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Uniform Investment Company Notice Filing Form. This is a Idaho form and can be use in Blue Sky Secretary Of State.
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Tags: Uniform Investment Company Notice Filing, NF, Idaho Secretary Of State, Blue Sky
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)
ٱOpen-end Mutual Fund
ٱUnit Investment Trust
ٱInitial Filing
ٱRenewal Filing
ٱAmendments
ٱTermination
ٱWithdrawal
ٱSales Report
ٱOther (specify)
For name changes, provide former name
ٱClosed-end Mutual Fund
ٱExemption Filing
ٱIncrease Dollar Amount
For amendments, specify nature of the change(s):
4. Description of Securities:
Name of Fund
Portfolio(s)
Class(es)
Fiscal Year End of the Issuer (if applicable)
Are all of the securities described on this form offered in one prospectus? Yes ٱ
5. Contact Person:
Name
Address
Firm
State
City
ZIP
FAX:
Telephone
E-Mail
6. CIK# (EDGAR)
Broker-Dealer:
Broker-Dealer=s CRD No.
7.
No ٱ
Federal ID# (if applicable)
SEC Registration No. (if applicable)
State of Incorporation/Charter
ٱNotice Period: Beginning Date:
/
/
Ending Date:
/
/
ٱThe issuer elects to have its notice filing made effective upon filing.
ٱThe 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.
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8.
Notice Fee: $
Sales Report Fee (if applicable) $
Other Fee $
ٱNo Filing Fee Required
Explain
9.
To determine the basis used for calculating the filing fee, provide the following:
ٱIndefinite Amount
ٱDefinite Amount
$
ٱExemption Filing
ٱNet 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
11.
SALES REPORT [To the extent not applicable, place N/A in the blank(s)]
Period Covered:
Beginning date:
Balance at beginning of period
$
Increases during period
$
Amount available for sale
$
Sales during the period
$
Unsold balance at end of period
$
/
/
Ending:
/
/
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 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
For:
Name of Issuer
Print Name
,
Year
By:
Signature of Authorized Agent of Issuer
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 documents, if any, as filed with the Securities and Exchange Commission.
FORM NF
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