Get Calpers Placement Agent Information Disclosure Form August 2010

The Calpers Placement Agent Information Disclosure Form is essential for submitting necessary disclosures related to placement agent fees, gifts, and campaign contributions in connection with investment contracts. This guide will provide clear, step-by-step instructions to help you fill out the form accurately online.

Follow the steps to complete the form successfully.

1. Click the ‘Get Form’ button to obtain the form and open it for completion.
2. Begin by providing the name of the investment transaction or investment management contract with Calpers in the designated field.
3. Enter your firm name in the appropriate section.
4. Fill in the contact person's name along with their email address and phone number.
5. If applicable, state the name of the Calpers contact.
6. Answer the first question regarding compensation to any person acting as a placement agent, selecting 'Yes' or 'No' as appropriate.
7. Respond to the second question about whether the substantive amendment will benefit a placement agent, again choosing 'Yes' or 'No.'
8. If 'Yes' was selected for either question, continue completing the remaining sections of the form.
9. List the names and relationships of each officer, partner, or principal of the placement agent and attach their resumes detailing education, professional designations, regulatory licenses, and work experience.
10. Attach copies of any agreements related to the placement agent services and confirm the attachments by checking the provided box.
11. Describe any compensation related to placement agent services, providing specific dollar amounts related to the Calpers investment.
12. Detail the services to be performed by the placement agent, specifying if they are utilized for all or selected prospective clients.
13. List names of any current or former Calpers Board members, employees, or consultants involved in the decision to retain the placement agent.
14. Indicate if the placement agent or affiliates are registered with SEC, FINRA, or CFTC and provide details of such registrations.
15. Check if the placement agent or affiliates are registered as lobbyists and provide names along with the jurisdiction of their registration.
16. Review the execution section, ensuring all information is accurate before signing.
17. Finalize your form by saving changes, downloading it for your records, and printing or sharing as necessary.

Start completing your documents online today to ensure compliance with Calpers requirements.