Free Form X-17A-19 - Federal


File Size: 214.9 kB
Pages: 2
Date: September 17, 2008
File Format: PDF
State: Federal
Category: Government
Author: Report of Change in Membership Status
Word Count: 322 Words, 4,374 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://sec.gov/about/forms/formx-17a-19.pdf

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

OMB APPROVAL OMB Number: 3235-0133 Expires: December 31, 2008 Estimated average burden hours per response......... 0.25

FORM X-17A-19
INFORMATION REQUIRED OF NATIONAL SECURITIES EXCHANGES AND REGISTERED NATIONAL SECURITIES ASSOCIATIONS PURSUANT TO SECTIONS 17 AND 19 OF THE SECURITIES EXCHANGE ACT OF 1934 AND RULE 17a-19 THEREUNDER REPORT OF CHANGE IN MEMBERSHIP STATUS 1. Identifytheself-regulatoryorganizationfilingthisreport. AMEX (a) (d) BSE CBOE CSE CHX (b) (e) ISE NASD NYSE (c) (f) PCX PHLX 2. Thechangeinmembershipwiththereportingself-regulatoryorganizationis: NewMembership ReinstatementfromSuspension TerminationofMembership Change of Address SuspensionofMembership OtherChangeinMembershipStatus

If(b),(c),(d)or(f)giveabriefdescriptionofthecircumstances___________________________________________________ _______________________________________________________________________________________________________ 3. Providethefollowinginformationconcerningthesubject. PresentStatus:(a)thru(d) Tobechangedto(a)thru(d) (a)Name_______________________________________ (b) Corporation LLC Partnership SoleProprietor -Other___________________

(a)Name_____________________________________ (b) Corporation LLC Partnership SoleProprietor -Other___________________



(c)SECFileNo._______________________________ (d)PrincipalPlaceofBusiness:
(Number and Street)

(c)SECFileNo._______________________________ (d)PrincipalPlaceofBusiness: _____________________________________________ _____________________________________________
(Number and Street) (City)(State)(ZipCode)

_____________________________________________ _____________________________________________
(City)(State)(ZipCode)

4. Thesubjectisalsoamemberofthe: AMEX BSE CBOE

CSE

CHX

ISE

NASD

NYSE

PCX

PHLX

5. TheexaminingauthorityandSIPCcollectionagentpriortothischangeinmembershipstatusis: AMEX BSE CBOE CSE CHX ISE NASD NYSE PCX PHLX

6. Nameofpersoncompletingreport_______________________________Title__________________________________ TelephoneNo______________________Signature_________________________________
RESERVED FOR SEC ACTION

Effective Date ofChange____________

(ADVISE BROKER-DEALER OF ITS OBLIGATION TO AMEND ITS FORM BD OR FILE FORM BDW)

Examining Authority Not Changed

ExaminingAuthorityChangedFrom_______________to_______________

Signature__________________________________________________________Date__________________________

INSTRUCTIONS ON BACK
SEC1414 (09-08)
Persons who are to 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.

GENERAL INSTRUCTIONS

FORM X-17A-19
1. ThisFormshallbecompletedandfiledwithin5businessdaysoftheoccurrenceofoneormoreofthechangesinmembership statuslistedinItem2and/or3onthisFormorpromptlyuponlearningthatsuchchangeswilloccur.Iftheinformationfirstbecomes availableafterthechangeinmembershipstatushasoccurred,theFormshallbecompletedandfiledpromptly. 2. Original-Mailto: U.S.SecuritiesandExchangeCommission Division of Market Regulation 100 F Street, N.E. Washington, D.C. 20549-6628



CopyNo.1-Mailto:

SecuritiesInvestorProtectionCorporation 805 15th Street, N.W., Suite 800 Washington, D.C. 20005 Retainforyourfiles.



CopyNo.2:



3. TheoriginalfiledwiththeSecuritiesandExchangeCommissionandthecopyfiledwiththeSecuritiesInvestorProtectionCorporation shallbeexecutedwithamanualsignaturebyadulyauthorizedofficialofthenationalsecuritiesexchangeorregisteredsecurities association (self-regulatory organization). 4. IfthespaceprovidedintheFormforananswertoanyItemisinsufficient,theanswermaybeprintedortypedonaseparateinsert pageorpageswhichshallbeincorporatedintothestatementbyreferencetheretointhespaceprovidedfortheItem. 5. IfanyItemoftheFormisinapplicable,astatementtothateffectshallbemadefollowingtheItem. 6. Changeofmember'saddressisrequiredtobereportedonlybytheexaminingauthority. 7. CopiesofthisFormmaybeobtainedfromthemainofficeoftheSecuritiesandExchangeCommissioninWashington,D.C. 8. TheSecuritiesandExchangeCommissionwilluseacopyofthisFormtonotifySecuritiesInvestorProtectionCorporationandthe affected self-regulatory organizations of any action that is taken.

(ADVISE BROKER-DEALER OF ITS OBLIGATION TO AMEND ITS FORM BD OR FILE FORM BDW)