Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Listing Application - Exchange Traded Funds (ETF) Form. This is a Official Federal Forms form and can be use in Additional Listing Applications NASDAQ.
Loading PDF...
Tags: Listing Application - Exchange Traded Funds (ETF), Official Federal Forms NASDAQ, Additional Listing Applications
The NASDAQ Global Market®
Listing Application:
Exchange Traded Funds
PART I
A. Fund/Trust Information
FIRM/TRUST NAME
ADDRESS OF PRINCIPAL EXECUTIVE OFFICES
ADDRESS
PHONE
FAX
STATE OF INCORPORATION
WEBSITE
DATE OF INCORPORATION
IRS EMPLOYER IDENTIFICATION NUMBER
SEC FILE NUMBER
STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE
CENTRAL INDEX KEY NUMBER (CIK)
Please list the name and full title of the individual to be designated as the Fund Manager/Managing
Trustee. Attach a separate sheet if the contact information for this individual differs from the Fund/
Trust information provided above.
FUND MANAGER/MANAGING TRUSTEE
B. Sponsor Information
FIRM NAME
ADDRESS OF PRINCIPAL EXECUTIVE OFFICES
ADDRESS
PHONE
FAX
WEBSITE
Please provide the name and email address of the individual(s) to be designated as Sponsor
contacts(s) in the following areas. Attach a separate sheet if the contact information for a designated
person differs from the Sponsor information provided above.
CHIEF EXECUTIVE OFFICER
EMAIL
CHIEF FINANCIAL OFFICER
EMAIL
GENERAL COUNSEL
EMAIL
BILLING CONTACT
EMAIL
PRODUCT MANAGER
EMAIL
1
American LegalNet, Inc.
www.FormsWorkFlow.com
C. Distributor Contact
Please provide the following information regarding the Distributor.
FIRM NAME
CONTACT NAME
ADDRESS OF PRINCIPAL EXECUTIVE OFFICES
ADDRESS
PHONE
FAX
EMAIL
D. ETF Administrator Contact
Please provide the following information regarding the ETF Administrator.
FIRM NAME
CONTACT NAME
ADDRESS OF PRINCIPAL EXECUTIVE OFFICES
ADDRESS
PHONE
FAX
EMAIL
E. Application – Primary Contact
Please provide a primary contact for the purposes of processing this Listing Application.
FIRM NAME
CONTACT NAME
ADDRESS OF PRINCIPAL EXECUTIVE OFFICES
ADDRESS
PHONE
FAX
EMAIL
PART II
A.
Security Information
1.
Name and description of the fund(s) to be listed:
2.
Provide three (3) proposed trading symbols for each fund to be listed in order of preference. All
choices must comprise of one to five alpha characters. If a NASDAQ® symbol has been
previously
reserved, list only that symbol.
Questions regarding symbols should be directed to the NASDAQ Symbol Coordinator at
symbol.reservation@nasdaqomx.com.
2
American LegalNet, Inc.
www.FormsWorkFlow.com
3.
If there is an existing public market for the fund(s) covered by this application, please identify
each security, marketplace and trading symbol.
4.
Anticipated number of shares/units distributed for each ETF prior to trading:
5.
Anticipated price per share:
6.
Expected effective date of registration statement:
7.
Expected date of initial trading:
8.
Expected closing date of the initial distribution:
9.
Please list the CUSIP* number for each ETF for which application is being made.
Issue(s) to be listed:
_
____________________
_
____________________
CUSIP Number*:
*CUSIP Service Bureau can be reached at +1 212 438 6565 or www.cusip.com.
10.
Will the CUSIP number(s) be included in the file of eligible issues of a registered securities
depository upon the commencement of trading?
Yes
No
11.
Transfer Agent:
NAME
ADDRESS
ADDRESS
PHONE
FAX
EMAIL
TRANSFER AGENT LPA NUMBER
B.
Index Information
1.
Description of underlying index or indices (include name, ticker (if applicable), provider and
number of components)
2.
Type of Securities in Underlying Index (check all that apply):
Domestic (U.S.) Equity Only
International or Global Equity Only
Global & Domestic Equity
Fixed Income Only
Other (please describe):
_
____________________
3
American LegalNet, Inc.
www.FormsWorkFlow.com
3.
Index Component Data*
A.
Equity Indices - Provide the following data for each index component:
1. Index Weight
2. Current Market Capitalization (U.S. Dollars)
3. Worldwide volume in each of the past six months
B.
Fixed Income Indices - Provide the following data for each index component:
1. Index Weight
2. Original Principal Amount (U.S. Dollars)
3. Type of Debt (Convertible or Non-Convertible)
4. Issuer Reporting Requirement (Section 13 or 15(d) of the Exchange Act)
5. Market Value of Publicly Held Shares (U.S. Dollars)
6. Aggregate remaining principal of issuer indebtedness not included in the index
7. Whether the security is exempt under section 3(a)(12) of the Securities Exchange Act of
1934
8. Whether the issuer is a government of a foreign country or a political subdivision of a
foreign country
*Index data may be submitted using the spreadsheet templates which can be found here.
4.
Provide representation from the fund or index provider (as applicable) that “any advisory
committee, supervisory board, or similar entity that advises or makes decisions on the index or
portfolio composition, methodology and related matters, must implement and maintain, or be
subject to, procedures designed to prevent the use and dissemination of material non-public
information regarding the applicable index.” Please attach the representation as a separate sheet
to this application.
5.
