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Notice Of Issuance Of Securities By An Investment Company Pursuant To Corporations Code Section 25100.1(b) Form. This is a California form and can be use in Blue Sky Secretary Of State.
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Tags: Notice Of Issuance Of Securities By An Investment Company Pursuant To Corporations Code Section 25100.1(b), NF, California Secretary Of State, Blue Sky
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 definite and
indefinite filings.
ITEM 1. Name of Issuer: State the name of the investment company for which the
notice filing is being made. Do not use the name of the broker-dealer or distributor.
ITEM 3. Amendment Filings: Provide the applicable information. However, it may not be
necessary to complete the entire form. Amendments include changes in the
correspondent or fund name or a new fiscal year end. Changes such as reorganizations
should be reported under "Other", with a written explanation. If in doubt about the
proper category, use "Other" and provide an explanation.
ITEM 4. Description of Securities: This information should be provided at the level
necessary in the given state. For example, if the state is a "trust level" state, portfolio
and class information may not be required. A separate Form NF should be filed for each
portfolio or class, to the extent required by the given state. Attach a list of all portfolios
or classes for "trust level" states. For states whose fees are based on the prospectus, a
separate Form NF should be filed for each prospectus and should include a list of all
securities listed in the prospectus.
ITEM 6. CIK number (EDGAR): Please provide the Central Index Key Number that will
cross-reference the SEC filing. Federal ID Numbers and SEC Registration Numbers:
Federal identification numbers are only available for the fund or trust. Provide the
Federal ID No. and SEC Registration No. if filing in a jurisdiction that requires these
numbers. Fiscal Year: Fiscal year information is not required for unit investment trusts,
since the filing period runs concurrently with SEC effectiveness.
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ITEM 7. Notice Period: The notice period is established by law, administrative regulation
or policy in some jurisdictions. As a result, one or more of the three options provided on
the form may not be available in each jurisdiction. In addition, if the issuer elects to
begin the notice filing period on the date of SEC effectiveness, the notice period will end
on the date that a renewal filing is required.
ITEM 12. Uniform Consent to Service of Process: The uniform consent to service of
process form is separate from the Notice Filing Form (Form NF). Issuers shall use the
Uniform Consent to Service of Process Form (Form U-2).
PROSPECTUS AND STATEMENT OF ADDITIONAL INFORMATION. In some
jurisdictions, you may be required by law, administrative regulation or policy to file the
Form NF with a prospectus and/or statement of additional information.
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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(e.g. Shares of beneficial interest):________________
_________________________________________________________________
Name of Fund______________________________________________________
_________________________________________________________________
_________________________________________________________________
Portfolio(s) ________________________________________________________
__________________________________________________________________
__________________________________________________________________
Class(es) __________________________________________________________
__________________________________________________________________
__________________________________________________________________
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Fiscal Year End of the issuer (if applicable) _______________________________
Are all of the securities described on this form offered in one prospectus? 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 applicable) _______
Broker Dealer’s CRD No. __________ State of Incorporation/Charter ________
Portfolio ________________________________________________________
Class ___________________________________________________________
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 effectiveness and
thereby agrees to provide the above state prompt notice of such
effectiveness.
8. 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)]
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Period Covered: Beginning date: ___/___/___ Ending: ___/___/___
Balance at beginning of period $ ____________________________________
Additional Increases during period $ __________________________________
Amount available for sale $ ________________________________________
Sales during the period $ _________________________________________
Unsold balance at end of period $ _______________________________________
12. UNIFORM CONSENT TO SERVICE OF PROCESS (select one)
1. [] Was previously filed with this state with respect to the issuer of the securities
covered for the securities covered 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 executed this Uniform
Investment Company notice on behalf of, and with the authority of the issuer. The
undersigned and the issuer represent that the information and statements contained in
the notice filed, are current, true and complete to the best of his or her knowledge,
information and belief and that any documents submitted with the notice are true copies
of the originals, and 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-named issuer and
under the laws of the jurisdiction in which this Form is filed, that upon receipt of a
request from such jurisdiction, the issuer will promptly provide a copy of its current
prospectus, and/or statement of additional information, and/or any other document, if
any, as filed with the Securities and Exchange Commission.
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