Get Electronic Issuer Company Related Action Notificatoin Form

This guide provides a straightforward approach to completing the Electronic Issuer Company Related Action Notification Form online. With clear instructions and helpful insights, users will be able to navigate each section of the form effectively.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the Electronic Issuer Company Related Action Notification Form and open it for editing.
2. Begin by providing company information, including 'Company Name' and 'Company Address.' Ensure that the address includes the street, city, state, and zip code. Mandatory fields are marked with an asterisk.
3. Indicate whether the company is required to file reports under Section 13 or 15(d) of the Exchange Act by selecting 'Yes' or 'No.'
4. Next, specify the country and state of incorporation, as well as the date of incorporation. Also, confirm whether the company is in 'Good Standing' in its state of incorporation.
5. Provide contact information for communications regarding the Company-Related Action. Input the first name, last name, title, telephone number, and email of the contact person.
6. List company officers and directors by entering their names, titles, and dates of appointment. You can add additional officers as needed.
7. Answer questions regarding any pending regulatory actions against officers or directors.
8. Next, fill in the transfer agency contact information, including the name, address, email, and telephone number of the agency representative.
9. Provide issuer security information, including the current issue symbol and CUSIP. Select the type of corporate actions applicable to the entity.
10. For dividend distribution, specify the type, record date, payment date, and amount per share. Indicate how often dividends are distributed.
11. Attach required documentation as specified for company-related actions and check off any additional required fields.
12. Finally, authorize the submission of the form by entering your printed name and the date to certify the accuracy of the information provided.
13. Once all sections are completed, review the form for accuracy. You can save changes, download, print, or share the completed form as needed.

Complete your Electronic Issuer Company Related Action Notification Form online today to ensure timely processing!