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Wisconsin Investment Adviser Licensing - Notice Of Filing Procedure Form. This is a Wisconsin form and can be use in Blue Sky Secretary Of State.
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
STATE OF WISCONSIN
DEPARTMENT OF FINANCIAL INSTITUTIONS
:
Calendar No.
DIVISION OF SECURITIES
:
Mail Completed Application to:
345 W. SUBPOENA
JUDICIAL Washington Ave.
Plaintiff(s)
th
-against-
:
:
:
4 Floor (53703)
P.O. Box 1768
Madison, WI 53701-1768
(608) 266-3693
TTY: (608) 266-8818
Internet: www.wdfi.org
Defendant(s)
:
......................................................
Wisconsin Investment Adviser Licensing/Notice Filing Procedure
An THE PEOPLE OFwho has less than $25 million of assets under management will be regulated only by the states
investment adviser THE STATE OF NEW YORK
and not registered with the SEC, unless it is an adviser to investment companies or qualifies for some other exemption
or exclusion. All such investment advisers must be licensed with this Division to provide advisory services to
TO
Wisconsin clients unless the adviser does not have a place of business in this state and during the preceding twelve
month period, has had fewer than 6 clients who are residents of this state. Investment adviser representatives may
also need to be licensed. GO TO THE LICENSING INSTRUCTION SECTION.
GREETINGS:
Those advisers who have over $25 million in assets under management or who are advisers to investment companies,
are regulated only by the U.S. Securities & Exchange Commission and will not be licensed as investment advisers by
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
the Division. Such advisers must still make a notice filing with the Division and may need to license certain
,
the Honorable
at the
investment adviser representatives. GO TO THE NOTICE FILING SECTION. Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as aACTIVITIES action on the part of the
witness in this
FIDUCIARY
If the applicant intends to act as a fiduciary pursuant to secs. 220.04(7) and 223.105, Wis. Stats., (definitions below)
applicant mu st contact the Division of Banking at (608) 261-9555 or P.O. Box 7876, Madison, Wisconsin 53707-7876
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
for further information on other requirements.
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result“'Organization' means any corporation, association, partnership or business trust, other than a national
of your failure to comply.
bank, federal savings and loan association or federal credit union or other than a corporation, association
partnership, all of whose shareholders or members are licensed under SCR 40.01.”
Witness, Honorable
, one of the Justices of the
Court in
County,
day of
, 20
“'Trustee' means a person holding in trust, title to, or holding in trust a power over property.”
“'Fiduciary' operation means any action taken by an organization acting as a trustee or in any fiduciary
(Attorney must sign in this state.”
capacity requiring appointment or issuance of letters by a court or probate registrarabove and type name below)
Attorney(s) for
Office and P.O. Address
This document can be made available in alternate formats upon request to
qualifying individuals with disabilities.
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
DFI/DOS/IAP(R08/02)
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
LICENSING INSTRUCTION SECTION No.
:
Calendar
:
JUDICIAL SUBPOENA
Plaintiff(s)
SUMMARY OF WISCONSIN INVESTMENT
-against:
ADVISER LICENSING REQUIREMENTS
Initial applications for state licensing of investment advisers in Wisconsin is :
accomplished with a three-stage filing.
:
First set up an account with the electronic investment adviser filing system called the Investment Adviser
Registration Depository (“IARD”). The forms and instructions to do so can be found at www.iard.com.
Defendant(s)
2. Once an account is established with the IARD, a copy of the firm’s current Form ADV Part I and all amendments
:
......................................................
are filed directly with IARD. The $400 filing fee will be deducted from your IARD account. You are required
under §551.32(1)(bm), Wis. Stats., to include the federal tax identification number used for the adviser on Form
ADV. Refusal to provide this information may result in denial of the license. Personally identifiable information
on this form may be matched with tax information, outstanding child and family support data and law
THE PEOPLE OF THE STATE OF NEW YORK
enforcement agencies.
