Sec Form N27d1

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OMB APPROVAL
UNITED STATES
Not subject to
SECURITIES AND EXCHANGE COMMISSION
OMB Clearance
Washington, D.C. 20549
(44 U.S.C 3501, et. seq.)
FORM N-27D-1
ACCOUNTING OF SEGREGATED TRUST ACCOUNT
For the period from _____________________________ to_____________________________
__________________________________________________________________________
___________________________
Name of Depositor or Principal Underwriter
IRS Empl. Ident. No.
__________________________________________________________________________
Address
Registered investment companies for which the segregated trust account is
established and maintained
Name:
IRS Empl. Ident. No.
__________________________________________________________________________
____________________________
__________________________________________________________________________
____________________________
__________________________________________________________________________
____________________________
Signature
Pursuant to the requirements of the Investment Company Act of 1940 the undersigned depositor (or principal underwriter)
has caused this report to be signed on its behalf in the City of _______________________________________________ and State of
______________________________ on the _____________________________ day of_____________________________ , 20___.
__________________________________________________
(Name of depositor or principal underwriter)
By: __________________________________________________
(Name and title of person signing on behalf of
depositor or principal underwriter)
ACCOUNTING OF SEGREGATED TRUST ACCOUNT
For period ________________________________ to ________________________________
Balance at beginning of period
$_____________
Deposits
Pursuant to paragraph (c) of Rule 27d-1
$_____________
Pursuant to paragraph (e) of Rule 27d-1
$_____________
Additional deposits
$_____________
Interest income (received and accrued)
$_____________
Gains or (losses) on sales of securities
$_____________
Unrealized appreciation (depreciation) of investments
$_____________
Total
$_____________
Withdrawals
To provide refunds pursuant to paragraph (f)(1) of Rule 27d-1
$_____________
To provide refunds pursuant to paragraph (f)(2) of Rule 27d-1
$_____________
Other withdrawals pursuant to paragraph (f)(3) of Rule 27d-1
$_____________
Total
$______________
Balance at end of period
$______________
Minimum amount required to be maintained at end of period pursuant to
paragraph (d) of Rule 27d-1
$_____________
Minimum amount required to be maintained at end of period pursuant to
paragraph (e) of Rule 27d-1
$_____________
Total minimum amount required to be maintained at end of period
pursuant to Rule 27d-1
$_____________
Minimum amount required before withdrawals pursuant to paragraph
(f)(3) of Rule 27d-1 may be permitted
$_____________
Persons who respond to the collection of information contained in this
form are not required to respond unless the form displays a currently
SEC1840 (3-14)
valid OMB control number.

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