Provide representation that the net asset value for the fund(s) will be calculated daily and will be
made available to all market participants at the same time. Please attach the representation as a
separate sheet to this application.
PART III
A. Additional Documentation and Information
The fact that an applicant may meet NASDAQ’s numerical guidelines does not necessarily mean that its
application will be approved. In connection with the review of any application, and as set forth in the
NASDAQ Listing Rules, NASDAQ reserves the right to request additional information or documentation,
public or non-public, deemed necessary to make a determination regarding a security’s qualification for
initial inclusion, including but not limited to, any material provided to or received from the Securities
and Exchange Commission or other regulatory authority.
B. Affirmation – Please sign and date the application.
I,
, as
NAME OF INDIVIDUAL
of
TITLE
COMPANY NAME
hereby certify, to the best of my knowledge and belief, that the information contained in the
application is true and correct, as of the date below, and will notify NASDAQ promptly of any material
changes.
Signature of Company Officer
SIGNATURE
DATE
4
American LegalNet, Inc.
www.FormsWorkFlow.com
C. Submission
Send the Application and supporting documentation to:
The NASDAQ Stock Market LLC
Listing Qualifications
9600 Blackwell Road
Rockville, MD 20850
Phone: +1 301 978 8008
Please see the Application Guide for information concerning the submission of the $1,000 initial
application fee and the balance of the entry fee.
©April 2011, The NASDAQ OMX Group, Inc. All rights reserved. NASDAQ and The NASDAQ Global Market are
registered trademarks of The NASDAQ OMX Group, Inc.
5
American LegalNet, Inc.
www.FormsWorkFlow.com
APPLICATION GUIDE: EXCHANGE TRADED FUNDS
ACTION
RESPONSIBLE PARTY
TIMING
Mail to*:
Submit:
Application (signed and dated by Issuer);
Listing Agreement (signed and dated by Issuer);
and Registration Statement (one copy).
Submit the $1,000 non-refundable application fee,
along with the Entry Fee Payment Form. An
estimated entry fee will be calculated by Listing
Qualifications upon request.
Submit Logo Authorization Form and Art.
Submit:
One marked copy of any amendments to the
registration statement. Copies of all
correspondence between the SEC and the Issuer
relating to the filing of the entity’s registration
statement.
Provide additional information.
Issuer or Issuer’s counsel
At time of application
A
Issuer or Issuer’s counsel
The $1,000 non-refundable fee is
due at time of the application. The
balance of the entry fee is due prior
to the commencement of trading.
At time of application
Concurrent with SEC or other
regulatory authority filing
B The Issuer may
wire its fees. Please
see instructions
below.
C
A
A
Provide copy of Form N-8A.
Provide notice of anticipated effective date of
registration statement.
Issuer or Issuer’s counsel
Issuer or Issuer’s counsel
Confirm security addition.
Register market makers.
Release security for trading.
Provide notice of effectiveness and pricing.
Underwriter syndicate and all
market makers
Submit final registration statement or prospectus
(1 copy).
Provide written notice if over-allotment is
exercised.
Issuer or Issuer’s counsel
Upon request by Listing
Qualifications
Concurrent with SEC filing
Notify Listing Qualifications by phone
at least 3 business days prior to the
anticipated effective date of the
registration statement.
Upon effectiveness and pricing,
notify Corporate Data Operations by
phone.
Notify Listing Qualifications by
phone.
As soon as available
A
Issuer or Issuer’s counsel
By closing date of over-allotment
A
Issuer or Issuer’s counsel
Issuer or Issuer’s counsel
Issuer or Issuer’s counsel
Issuer or Issuer’s counsel
A
A
D
A
*ADDRESSES
A. The NASDAQ Stock Market LLC, Listing Qualifications, 9600 Blackwell Road, Rockville, MD 20850. Phone: +1 301 978 8008
Fax: +1 301 978 8069
B. By Federal Reserve Wire: The NASDAQ Stock Market LLC, Bank Name: Wachovia Bank, N.A., Bank Address: 12 East 49th Street, New York,
NY 10017, SWIFT Number: PNBPUS3NNYC, ABA Number: 031201467, Beneficiary: NASDAQ, Account Number: 2000031405177, Reference:
GL2100625, company name, symbol, and note that the fees are for initial listing.
B. By American Clearing House: The NASDAQ Stock Market LLC, Bank Name: Wachovia Bank. N.A., Bank Address: 12 East 49th Street, New York,
NY 10017, SWIFT Number: PNBPUS3NNYC, ABA Number: 026012881, Beneficiary: NASDAQ, Account Number: 2000031405177. Reference:
GL2100625, company name, symbol, and note that the fees are for initial listing.
B. By Courier/Overnight: The NASDAQ Stock Market LLC, Listing Qualifications, Lockbox 20200, c/o Wachovia Bank N.A., 401 Market Street,
Philadelphia, PA 19106. Provide company name, symbol, and note that the fees are for initial listing.
C. The NASDAQ Stock Market LLC, Corporate Logo Library, 9600 Blackwell Road, Rockville, MD 20850. Phone:+1 866 842 5720
Fax: +1 301 978 8431
D. The NASDAQ Stock Market LLC, Corporate Data Operations, Two Corporate Drive, Suite 300, Shelton, CT 06484. Phone: Toll-free: +1 877 308 0523
Local: +1 203 926 3501 Fax: Toll-free: +1 866 601 9862 Local: +1 203 926 3375
6
American LegalNet, Inc.
www.FormsWorkFlow.com