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Amended Ticket Distributor Registration TD-2A - New York
| Amended Ticket Distributor Registration Form. This is a New York form and can be used in Investor Protection And Securities Blue Sky Secretary Of State . |
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New York Form TD-2A (Rev. 1/97) STATE OF NEW YORK DEPARTMENT OF LAW BUREAU OF INVESTOR PROTECTION AND SECURITIES 120 BROADWAY NEW YORK, NEW YORK 10271 Amendment No. AMENDED TICKET DISTRIBUTOR REGISTRATION Please print or type the following information. Attach additional sheets where space provided is inadequate. All changes or modifications in the information herein shall be reported, within 20 days of such change or modification, on an additional form TD-2A. ___________________________________________________________________________ (PLEASE TYPEWRITE OR PRINT) Name of theatre, stadium, garden, arena, etc. ___________________________________________________________________________ ___________________________________________________________________________ 1. List below all personnel added to the employ of the registrant since the original TD-1 registration form or the latest amendment thereto, which ever is applicable, was filed and set forth all information required below. __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ American LegalNet, Inc. www.USCourtForms.com 2. List names of persons no longer in registrant's employ and set forth all required information: __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ 3. State information listed below regarding above persons: Social Security Number/Date of Birth ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ Place and Date of Assignment _____________ _____________ _____________ _____________ _____________ _____________ _____________ _____________ _____________ _____________ Residence Address ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ Position _________ _________ _________ _________ _________ _________ _________ __________ __________ __________ American LegalNet, Inc. www.USCourtForms.com 4. Set forth the information required below for any of the above named persons who have been convicted of any crime relating to the sale of tickets to theatrical productions or sporting events or violations of Articles 23 or 25 of the Arts and Cultural Affairs Law (or prior law, Article 23-A and 26-A of the General Business Law); Name _______________________ _______________________ _______________________ _______________________ Crime Charged __________________ __________________ __________________ __________________ Date ___________ ___________ ___________ ___________ Court/State ___________ ___________ ___________ ___________ 5. Set forth information listed below regarding above named persons who have been the subject of an order of the Attorney General cancelling or suspending their name from any ticket distributor registration or any amendment thereto: Name of theatre, garden, arena etc. Cancellation or length of Suspension Name Date of Order ___________________ ___________ ______________________ ____________ ___________________ ___________ ______________________ ____________ ___________________ ___________ ______________________ ____________ ___________________ ___________ ______________________ ____________ DATED: FILED BY: ______________________________________________________________________ (SIGNED) (PRINT NAME AND POSITION) American LegalNet, Inc. www.USCourtForms.com
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