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Form TA-W Notive Of Withdrawal From Registration As Transfer Agent (SEC1669) Form. This is a Official Federal Forms form and can be use in Securities And Exchange Commission.
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UNITED STATES OMB Approval SECURITIES AND 3235-0151 EXCHANGE COMMISSION OMB Number: Expires: September 30, 2017 Washington, D.C. 20549 Estimated average burden hours per response 0.5 FORM TA-W NOTICE OF WITHDRAWAL FROM REGISTRATION AS TRANSFER AGENT PURSUANT TO SECTION 17A OF THE SECURITIES EXCHANGE ACT OF 1934 Form Version: 1.0.0 Check to show blank box for printingprinting 1(a).Filer CIK: 1(b).Filer CCC: 1(c). Live/Test Live Test Filing? 1(d). Return Yes Copy? The registrant may provide a single e-mail address for contact purposes. 1(e)(i). Contact Name: 1(e)(ii).Contact phone 1(e)(iii).Contact E-mail Number: Address: The registrant may provide additional e-mail addresses for those persons the filer would like to receive notification e-mails regarding the filing. 1(f).Notification E-mail Address: 2. Transfer Agent File No.: 3. Full name of registrant: 084 - 4. Name under which transfer agent activities are conducted, if different from above: SEC 1669 (12-06) Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. American LegalNet, Inc. www.FormsWorkFlow.com 5. Address of registrants principle place of business: 5(a).Address1 5(b).Address2 5(c).City 5(d).State or Country 5(e).Postal Code 6. Furnish registrant's reasons for ceasing the performance of transfer agent functions or for otherwise requesting withdrawal of its registration: 7. Furnish the last date registrant performed transfer agent functions as defined by Section 3(a)(25) of the Act for any security, including debt and equity, registered under Section 12 of the Act or which would be required to be registered except for the exemption from registration provided by paragraph (g)(2)(B) or (g)(2)(G) of that section. 7(a). Does registrant have any intention of performing in the near future a transfer agent function for any such security? Yes No 8. Is registrant directly or indirectly involved in any legal actions or proceedings or aware of any potential claims against it in connection with its performance of transfer agent functions for any security? Yes No 8(a). If so, furnish complete information with respect to each: 8(a)(i). Individual named in the action or claim: 8(a)(ii). Title of the action or claim: 8(a)(iv).Court or body name and location: 8(a)(iii).Action date: American LegalNet, Inc. www.FormsWorkFlow.com 8(a)(v). Description of the action or claim: 8(a)(vi).Disposition of action or claim: 9. Are there any unsatisfied judgments or liens against registrant arising out of its performance of transfer agent functions for any security? Yes No 9(a). If so, furnish complete information regarding each judgment or lien. 9(a)(i). Individual named in the action or claim: 9(a)(ii). Title of the action or claim: 9(a)(iv).Court or body name and location: 9(a)(v). Description of the action or claim: 9(a)(vi).Disposition of action or claim: 9(a)(iii).Action date: 10. For each issue for which registrant acted as transfer agent and for any issues for which registrant assumed transfer agent functions since the last amendment to Form TA-1, furnish: 10(a). Is there a successor transfer agent? Yes No 10(b). Name of successor transfer agents: 10(c). Address: 10(c)(i).Address 1 10(c)(ii).Address 2 10(c)(iii).City American LegalNet, Inc. www.FormsWorkFlow.com 10(c)(iv).State or Country 10(c)(v).Postal Code 10(d). Is the successor transfer agent registered as a transfer agent pursuant to the Act? Yes No 11.For each issue for which registrant acted as transfer agent and for any issues for which registrant assumed transfer agent functions since the last amendment to Form TA-1, furnish: name(s) and address(es) of the person(s) who has or will have custody or possession of the books and records which the registrant maintained in connection with its performance of transfer agent functions. 11(a). Name of Custodian 11(b). Address: 11(b)(i).Address 1 11(b)(ii).Address 2 11(b)(iii).City 11(b)(iv).State or Country 11(b)(v).Postal Code 12. Furnish the name(s) and address(es), if different from Item 11, where such books and records will be located. 12(a). Name of Custodian 12(b). Address: 12(b)(i).Address 1 12(b)(ii).Address 2 12(b)(iii).City American LegalNet, Inc. www.FormsWorkFlow.com 12(b)(iv).State or Country 12(b)(v).Postal Code SIGNATURE: The registrant submitting this Form and its attachments and the person executing it represent that it and all materials filed in connection with it contain a true, correct and complete statement of all required information. Registrant also consents to make the books and records it is required to preserve by Rules 17Ad-6 and 17Ad-7 under the Securities Exchange Act of 1934 (17 CFR 240.17Ad-6 and 240.17Ad-7) available for examination by authorized representatives of the Commission during the period the rules require registrant to preserve such books and records and authorizes the person having custody of such books and records to make them available to such representatives. 13(a).Signature of Official responsible for Form: 13(b).Telephone number: 13(d).Date signed (Month/Day/Year): 13(c).Title of Signing Officer: American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM TA-W Instructions for Use of Form TA-W Notice of Withdrawal from Registration as a Transfer Agent Pursuant to Section 17A of the Securities Exchange Act of 1934 ATTENTION: This electronic Form TA-W is to be filed only by SEC registrants. All other registrants withdraw from registration as a transfer agent with their appropriate regulatory authority and should obtain instructions on withdrawal from registration as a transfer agent from such authority. Certain sections of the Securities Exchange Act of 1934 applicable to transfer agents are referenced or summarized below. Registrants are urged to review all applicable provisions of the Securities Exchange Act of 1934, the Securities Act of 1933, and the Investment Company Act of 1940, as well as the applicable rules promulgated by the SEC under those Acts. I. General Instructions for Filing Form TA-W A. Terms and Abbreviations. The following terms and abbreviations are used throughout these instructions: 1. "Act" refers to the Securities Exchange Act of 1934. 2. "ARA" refers to the appropriate regulatory agency, as defined in Section 3(a)(34)(B) of the Act. See General Instruction D below. 3. "Form TA-1" is the For