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Uniform Investment Company Notice Filing Form. This is a Arizona form and can be use in Blue Sky Secretary Of State.
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Uniform Investment Company Notice Filing Please Read Instructions Prior to Filling Out Form State File No. ___________ Notice to the State/Commonwealth of ____________________________________
_____ 1. Name of Issuer________________________________________________________________ ________________________________________________________________________
_______ ________________________________________________________________________
_______ 2. Address_______________________________________________________________________ ________________________________________________________________________
_______ 3. Type of Filing: (Check all that apply) Open-end Mutual Fund Unit Investment Trust Closed-end Mutual Fund Initial Filing Renewal Filing Amendments Exemption Filing Termination Withdrawal Sales Report Increase Dollar Amount Other (specify) ____________________________________________________
___________ For name changes, provide former name: _______________________________________ ____________________________________________________________________________
___ For amendments, specify nature of the change(s): _______________________________ ________________________________________________________________________
_______ 4. Description of Securities: _____________________________________________ Name of Fund ________________________________________________________________ ________________________________________________________________________
_______ _______________________________________________________________________________ Portfolios(s) __________________________________________________________________ ________________________________________________________________________
_______ _______________________________________________________________________________ Class(es) _____________________________________________________________________ ________________________________________________________________________
_______ _______________________________________________________________________________ Fiscal Year End of the Issuer (if applicable) ____________________________________ Are all of the securities described on this form offered in one prospect
us? Yes No 5. Contact Person: Name ______________________________ Firm _________________________ Address __________________________________________________________ ________________________________________________________________________
_______ City _________________________________________ State ___________________________ Zip ________________________ Telephone _____________________________________ FAX _______________________ e-mail ________________________________________ 6. CIK# (EDGAR) __________________________ Federal ID# (if applicable) ________________ Broker-Dealer: ___________________________ SEC Registration No.(if app
licable) _________ Broker-Dealers CRD No. __________________ State of Incorporation/Charter ___________
___ 7. Notice Period: Beginning Date:___/___/___ Ending Date: ___/___/___ The issuer elects to have its notice filing made effective upon filing
. The issuer elects to have its notice filing period begin with SEC effe
ctiveness and thereby agrees to provide the above state prompt notice of such effectiveness. FORM NF American LegalNet, Inc. www.USCourtForms.com>>>> 28. Notice Fee: $______________________ No Filing Fee Required Sales Report Fee (if applicable) $ _________________ Other Fee $ _________________ Explain ____________________________________________ 9. To determine the basis used for calculating the filing fee, provide the
following: Indefinite Amount Definite Amount $ __________________________________ Exemption Filing Net Assets $ __________________________________ 10. For filings to increase the dollar amount of securities reported during
the notice period, provide the following: (1) Previous Amount of Securities _______________________________________ (2) Amount of Increase ________________________________________________ (3) Cumulative Amount of Securities _____________________________________ 11. Sales Report [To the extent not applicable, place N/A in the blank(s)]
Period covered:Beginning date: ___/___/___ Ending: ___/___/___ Balance at beginning of period$_________________________________________________ Increases during period $_________________________________________________ Amount available for sale $_________________________________________________ Sales during period $_________________________________________________ Unsold balance at end of period$_________________________________________________ 12. UNIFORM CONSENT TO SERVICE OF PROCESS (select one) 1. Was previously filed with state with respect to the issuer of the securi
ties by this notice and is incorporated by reference. 2. Is attached. 3. Not applicable (explain) ____________________________________________ 13. SIGNATURES The undersigned under penalties of perjury certifies that s/he has execu
ted this Uniform Investment Company notice on behalf of, and with the authority of the is
suer. The undersigned and the issuer represent that the information and statements contained i
n the notice filed, are current, true and complete to the best of his or her knowledge, informat
ion and belief and that any documents submitted with the notice are true copies of the originals, an
d that the securities covered by this Notice are Covered Securities as defined by Section 18(
b)(2) of the Securities Act of 1933. Dated this _____ day of __________, _________ Month Year For: ____________________________________ By: ________________________
__________ Name of Issuer Signature of Authorized Agent of Issuer ________________________________________ __________________________________ Print Name Title of Agent for Issuer The filing of this notice constitutes a binding agreement by the above-n
amed issuer and under the laws of the jurisdiction in which this Form is filed, that upo
n receipt of a request from such jurisdiction, the issuer will promptly provide a copy of its c
urrent prospectus, and/or statement of additional information, and/or any other document, i
f any, as filed with the Securities and Exchange Commission. FORM NF American LegalNet, Inc. www.USCourtForms.com>>>> 3 Instructions to Form NF Form NF should be used for investment company initial filings, renewals,
amendments and sales reports. This form should be used for all filing options, including def
inite and indefinite