Sec 1939 - Form Sip - Application Or Amendment To Application For Registration As Securities Information Processor Under The Securities Exchange Act Of 1934 Page 2

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UNITED STATES
OMB APPROVAL
SECURITIES AND EXCHANGE COMMISSION
OMB Number:
3235-0043
Washington, D.C. 20549
Expires:
July 31, 2014
Estimated average burden
FORM SIP
hours per response . . . . . 400
APPLICATION OR AMENDMENT TO APPLICATION FOR REGISTRATION
AS SECURITIES INFORMATION PROCESSOR UNDER
THE SECURITIES EXCHANGE ACT OF 1934
(Exact name of applicant as specified in charter)
(Address of principal executive offices)
If this is an APPLICATION for registration, complete in full and check here . . .
If this is an AMENDMENT to an application, or to an effective registration (other than an annual amendment) list all items that
are amended and check here . . .
If this is an ANNUAL AMENDMENT to an effective registration, list all items that are amended and check here . . .
GENERAL INFORMATION
1. Name under which business is conducted, if different than name specified on facing sheet:
2. If name of business is hereby amended, state previous business name:
3. Mailing address, if different than address specified on facing sheet:
(Number and Street)
(City)
(State)
(Zip Code)
4. List of principal office(s) and address(es) where securities information processing activities are conducted:
Office
Address
5. If applicant is a successsor (within the definition of Rule 12b-2 under the Securities Exchange Act) to a previously registered
securities information processor, please complete the following:
a. Date of succession
b. Full name and address of predecessor registrant
(Name)
(Number and Street)
(City)
(State)
(Zip Code)
SEC 1939 (9-02)
2

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