3. FORM U-4 must be filed electronically with the Central Registration Depository (“CRD”), an adjunct of the
TO
IARD, for the supervisor and for each employee who will be soliciting clients or rendering investment advice for
the applicant. Each investment adviser representative for the applicant must successfully complete the Series 65
or a combination of the Series 7 and 66 examinations unless evidence is presented allowing waiver of the
examination, pursuant to s. DFI-Sec 5.01(4), Wis. Adm. Code. The filing fee of $30 will be deducted from your
GREETINGS: application. Sole proprietors do not need to file Form U4 for themselves.
account for each
4. The following documents must be filed directly with this Division (no application will be considered complete
without these additional documents):that all business and excuses being laid aside, you and each of you attend before
WE COMMAND YOU,
a. A legible copy of the firm’s current Form ADVat the including all amendments as well as any
Part II,
,
the Honorable
Court
supplemental brochures. located at
County of
b.
QUESTIONNAIRE. noon, and at any recessed
A blank form
in room A completed WISCONSIN INVESTMENT ADVISORY,ACTIVITY o'clock in the
, on the
day of
, 20
at
is enclosed. testify and give evidence as a witness in this action on the part of the
or adjourned date, to
c. A copy of the firm’s INVESTMENT ADVISORY CONTRACT(S) complying with all provisions of s.
DFI-sec 5.05(2), Wis. Adm. Code. The contract must include the fee to be charged by the adviser, the
formula for computing the advisory fee, the formula for computing the amount of prepaid fee to be
returned in theto comply with this subpoena is punishable as and whether the court and will make you liable to
Your failure event of contract termination or nonperformance, a contempt of contract grants
discretionary power to the adviser. was contractfor a maximum penalty of $50of the all damages sustained as a
the party on whose behalf this subpoena The issued must include that no assignment and contract may
be made without the consent of the customer and provide a 5-day withdrawal privilege if the disclosure
result of your failure to comply.
document is not provided 48 hours in advance of signing the contract.
d. A DESIGNATION OF SUPERVISOR form indicating the name of the person located at the firm’s home
Witness, Honorable
, one of the Justices of
office or designated office who will be the supervisor of the investment adviser representatives and the
Wisconsin business of the applicant. This Division must be notified IN WRITING of any change in the
Court in
County,
day of
, 20
designated supervisor as required by section DFI-Sec 5.05(7), Wis. Adm. Code.
e. A signed UNDERSTANDING OF SUPERVISORY RESPONSIBILITIES form acknowledging the
establishment and continued implementation of supervisory procedures to detect and prevent
(Attorney must sign A blank type is
violations of Wisconsin Uniform Securities Law and the Administrative Code. above andform name below)
enclosed.
f. If the applicant has its principal office located in Wisconsin, it will be subject to the net capital
requirements of s. DFI-sec 5.02, Wis. Adm. Code. Applicants who will collect advisory fees of $500 or
Attorney(s) for
more, six months or more in advance or have custody of customer funds and securities must submit a
copy of the applicant’s most recent FINANCIAL STATEMENT (including supplementary schedules, if
any) or in the case of a sole proprietor, evidence that a sufficient amount of personal capital to satisfy
the net capital requirement has been segregated. A completed FINANCIAL CERTIFICATION form
must be signed by an officer of the applicant (or in the case of a sole proprietor, signed by the
Office and P.O. Address
applicant). A blank form is enclosed. If the applicant has its principal office located in a state other
than Wisconsin, the applicant must supply a statement that it is in compliance with the net capital
requirement of its principal state.
Telephone list must include the address,
g. A list of branch offices the applicant intends to have in Wisconsin. The No.:
area code and telephone number, number of representatives,Facsimile No.: and the name of the ondate of opening,
E-Mail Address:
site manager of each location.
1.
Mobile Tel. No.:
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......... ..
:
h.
Index No.
Attach a check made payable to the Department of Financial Institutions, in the amount of $30 to cover
the filing fee for each branch office located in Wisconsin as prescribed by §551.52(2), Wis. Stats.
:
Calendar No.
