Schedules W1. The first would list Person A, and the location at which
your books and records will be kept. You would complete a second Schedule W1 that would list
Person B, and would list (again) the location at which your books and records will be kept.

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