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Form N-17F-1 Certificate Of Accounting Of Securities And Similar Investments (SEC2205) N-17F-1 - Official Federal Forms
| Form N-17F-1 Certificate Of Accounting Of Securities And Similar Investments (SEC2205) Form. This is a national form and can be used in Securities And Exchange Commission . |
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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: December 31, 2014 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) American LegalNet, Inc. www.FormsWorkFlow.com 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. 2 American LegalNet, Inc. www.FormsWorkFlow.com
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