:
JUDICIAL SUBPOENA
INVESTMENT ADVISER REPRESENTATIVES
Plaintiff(s)
MUST BE LICENSED IN WISCONSIN
-against:
Each employee of an investment advisory firm who, for compensation, will solicit new Wisconsin accounts or render
:
investment advice to Wisconsin clients, either orally, in writing, or pursuant to discretionary authority, must be
licensed as an investment adviser representative for the firm. An individual becomes licensed by submitting the
:
Uniform Application for Securities Industry Registration or Transfer, Form U-4, along with the appropriate fees (see
Page 3, Item 9) electronically via the CRD, and by meeting the examination requirements listed below. Form U-4 and
Defendant(s)
:
the . investment .adviser .representative .filing. . . . . . . not. . . . . . . . for. a .sole proprietor, although the examination
. . . . . . . . . . . . . . . . . . . . . . . . . . fee are . . required . . . . .
requirements are applicable.
SUPERVISORY EMPLOYEE MUST BE DESIGNATED
THE PEOPLE OF THE STATE OF LICENSED IN WISCONSIN
AND NEW YORK
At TO one employee of the applicant, located at the firm’s principal or designated office, must be designated as
least
responsible for supervising the firm’s activities and records as they relate to Wisconsin accounts. The applicant
must submit to this agency the enclosed Designation of Supervisor Form (See Page 2, Item 5). The supervisory
employee must be licensed as an Investment Adviser Representative in Wisconsin before an investment adviser
GREETINGS:
license will be issued to the firm (see Page 2, Item 2).
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
EXAMINATION REQUIREMENTS
,
the Honorable
at the
Court
located at
Each applicant must pass the North American Securities Administrators Association (NASAA) Series 65 Uniform
County of
Investment Adviser Law, Examination or a combination of the20
in room
on the
day of
, Series 7 at the Series 66 Uniform Combined State Law recessed
, and
o'clock in the
noon, and at any
Examination with date, toof at least 70%. These examinations are administered by the NASD and athe
or adjourned a score testify and give evidence as a witness in this action on the part of request to take an
exam is madeby requesting the exam on the Form U4 application or by separately filing Form U-10 with the NASD.
Form U-10 can be obtained by contacting the NASD at (301) 590-6500.
The Series 65 examination will with this subpoena is punishable as a contempt of court and will make you liable to
Your failure to comply be waived for any applicant who:
the party on whose behalf this subpoena was issued for a to pass the NASD’s Series 7 and all damages in
A. has passed, or has received a waiver from the need maximum penalty of $50 examination and sustained as a
addition has passed or has
result of your failure to comply. received a waiver from the need to pass the NASAA Series 63 examination;
or
B. Witness,licensed as an investment adviser or an investment adviser representative in Justices of the
has been Honorable
, one of the any jurisdiction
in the United States within 2 years prior to the date the application is filed; or
Court in
County,
day of
, 20
C. provides proof that the applicant currently holds one of the following professional designations:
CFP
ChFC PFS
CFA
CIC
(Attorney must sign above and type
___________________________________________________________________ name below)
NET CAPITAL REQUIREMENT
Attorney(s) for
Pursuant to s. DFI-Sec 5.02, Wis. Adm. Code, every investment adviser whose principal office is located in
Wisconsin and that collects advisory fees of $500 or more, six months or more in advance shall maintain a positive
net worth at all times, which must be in the form of cash, securities or other liquid assets. An adviser who has
custody of client funds or securities shall maintain a minimum net worth of $35,000. If the investment adviser is an
individual, the capital used to meet the net worth requirement must be Office and from Address
segregated P.O. the individual’s personal
assets and used solely for the business for wh ich the adviser is licensed. Each investment adviser applicant who is
required to maintain a minimum net capital must maintain a record to substantiate continuous compliance with the net
capital requirement. New applicants must provide financial information as outlined in Item 7 on Page 2.
Telephone No.:
An investment adviser whose principal office is located in a state Facsimile No.:
other than Wisconsin must demonstrate
E-Mail Address:
compliance with the net capital requirement of its home state.
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
REVIEW BY STAFF
Index No.
:
Calendar No.
:
JUDICIAL SUBPOENA
After an application is received by this Division, it will be reviewed and you will be notified in writing of any
Plaintiff(s)
deficiencies within 30 days.
-against-
:
Depending upon the information filed in the application and at the discretion of the staff, additional information may
:
be requested.
