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Form F-X Appointment Of Agent For Service Of Process And Undertaking (SEC2288) F-X - Official Federal Forms
| Form F-X Appointment Of Agent For Service Of Process And Undertaking (SEC2288) Form. This is a national form and can be used in Securities And Exchange Commission . |
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You may not send a completed printout of this form to the SEC to satisfy a filing obligation. You can only satisfy an SEC filing obligation by submitting the information required by this form to the SEC in electronic format online at https://www.onlineforms.edgarfiling.sec.gov. UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 OMB APPROVAL OMB Number: 3235-0379 Expires: April 30, 2015 Estimated average burden hours per response ......... 2.0 FORM F-X APPOINTMENT OFAGENT FOR SERVICE OF PROCESS AND UNDERTAKING GENERAL INSTRUCTIONS I. Form F-X shall be filed with the Commission: (a) By any issuer registering securities on Form F-8, F-10 or F-80 under the Securities Act of 1933; (b) By any issuer registering securities on Form 40-F under the Securities Exchange Act of 1934; (c) By any issuer filing a periodic report on Form 40-F, if it has not previously filed a Form F-X in connection with the class of securities in relation to which the obligation to file a report on Form 40-F arises; (d) By any issuer or other non-U.S. person filing tender of fer documents on Schedule 13E-4F 14D-1F or 14D, 9F; (e) By any non-U.S. person acting as trustee with respect to securities registered on Form F-7, F-8, F-10, F-80; (f) By a Canadian issuer qualifying an offering statement pursuant to the provisions of Regulation A; and (g) By any non-U.S. issuer providing Form CB to the Commission in connection with a tender offer, right soffering or business combination. A Form F-X filed in connection with any other Commission form should no be bound together with or be included only as an exhibit to, such other form. II. Six copies of the Form F-X, one of which must be manually signed, shall be filed with the Commission as its principal office. A. Name of issuer or person filing ("Filer"): B. (1) This is [check one] an original filing for the Filer an amended filing for the Filer (2) Check the following box if you are filing the Form F-X in paper in accordance with Regulation S-T Rule 101(b)(9) Note: Regulation S-T Rule 101(b)(9) only permits the filing of the Form F-X in paper: (a) if the party filing or submitting the Form CB is not subject to the reporting requirements of Section 13 or 15(d) of the Exchange Act; or (b) if filed by a Canadian issuer when qualifying an offering statement pursuant to the provisions of Regulation A (230.251 - 230.263 of this chapter). SEC 2288 (2-08) Persons who 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. 1 American LegalNet, Inc. www.FormsWorkFlow.com (3) A filer may also file the Form F-X in paper under a hardship exemption provided by Regulation S-T Rule 201 or 202 (17 CFR 232.201 or 232.202). When submitting the Form F-X in paper under a hardship exemption, a filer must provide the legend required by Regulation S-T Rule 201(a)(2) or 202(c) (17 CFR 232.201(a)(2) or 232.202(c)) on the cover page of the Form F-X. C. Identify the filing in conjunction with which this Form is being filed: Name of registrant _____________________________________________________ Form type ______________________________________________________ File Number (if known) ______________________________________________________ Filed by ______________________________________________________ Date Filed (if filed concurrently , so indicate) _________________________________ D. The Filer is incorporated or organized under the laws of (Name of the jurisdiction under whose laws the issuer is organized or incorporated ______________________________ and has its principal place of business at (Address in full and telephone number) ______________________________________________________________ ______________________________________________________________ E. The Filer designates and appoints (Name of United States person serving as agent) _______________________________ ("Agent") located at (Address in full in the United States and telephone number)__________________________________________________________ _____________________________________________________________ as the agent of the Filer upon whom may be served any process, pleadings, subpoenas, or other papers in (a) any investigation or administrative proceeding conducted by the Commission; and (b) any civil suit or action brought against the Filer or to which the Filer has been joined as defendant or respondent, in any appropriate court in any place subject to the jurisdiction of any state or of the United States or of any of its territories or possessions or of the District of Columbia, where the investigation, proceeding or cause of action arises out of or relates to or concerns (i) any offering made or purported to be made in connec tion with the securities registered or qualified by the Filer on Form (Name of form) ___________________ on (Date) __________________ or any purchases or sales of any security in connection therewith; (ii) the securi ties in relation to which the obligation to file an annual report on Form 40-F arises, or any purchases or sales of such securities; (iii) any tender offer for the securities of a Canadian issuer with respect to which filings are made by the Filer with the Commission on Schedule 13E-4F, 14D-1F or 14D-9F; or (iv) the securities in relation to which the Filer acts as trustee pursuant to an exemption under Rule 10a-5 under the Trust Indenture Act of 1939. The Filer stipulates and agrees that any such civil suit or action or administrative proceeding may be commenced by the service of process upon, and that service of an administrative subpoena shall be effected by service upon such agent for service of process, and that service as aforesaid shall be taken and held in all courts and administrative tribunals to be valid and binding as if personal service thereof had been made. 2 American LegalNet, Inc. www.FormsWorkFlow.com F. Each person filing this Form in connection with: (a) the use of Form F-10, 40-F or Schedule 13E-4F 14D-1F or 14D-9F stipulates and agrees , to appoint a successor agent for service of process and file an amended Form F-X if the Filer discharges the Agent or the Agent is unwilling or unable to accept service on behalf of the Filer at any time until six years have elapsed from the date the issuer of the securities to which such Forms and Schedules relate has ceased reporting under the Exchange Act; (b) the use of Form F-8, Form F-80 or Form CBstipulates and ag
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