Temporary Form SH Weekly Report Of Short Sales And Short Positions Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Temporary Form SH Weekly Report Of Short Sales And Short Positions Form. This is a Official Federal Forms form and can be use in Securities And Exchange Commission.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
TEMPORARY FORM SH
WEEKLY REPORT OF SHORT SALES AND SHORT POSITIONS
Report for the Period Ended: _____[Month, Day, Year]_______
Check here if Amendment [ ]; Amendment Number: _____
This Amendment (Check only one):
[ ] is a restatement.
[ ] adds new entries.
Institutional Investment Manager Filing this Report:
Name:
Address:
______________________________________
______________________________________
______________________________________
______________________________________
Form 13F File Number: 28-_______________
Central Index Key (CIK) Number: _________________
The institutional investment manager filing this report and the person by whom it is signed hereby
represent that the person signing the report is authorized to submit it, that all information contained herein is
true, correct and complete, and that it is understood that all required items, statements, schedules, lists, and
tables, are considered integral parts of this form.
Person Signing this Report on Behalf of Reporting Manager:
Name: ___________________________
Title: ___________________________
Phone: ___________________________
Signature, Place, and Date of Signing
_______________________________
[Signature]
____________________
[City, State]
____________
[Date]
1
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Report Type (Check only one):
[ ] FORM SH ENTRIES REPORT. (Check here if all entries of this reporting manager are reported in this
report.)
[ ] FORM SH NOTICE. (Check here if no entries reported are in this report, and all entries are reported by other
reporting manager(s).)
[ ] FORM SH COMBINATION REPORT. (Check here if a portion of the entries for this reporting manager is
reported in this report and a portion is reported by other reporting manager(s).)
List of Other Managers Reporting for this Manager:
Provide a list of the name(s), Form 13F file number(s) and CIK numbers of all institutional investment
managers who are reporting for this manager.
[If there are no entries in this list, state “NONE”.]
Number of Other Included Managers: _____________________
Total Number of Transactions Reported: _____________________
List of Other Included Managers:
Provide a numbered list of the name(s) and Form 13F file number(s) and CIK numbers of all institutional
investment managers with respect to which this Form SH report is filed, other than the manager filing this
report.
[If there are no entries in this list, state “NONE”.]
INFORMATION TABLE
Element 1
Element 2
Element 3
Element 4
Element 5
Element 6
Element 7
Date
CIK of
Manager
Name of
Issuer
CUSIP
Short
Position
(Start of
Day)
Number of
Securities
Sold Short
(Day)
Short
Position
(End of
Day)
2
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