:
LAW AND RULES AVAILABLE
Defendant(s)
:
Copies .of .the Wisconsin . . . . . . . Securities .Law . . . .Rules. of. the.Division .will be provided to you after your initial
. . . . . . . . . . . . . . Uniform . . . . . . . . . . and . . . . . . . . . . . .
filing. Additional copies are available from this Division at a cost of $8 per set. The statutes and rules are also
available via our Investment Adviser Guide on the Department of Financial Institutions website (see below).
THE PEOPLE OF THE STATE OF INVESTMENT ADVISER GUIDE
ONLINE NEW YORK
The Division has provided an Investment Adviser Guide with detailed information about applying for a license and
TO
the regulation of state investment advisers in Wisconsin. This interactive guide includes access to all necessary
forms in .pdf format for downloading as well as links to statute and rule citations relating to investment advisers.
Most of your questions will likely be answered by using the Guide.
GREETINGS:
GoWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
to: www.wdfi.org/fi/securities/licensing/iaguide/default.htm
the Honorable
at the
Court
If, after consulting the Guide, you still have any additional questions concerning Wisconsin investment adviser
located at
County of
licensing requirements, feel free to call (608) 266-2139.
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
NOTICE FILING SECTION
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
FEDERAL COVERED ADVISER
NOTICE FILING REQUIREMENT
Witness, Honorable
Court in
County,
day of
, one of the Justices of the
, 20
An investment adviser that is only required to be registered with the US Securities & Exchange Commission, here
after referred to as a federal covered advis er, is still required to make an annual notice filing with the Division if the
adviser conducts business with clients who are residents of Wisconsin, unless during the previous twelve month
period, the adviser had no place of business in Wisconsin and had fewer (Attorney must sign above and The notice filing
than 6 clients in this state. type name below)
consists of filing an electronic copy of the adviser’s Form ADV Part I and all amendments with the Web IARD along
with the filing fee of $200.
Attorney(s) for
INVESTMENT ADVISER REPRESENTATIVES LOCATED
IN WISCONSIN MUST BE LICENSED
Any person who acts as an investment adviser representative, as that term is defined by the Investment Advisers
Office and P.O. Address
Act of 1940 and associated rules, for a federal covered adviser required to make a notice filing with the Division and
who has a place of business in Wisconsin must be licensed as an investment adviser representative. An individual
becomes licensed by submitting the FORM U electronically via the CRD, along with the appropriate fees as
-4
outlined in Item 4 below and by meeting the examination requirements listed below. No.: U-4 and the investment
Telephone Form
adviser representative filing fee are not required for a sole proprietor, although the examination requirements are
Facsimile No.:
applicable.
E-Mail Address:
Mobile Tel. No.:
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,
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
BRANCH OFFICES IN WISCONSIN
:
Index No.
Calendar No.
A federal covered adviser who maintains a place of business in Wisconsin as defined in the Investment Advisers
:
JUDICIAL SUBPOENA
Act of 1940 and associated rules must file a notice listing the address, area code and telephone number, number of
Plaintiff(s)
representatives, date of opening, and the name of the on-site manager of each location along with the filing fee of $30
-against:
per location.
:
SUMMARY OF WISCONSIN INVESTMENT ADVISER
NOTICE FILING REQUIREMENTS
:
All federal covered advisers making a notice filing with the Division must:
Defendant(s)
:
......................................................
1.
2.
File with the IARD an electronic copy of the firm’s current Form ADV Part I reflecting all amendments.
File with the CRD a completed FORM U-4 for each investment adviser representative with a place of
business in Wisconsin. Each investment adviser representative applicant must successfully complete
THE PEOPLE OF THE STATE OF NEW YORK of the Series 7 and 66 examinations unless evidence is
the Series 65 examination or a combination
presented allowing waiver of the examination, pursuant to s. DFI-Sec 5.01(4), Wis. Adm. Code.
3. File directly with this Division a listing of each office located in Wisconsin, if any, at which the federal
TO
covered adviser will regularly conduct advisory business with clients. The listing shall contain the
address, telephone number, number of representatives at that location, date of opening, and the name
of the on-site supervisory contact.
