FORM TR (Rev 7-06) File No: ____________________ COLORADO DIVISION OF SECURITIES 1560 Broadway Street, Suite 900 Denver, CO 80202 _____________ Fee Enclosed:$ NOTICE OF REGISTRATION FOR Local Government Investment Pool Trust Funds 1. ________ Initial 2. Name and Address of the Trust Fund ________ Annual ________Amendment _______________________________________________ _______________________________________________ _______________________________________________ Contact Person Telephone Number 3. _______________________________________________ _______________________________________________ Name and Address of Administrator of the Trust Fund _______________________________________________ _______________________________________________ _______________________________________________ Contact Person Telephone Number 4. _______________________________________________ _______________________________________________ Name and Address of the Custodian of the Trust Fund (please identify all custodians, if more than one) _______________________________________________ Contact Person _______________________________________________ Telephone Number _______________________________________________ _______________________________________________ _______________________________________________ (1) 5. Name and Address of the Investment Adviser, BrokerDealer, or Financial Institution acting in an advisory capacity (please identify all, if more than one) _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ Contact Person Telephone Number 6. 7. _______________________________________________ _______________________________________________ Total Assets of the Trust Fund as of the Date of Filing _______________________________________________ Amount of Filing Fee Enclosed (if applicable) _______________________________________________ If this is an initial filing, each Participating Local Government, as that term is defined in section 24-75701(10), C.R.S., in the Trust Fund is identified on the attached listing. In addition to the foregoing, we have attached a listing identifying each board member of the Trust Fund as well as their addresses and telephone numbers. Also, a current copy of the board resolution adopted pursuant to section 24-75-703, C.R.S. is on file with the Division of Securities. The undersigned hereby attest that the information contained in this Notice of Registration is true and accurate as of this date. (more than one responsible party may sign, if desired.) Date:____________________ By:______________________________________ (Signature) _________________________________________ (Print or type name) Title:_____________________________________ (2)