Filer - Add Form NF Mutual Fund Notice

* Indicates required field

State File Number:

This is an optional field for an in-state identifier for this Notice of Offering.

* CIK #:

* Notice To:

Select...

Issuer Information

Issuer Name:

Address:

Address:

City:

State:

Zip:

Filing Notice Type

* Indicates required field

* Mutual Fund Type:

Open-End Mutual Fund Closed-End Mutual Fund Face Amount Certificate Collective Trust

Notice Type:

Initial Amendment Renewal Terminate Withdrawal

Notice Subtype:

Sales Report Increase Dollar Amount Name Change Address Change Contact Change Exemption Other

Oversale Increase

Oversale Adjustment Date:

Other Note:

* Nature Of Changes:

* Previous Fund Name:

Previous Prospectus Name:

* Previous Portfolio Name:

* Previous Class Name:

Fund Details

* Indicates required field

* Fund Name:

Security Description:

Prospectus:

Portfolio(s):

Class(es):

* Fiscal Year End of Issuer:

Month:

Month January February March April May June July August September October November December

Day:

Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

N/A

Are all Securities described on this form offered in one prospectus?

Yes No

Filer Contact Information

* Indicates required field

* Contact Name:

Contact Title:

* Contact Firm:

* Contact Address:

Contact Address:

* Contact City:

* Contact State:

* Contact Zip:

* Contact Phone:

Contact FAX:

* Contact Email:

Registration Information

* Indicates required field

Broker Dealer:

BD CRD #:

Fed. Id #:

SEC Reg #:

* State of Incorporation:

Select...

* Notice Period Details

Begin and End are only required if "Notice Period:" is selected.

Notice Period:

Begin:

End:

The issuer elects to have its notice filing made effective upon filing.

The issuer elects to have its notice filing period begin with SEC Effectiveness and thereby agrees to provide the above state prompt notice of such effectiveness.

Offering Amount

* Amount Type:

Indefinite Definite

* Amount Offered:

Amount Offered:

* Exemption Filing:

Yes No

* Details:

* Net Assets:

Yes No

* Amount:

$ .00

Offering Amount Increase

For filings to increase the dollar amount of securities reported during the Notice Period provide the following (Enter "Indefinite" to convert from a definite offering to an indefinite offering):

Previous Amount:

$ .00

Amount of Increase:

$ .00

Cumulative Amount:

$ .00

Sales Report

Period Begin:

Period End:

Balance at Beginning of Period:

$ .00 N/A Indefinite

Additional Increases during:

$ .00 N/A Indefinite

Amount Available for Sale:

$ .00 N/A Indefinite

Sales During Period:

$ .00 N/A Indefinite

Unsold Balance at End of Period:

$ .00 N/A Indefinite

Previous Monies

The jurisdiction you have selected has a Maximum Fee for the notice's Effective Period configured for their submitted offerings. Please enter in the field provided any monies paid since the last Initial or Renewal notice filing for this particular jurisdiction through means outside of the EFD System and how it collects monies.

Monies Paid through EFD for this jurisdiction:

Monies Paid outside EFD:

$

Signatures

Signature Date:

Signature:

Title:

Consent to Service of Process

Filer understands and agrees that it is submitting a Form NF for Mutual Fund offerings to one or more States in compliance with state and federal regulatory requirements. Filer understands and agrees that by submitting this Form in the selected States the filer is obligated to comply with each of the selected States’ requirements governing consent to service of process and jurisdiction. Filer understands and agrees that for purposes of complying with the selected States’ laws, relating to either the registration or sale of securities, Filer hereby irrevocably appoints the officers of the States in which the Form was filed and their successors in such offices, its attorney in those States upon whom may be served any notice, process or pleading in any action or proceeding against it arising out of, or in connection with, the sale of securities or out of violation of the aforesaid laws of the States; and the Filer hereby consents that any such action or proceeding against it may be commenced in any court of competent jurisdiction and proper venue within the States in which the Form was filed by service of process upon the officers so designated with the same effect as if the undersigned was organized or created under the laws of that State and have been served lawfully with process in that State.

I accept and agree with the above statement.

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