4. Attach a check made payable to the Department of Financial Institutions, in an amount sufficient to
GREETINGS:
cover the $30 filing fee for each branch office located in Wisconsin, as prescribed by §551.52(2), Wis.
Stats.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
DFI/DOS/IAP(R08/02)
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
STATE OF WISCONSIN
:
§551.32(1)(b), Wis. Stats. and 5.01(2), Wis. Adm. Code
DEPARTMENT OF FINANCIAL INSTITUTIONS
DIVISION OF SECURITIES
:
Plaintiff(s)
-against-
:
:
Index No.
Calendar No.
th
345 West Washington Ave., 4 Fl.
PO Box 1768
JUDICIAL SUBPOENA
Madison, WI 53701-1768
(608) 266-3693
TTY: (608) 266-8818
Internet: www.wdfi.org
:
WISCONSIN INVESTMENT ADVISORY ACTIVITY OF APPLICANT
:
Pursuant to §551.31(3), Wis. Stats., it is unlawful for any person to transact business in Wisconsin as an investment
adviser unless so licensed or licensed as a broker-dealer whose activities in Wisconsin include investment advisory
Defendant(s)
:
services. under .§551, Wis.. Stats.,. except that . . . . . . . . . not.required under. any the following circumstances:
. . . . . . . . . . . . . . . . . . . . . . . . . . licensing is . . . . . . . . . . . . .
1.
The person effects transactions or provides investment advice in this state exclusively for the account
of persons specified in s. 551.23(8), Wis. Stats.
2. The personTHEno place of business YORK
THE PEOPLE OF has STATE OF NEW in Wisconsin and in the last twelve months has had fewer than 6
clients in Wisconsin.
3. The person is now, or was at the time of the transactions in question, a federal covered adviser and not
TO
subject to state licensing requirements.
The fact that a person may have transacted business as an investment adviser in Wisconsin in violation of
§551.31(3), Wis. Stats., does not mean that a person’s Wisconsin license application will automatically be denied.
GREETINGS:
As part of the Wisconsin Investment Adviser License Application, the applicant must respond as to whether or not
the applicant WE COMMAND YOU, that all business and excuses being laid aside, you and each of youTo
has engaged in investment advisory business in Wisconsin without being properly licensed. attend before
,
the Honorable
at the
Court
facilitate your response, please complete the questionnaire below and return the completed form to this Division.
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
❒ NO, this to testify and now transacting a witness in this action investment advisory
or adjourned date, applicant is notgive evidence as and has never transacted on the part of the business in
Wisconsin.
❒
YES, this applicant has transacted investment advisory business in Wisconsin prior to this application.
(Do not include services performed subpoena is punishable the a contempt of registered as a federal you liable to
Your failure to comply with this during any period when as applicant was court and will make
the party covered adviser andthis subject to state regulation.) a maximum penalty of $50 and all damages sustained as a
on whose behalf not subpoena was issued for
result of your failure to comply.
If yes, list all transactions effected in Wisconsin:
Witness, Honorable
Name & Address
Date of
Court in
County,
of Customer
Transaction
Description of
day of
Transaction
Date of Client
,Agreement
20
, of
Nameone of the Justices of the
Total Advisory
IA Rep
Fees Charged
____________________________________________________________________________________________
(Attorney must sign above and type name below)
____________________________________________________________________________________________
____________________________________________________________________________________________
(Attach additional pages if space provided is insufficient.)
Attorney(s) for
____________________________________________________________________________________________
Name of Applicant
_________________________________________________________ Office and P.O. Address
______________________________
Firm’s Authorized Signatory
Date
____________________________________________________________________________________________
Telephone No.:
Typed Name and Title of Signatory
Facsimile No.:
This document can be made available in alternate formats upon request to qualifying
E-Mail Address:
individuals with disabilities.
Mobile Tel. No.:
DFI/DOS/IAAA(WI)(R09/00)
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
STATE OF WISCONSIN
:
§551.32(1)(b), Wis. Stats. and 5.01(2), Wis. Adm. Code
Index No.
