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Wisconsin Investment Advisory Activity Of Applicant Form. This is a Wisconsin form and can be use in Blue Sky Secretary Of State.
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Tags: Wisconsin Investment Advisory Activity Of Applicant, IAAA, Wisconsin Secretary Of State, Blue Sky
§551.32(1)(b), Wis. Stats. and 5.01(2), Wis. Adm. Code
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . STATE .OF WISCONSIN . . . .
......... ..
..... ............
DEPARTMENT OF FINANCIAL INSTITUTIONS
:
Index No.
DIVISION OF SECURITIES
:
Plaintiff(s)
-against-
:
:
th
345 West Washington Ave., 4 Fl.
Calendar No.
PO Box 1768
Madison, WI 53701-1768
JUDICIAL SUBPOENA
(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
services under §551, Wis. Stats., except that licensing is not required under : the following circumstances:
any
Defendant(s)
......................................................
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 person has no place of business in Wisconsin and in the last twelve months has had fewer than 6
THE PEOPLE OF Wisconsin.
clients in THE STATE OF NEW YORK
3. The person is now, or was at the time of the transactions in question, a federal covered adviser and not
subject to state licensing requirements.
TO
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 applicantWE COMMAND YOU, that all business andin Wisconsin without beingyou and each of you To
has engaged in investment advisory business excuses being laid aside, properly licensed. attend before
facilitate your response, please complete the questionnaire below and return the completed form to this Division.
,
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
❒ NO, this applicant and give evidence as and has never transacted investment advisory
or adjourned date, to testify is not now transacting a witness in this action on the part of the business in
Wisconsin.
❒
YES, this applicant has transacted investment advisory business in Wisconsin prior to this application.
(Do failure to services performed during any punishable the contempt of registered will make
Yournot include comply with this subpoena is period when as aapplicant was court and as a federalyou liable to
covered adviser and not subject to was issued for
the party on whose behalf this subpoena state regulation.) a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
If yes, list all transactions effected in Wisconsin:
Witness, Honorable
Name & Address
Date of
of Customer
Transaction
Court in
County,
Description of
Transaction
day of
Date of Client
, Agreement
20
, one
Name of 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.:
E-Mail request
This document can be made available in alternate formats uponAddress:to qualifying
individuals with disabilities.
Mobile Tel. No.:
DFI/DOS/IAAA(WI)(R09/00)
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