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Notification Form - Bond Interest Payment - Official Federal Forms
| Notification Form - Bond Interest Payment Form. This is a national form and can be used in General Forms NASDAQ . |
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Notification: Bond Interest Payment NASDAQ will use the information in this Notification to determine an ex-payment date for the interest payment, which is the date on which the security will start trading without the right to receive the interest payment. NASDAQ will notify market participants about the interest payment and the ex-payment date. Please keep this in mind if public notice of the interest payment has not otherwise occurred. NASDAQ will provide an email confirmation of the ex-payment date ruling with respect to this Notification. Completed forms can be emailed to dividends@nasdaqomx.com or faxed to +1 866 601 9862. Please contact Corporate Data Operations Staff directly at +1 877 308 0523 with any questions. PART I: General Information COMPANY NAME CUSIP/CINS NUMBER TITLE OF SECURITY Please provide contacts for the purposes of processing this form. Primary Contact NAME TITLE/FIRM TELEPHONE EMAIL Secondary Contact BOND SYMBOL American LegalNet, Inc. www.FormsWorkFlow.com PART II: Bond Interest Payment Please provide the requested information, as appropriate. 1. Declaration Date: 2. Interest Payment per share: 3. Interest Payment is: Other* Monthly Quarterly Semi-annual Annual Special* Record Date: Payment Date: If this interest payment is classified as "special" or "other," please explain. Also, if the interest payment is a special payment, the company's public disclosure should indicate this fact. 4. Explain any conditions which must be met for this distribution to become effective (e.g., shareholder approval, government approval, SEC registration). Authorization NAME SIGNATURE DATE ©0DUFK 201, The NASDAQ OMX Group, Inc. All rights reserved. The NASDAQ Stock Market and NASDAQ are registered trademarks of The NASDAQ OMX Group, Inc. American LegalNet, Inc. www.FormsWorkFlow.com
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