DEPARTMENT OF FINANCIAL INSTITUTIONS
DIVISION OF SECURITIES :
Calendar No.
th
Plaintiff(s)
-against-
:
:
:
345 West Washington Ave., 4 Fl.
PO Box 1768
JUDICIAL SUBPOENA
Madison, WI 53701-1768
(608) 266-3693
TTY: (608) 266-8818
Internet: www.wdfi.org
INVESTMENT ADVISER DESIGNATION OF SUPERVISOR
:
Pursuant to s. DFI-Sec 5.07(7), Wis. Adm. Code, every licensed investment adviser shall employ at its principal
Defendant(s)
office or designated office of supervision in accordance with s. DFI-Sec :5.03(1), Wis. Adm. Code, at least one
......................................................
person designated in writing to the administrator to act in a supervisory capacity who is licensed as an investment
adviser representative in this state and has satisfied the examination requirement in s. DFI-Sec 5.01(5).
FIRM INFORMATION
THE PEOPLE OF THE STATE OF NEW YORK
FIRM’S NAME: ______________________________________________________________________________
TO
FIRM’S ADDRESS ___________________________________________________________________________
___________________________________________________________________________
GREETINGS:
DESIGNATED SUPERVISOR INFORMATION
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
If the firm wishes to designate more than one supervisor, submit one form for each supervisor designated.
the Honorable
at the
Court
,
located at
County of
NAME OF DESIGNATED SUPERVISOR: _________________________________________________________
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, DESIGNATEDgive evidence as a witness in this action on the part of the
to testify and SUPERVISOR:
HOME ADDRESS OF
____________________________________________
____________________________________________
Your failure EMPLOYMENT:
ADDRESS OF OFFICE OFto comply with this subpoena is punishable as a contempt of court and will make you liable to
___________________________________________________
thebe Principal or Designatedthis subpoena was issued for a maximum penalty of $50 and all damages sustained as a
party on whose behalf Office)
(Must
result of your failure to comply.
___________________________________________________
DATE QUALIFIED/PENDING IN WISCONSIN: __________________________________________
Witness, Honorable
, one of the Justices of the
Court in
County,
day of
, 20
THIS FORM IS TO BE SIGNED BY ANY OFFICER OF THE FIRM
(Attorney must sign above and type name below)
___________________________________________________________________________________
TYPED NAME AND TITLE OF SIGNATORY
_________________________________________________
SIGNATURE
______________________________
Attorney(s) for
DATE
This Division is to be notified within 10 days of any change in designated supervisor. Failure to do so will be cause
for a delinquent filing fee of $100 pursuant to s. DFI-Sec 7.01(7)(g), Wis. Adm. Code. (Please refer to s. DFI
Office and P.O. Address
5.04(4), Wis. Adm. Code.)
This document can be made available in alternate formats upon request to qualifying
Telephone No.:
individuals with disabilities.
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
DFI/DOS/IADS(WI)(R09/00)
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
STATE OF WISCONSIN
:
§551.32(1)(b), Wis. Stats. and 5.01(2), Wis. Adm. Code
Index No.
DEPARTMENT OF FINANCIAL INSTITUTIONS
DIVISION OF SECURITIES :
Calendar No.
Plaintiff(s)
-against-
:
th
345 JUDICIAL SUBPOENA
West Washington Ave., 4 Fl.
PO Box 1768
:
Madison, WI 53701-1768
(608) 266-3693
:
TTY: (608) 266-8818
Internet: www.wdfi.org
:
Defendant(s)
FINANCIAL CERTIFICATION
:
......................................................
Pursuant to s. DFI-Sec 5.02, Wis. Adm. Code, every investment adviser whose principal office is located in
Wisconsin and that collects advisory fees of $500 or more, six months or more in advance shall maintain a positive
net THE PEOPLE OF THE STATE OF NEW YORKcustody of client funds or securities, a $35,000 net capital
worth at all times. If the investment adviser will have
must be maintained. This shall be in the form of cash, securities or other liquid assets. If the investment adviser is
TO
an individual, the capital used to meet the net capital requirement must be segregated from the individual’s personal
assets and used solely for the business for which the adviser is licensed.
