Get Form 260103

Filling out the Form 260103 online is a straightforward process that provides essential information about exchange transactions or entity conversions. This guide will walk you through each component of the form to assist you in completing it accurately and efficiently.

Follow the steps to fill out the Form 260103 online

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. In the first section, provide the name of the acquiring or converting entity. Make sure to enter the full legal name as registered.
3. Next, in section 2(a), input the address of the acquiring or converting entity, including street, city, state, and zip code. Then complete 2(b) with the mailing address, if it differs from the physical address.
4. In section 2(c), enter the area code and telephone number for the acquiring or converting entity.
5. Proceed to section 3 to state the jurisdiction or state of incorporation of the acquiring or converting entity.
6. In section 4(a), provide the name of the entity that is being acquired or converted. Follow this with 4(b), stating the jurisdiction or state of incorporation of the entity being acquired.
7. Now, turn to section 5 to indicate the requirements that the exchange of securities meets by checking the corresponding box. Be sure to fill in any additional information if necessary.
8. In section 6, note the type of filing under the Securities Act of 1933 if applicable.
9. Fill in the date of notice in section 7. Then check the box if the acquiring or converting entity has a consent to service of process on file with the Commissioner.
10. Provide the authorized signature on behalf of the acquiring or converting entity, including the printed name and title of the signatory.
11. Finally, fill in the name, address, and phone number of the contact person for any inquiries related to this form.
12. Once you have completed all sections of the form, you can save your changes, download, print, or share the form as needed.

Start completing your Form 260103 online today!