Free Form N-17f-1 - Federal


File Size: 179.9 kB
Pages: 2
Date: March 25, 2009
File Format: PDF
State: Federal
Category: Government
Author: US SEC
Word Count: 191 Words, 3,081 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://sec.gov/about/forms/formn-17f-1.pdf

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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549




FORM N-17f-1

C ertificateofAccountingofSecuritiesandSimilar I nvestmentsofaManagementInvestmentCompany intheCustodyofMembersof NationalSecuritiesExchanges PursuanttoRule17f-1[17CFR270.17f-1]
1.InvestmentCompanyActFileNumber: 8112.StateidentificationNumber: AL CT ID LA MS NJ OK TN WV Other(specify): AK DE IL ME MO NM OR TX WI AZ DC IN MD MT NY PA UT WY AR FL IA MA NE NC RI VT PUERTORICO CA GA KS MI NV ND SC VA

OMB APPROVAL OMB Number: 3235-0359 Expires: March 31, 2012 Estimated average burden hours per response. . . . . .1.5

Dateexaminationcompleted:

CO HI KY MN NH OH SD WA

3.Exactnameofinvestmentcompanyasspecifiedinregistrationstatement:

4. Addressofprincipalexecutiveoffice(number,street,city,state,zipcode):

INSTRUCTIONS
ThisFormmustbecompletedbyinvestmentcompaniesthatplaceormaintainsecuritiesorsimilarinvestmentsinthecustodyofacompanythatisa memberofanationalsecuritiesexchange. Investment Company 1. Allitemsmustbecompletedbytheinvestmentcompany. 2. GivethisFormtotheindependentpublicaccountantwho,incompliancewithRule17f-1undertheActandapplicablestatelaw,examinessecurities andsimilarinvestmentsinthecustodyofacompanythatisamemberofanationalsecuritiesexchange. Accountant 3. SubmitthisFormtotheSecuritiesandExchangeCommissionandappropriatestatesecuritiesadministratorswhenfilingthecertificateofaccounting requiredbyRule17f-1undertheActandapplicablestatelaw.FiletheoriginalandonecopywiththeSecuritiesandExchangeCommission'sprincipal officeinWashington,D.C.,onecopywiththeregionalofficefortheregioninwhichtheinvestmentcompany'sprincipalbusinessoperationsare conducted,andonecopywiththeappropriatestateadministrator(s),ifapplicable. THIS FORM MUST BE GIVEN TO YOUR INDEPENDENT PUBLIC ACCOUNTANT

SEC 2205 (11-03)

SEC's Collection of Information Anagencymaynotconductorsponsor,andapersonisnotrequiredtorespondto,acollectionofinformationunlessitdisplaysacurrentlyvalidOMB controlnumber.FilingofFormN-17f-1ismandatoryforaninvestmentcompanythatmaintainssecuritiesorsimilarinvestmentsinthecustodyofa memberofaNationalSecuritiesExchange.Rule17f-1undersection17(f)oftheInvestmentCompanyActof1940requirestheinvestmentcompanyto retainanindependentpublicaccountanttoverifythecompany'ssecuritiesandsimilarinvestmentsbyactualexaminationthreetimesduringeachfiscal year.Theaccountantmustprepareacertificatestatingthattheexaminationhasoccurredanddescribingtheexamination,andmusttransmitthecertificate totheCommissionwithFormN-17f-1asacoversheet.TheCommissionusestheFormtoensurethatthecertificateisproperlyattributedtotheinvestment company.TheCommissionestimatesthattheburdenofcompletingFormN-17f-1isapproximately0.16hoursperfiling.Anymemberofthepublicmay directtotheCommissionanycommentsconcerningtheaccuracyoftheburdenestimateofthisForm,andanysuggestionsforreducingtheburdenofthe Form.ThiscollectionofinformationhasbeenreviewedbytheOfficeofManagementandBudgetinaccordancewiththeclearancerequirementsof44 U.S.C.ยง3507.Responsestothiscollectionofinformationwillnotbekeptconfidential.

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