GREETINGS:
FIRM’S NAME: _____________________________________________________________________________
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
_________________________________________________________________________
,
at the
Court
located at
County of
_________________________________________________________________________
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
FIRM’S ADDRESS:
the Honorable
I, the undersigned, do hereby certify that the above mentioned firm has and will continue to maintain at all times, the
net capital sufficient to meet the requirement in s. DFI-Sec 5.02, Wis. Adm. Code.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoenastatements arefor a to the best ofpenalty ofand knowledge.
I further certify that the accompanying financial was issued true maximum my belief $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
, one of the Justices of the
___________________________________________________________________________________________
Court in
day of
, 20
Typed Name and Title of anCounty,of the Company
Officer
_________________________________________________________ (Attorney must sign above and type name below)
_______________________________
Signature
Date
Attorney(s) for
This document can be made available in alternate formats upon request to
qualifying individuals with disabilities.
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
DFI/DOS/IAFC(WI)(R09/00)
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
STATE OF WISCONSIN
:
§551.32(1)(b), Wis. Stats. and 5.01(2), Wis. Adm. Code
Index No.
DEPARTMENT OF FINANCIAL INSTITUTIONS
DIVISION OF SECURITIES :
Calendar No.
Plaintiff(s)
-against-
:
:
:
th
345 West Washington Ave., 4 Fl.
JUDICIAL SUBPOENA
PO Box 1768
Madison, WI 53701-1768
(608) 266-3693
TTY: (608) 266-8818
Internet: www.wdfi.org
:
INVESTMENT ADVISER UNDERSTANDING OF SUPERVISORY
Defendant(s)
:
. RESPONSIBILITIES. REGARDING. WISCONSIN .UNIFORM SECURITIES LAW
.................... ............. ............. ....
AND ADMINISTRATIVE CODE
The applicant understands that pursuant to s. DFI-Sec 5.05(1), Wis. Adm. Code, it shall establish and keep current a
set THE PEOPLE OF THE STATE OF NEW YORK
of written supervisory procedures and a system for applying such procedures, which may be reasonably expected
to prevent and detect any violations of §551, Wis. Stats., and rules and orders under this chapter. The procedures
shall include the designation, by name or title, of a number of supervisory employees reasonable in relation to the
TO
number of licensed representatives, offices, and transactions in this state. A complete set of the procedures and
system for applying them shall be kept and maintained at the principal or designated office and every Wisconsin
branch office. The applicant’s procedures must be structured to ensure compliance with all requirements of
Wisconsin Law that are applicable to the type of business transacted by the applicant. The following are some (but
GREETINGS:
not all) of the sections of Wisconsin Law that must be addressed in the applicant’s procedures.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
1.
§551.44, Wis. Stats. It is unlawful for any person who receives any consideration from another person for
,
the Honorable
at the
Court
advising the other person as to the value of securities or their purchase or sale, whether through the issuance of
County of reports or otherwise, inlocated at to employ any device, scheme or artifice to defraud the other
analyses or
this state,
in room or engage in on the practice or course of business whichat
, any act,
day of
, 20
, operates or would in the as a noon, or deceit recessed
o'clock operate
person;
fraud and at any
or adjourned date, to testify and give evidence as a witness in this action on the part of the
upon the other person.
2.
§551.31(3), Wis. Stats. It is unlawful for any person to transact business in this state as an investment adviser
unless so licensed or unless licensed as a broker-dealer under this chapter, except that licensing is not required
Your failure circumstances:
under any the followingto comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of a. The person comply.transactions or provides investment advice in this state exclusively for the
your failure to effects
account of persons specified in §551.23(8)(a) thru (f), Wis. Stats.
Witness, Honorable
, one of the Justices of the
The person has no place of business in Wisconsin and in the last twelve months has had fewer than
Court in
day of
, 20
6 clients inCounty,
Wisconsin.
b.
c.
The person is a federal covered adviser and not subject to state licensing requirements.
(Attorney must sign above and type name below)
Representatives must be licensed pursuant to §551.32(4), Wis. Stats. and s. DFI-Sec 5.01(3), Wis. Adm. Code.
3.
S. DFI-Sec 5.05(5), Wis. Adm. Code. No licensed investment adviser whose principal office is located in
Wisconsin may enter into, extend or renew any investment advisory contract with for
Attorney(s) a customer in this state unless
the contract is in writing and a copy of the contract is given to the customer within 20 days after the execution of
the contract.
4.
S. DFI-Sec 5.05(8), Wis. Adm. Code. Each investment adviser shall provide to each of its customers a written
brochure or other document meeting the requirements of rule 204-3 Officethe Investment Adviser Act of 1940
under and P.O. Address
relating to its business and activities.
5.
S. DFI-Sec 5.06(1), Wis. Adm. Code. Exercising any discretionary power in placing an order for the purchase
Telephone No.:
or sale of securities for the account of a customer without first obtaining written discretionary authority from the
Facsimile No.:
customer unless and discretionary power relates solely to the price at which, or the time when, an order
involving a definite amount of a specified security shall be executed, E-Mail Address:
or both.
Mobile Tel. No.:
DFI/DOS/IAUSR(WI)(R09/00)
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
6. S. DFI-Sec 5.06(3), Wis. Adm. Code. Inducing trading in a customer’s account that is excessive in size or
:
Index No.
§551.32(1)(b), Wis. Stats. and 5.01(2), Wis. Adm. Code
frequency in view of the financial resources and character of the account.
:
7.
Calendar No.
S. DFI-Sec 5.06(4), Wis. Adm. Code. Recommending to a customer the purchase, sale or exchange of any
security without reasonable grounds to believe that the recommendation: is suitable for the customer on the basis
JUDICIAL SUBPOENA
Plaintiff(s)
of information furnished by the customer after reasonable inquiry concerning the customer’s investment
objectives, financial situation-against- and any other information known by the investment adviser.
and needs,
:
8.
S. DFI-Sec 5.06(5), Wis. Adm. Code. Placing an order to purchase or sell a security for the account of a
:
customer without the authority to do so (when discretionary power is not granted, in writing, by the investment
advisory client).
:
9.
S. DFI-Sec 5.06(6), Wis. Adm. Code. Borrowing money or securities from, or lending money or securities to, a
Defendant(s)
:
. customer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.......
10. S. DFI-Sec 5.06(8), Wis. Adm. Code. Placing an order for the purchase or sale of a security if the security is not
registered or the security or transaction is not exempt from registration under ch. 551, Wis. Stats.
THE PEOPLE OF THE STATE OF NEW YORK
11. S. DFI-Sec 5.06(9), Wis. Adm. Code. Placing an order to purchase or sell a security for a customer through a
broker-dealer or agent not licensed under ch. 551, Wis. Stats., unless the customer is a person referenced in
TO
§551.2(8)(a) thru (f), Wis. Stats.
12. S. DFI-Sec 5.06(10), Wis. Adm. Code. Recommending to a customer that the customer engage the services of a
broker-dealer, agent, or investment adviser not licensed under ch. 551, Wis. Stats., unless the customer is a
person described
GREETINGS: in §551.23(8)(a) thru (f), Wis. Stats. or unless the investment adviser is a federal covered
adviser or is exempt from the licensing requirement in Wisconsin.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Failure to maintain an adequate supervisory system may result in formal action against the firm.
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or undersigned, do certify that I have read and understand the supervisory on the part of the forth above,
adjourned date, to testify and give evidence as a witness in this action responsibilities set
I, the
and that the firm and its licensed representatives will take the necessary steps to ensure compliance with the
above-referenced sections and the remainder of the Wisconsin Uniform Securities Law and Administrative
Code.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Name of Firm: ________________________________________________________________________
Witness, Honorable
, one of the Justices of the
____________________________________________________________________________________
Court in
County,
day of
, 20
Typed Name and Title of an Officer Other Than The Supervisor
_________________________________________________
Signature
________________________________
Date (Attorney must sign above and type name below)
___________________________________________________________________________________
Typed Name and Title of Designated Wisconsin Supervisor
Attorney(s) for
________________________________________________
Signature
________________________________
Date
Office and P.O. Address
This document can be made available in alternate formats upon request to
qualifying individuals with disabilities.
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
DFI/DOS/IAUSR(WI)(R09/00)
2 of 2
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