Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
Applicant's CIK (if known)
OMB APPROVAL
OMB Number: 325-0328
Expires: May 31, 2001
Estimated average burden
hours per response: . .0.15
United States Securities
Securities and Exchange Commission
Washington, D.C. 20549
FORM ID
UNIFORM APPLICATION FOR ACCESS CODES TO FILE ON EDGAR
PART I — APPLICATION FOR ACCESS CODES TO FILE ON EDGAR
Exact Name of Registrant as specified in its charter or individual's name as used for signature purposes
Former Name (if changed since last application)
Mailing Address:
Street Address or Post Office Box No.
City
State
Zip
Applicant is a (see definitions in the General Instructions):
Filer
Filing Agent
Training Agent
Initial Application for EDGAR Access Codes.
If you are associated with another party which already has access codes to use EDGAR, and if you want to use the same PMAC as the associated party, please write the CIK of the associated party on the following line:
Do you want a Filer Manual?: Yes No
Amended Application for (see definitions in the General Instructions):
CCC
Password
PMAC
Amended application to change reported information only (access codes to remain the same)
PART II — FILER INFORMATION (to be completed by filers only)
If you currently file with the SEC, check this box and provide at least one of your SEC file numbers, if known:
1933 Act No.
1934 Act No.
1940 Act No.
Other
2
-
__________
0
-
__________
811
-
__________
____
-
__________
33
-
__________
1
-
__________
814
-
__________
Tax Number or Federal Identification Number (Registrants only)
Telephone Number (Include Area Code)
Primary Business Address (if different from mailing address)
Street Address or Post Office Box No.
City
State
Zip
PART III — CONTACT INFORMATION (To be completed by applicants)
Person to receive EDGAR information, inquiries and Access Codes
Telephone Number (include Area Code) ( )
Mailing Address (if different from applicant's mailing address)
Street Address or Post Office Box No.
City
State
Zip
If you are CompuServe subscriber, provide your User ID:
PART IV — ACCOUNT INFORMATION (To be completed by filers and filing agents only)
Person to receive SEC Account Information and Billing Invoices
Telephone Number (Include Area Code)
( )
Address (if different from applicant's mailing address
Street Address or Post Office Box No.
City
State
Zip
PART V — SIGNATURE (To be Completed by all Applicants)
Signature:
Type or Print Name:
Position or Title:
Date:
Section 19 of the Securities Act of 9133 (15 U.S.C. 77s), sections 13(a) and 23 of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a) and 78w), section 319 of the Trust Indenture Act of 1939 (15 U.S.C. 77sss), section 20 of the Public Utility Holding Company Act of 1935 (15 U.S.C. 79t) and sections 30 and 38 of the Investment Company Act of 1940 (15 U.S.C. 80a-29 and 30a-37) authorize solicitation of this information. This information will be used to assign system identification to filers, filing agents, and training agents. This will allow the Commission to identify persons sending electronic submissions and grant secure access to the EDGAR system.
Form ID
GENERAL INSTRUCTIONS
USE AND PREPARATION OF FORM ID
Form ID is used to apply for or to amend the following codes that are necessary to access the SEC's Electronic Data Gathering, Analysis, and Retrieval (EDGAR) system.
Central Index Key (CIK) - Uniquely identifies each filer, filing agent, and training agent. The CIK is assigned by the SEC at the time of an initial application and may not be changed by the filer, filing agent, or training agent.
CIK Confirmation Code (CCC) - Used in the header of a filing in conjunction with the filer's CIK to ensure that the filing has been authorized by the filer.
Password (PW) - allows a filer, filing agent, or training agent to log onto the EDGAR system, submit filings, and change its CCC.
Password Modification Authorization Code (PMAC) - allows a filer, filing agent, or training agent to change its Password.
Please see the EDGAR Filer Manual for instructions on how to file electronically, including how to use the access codes.
Please refer to the published phase-in schedules for filer phase-in groups and phase-in dates for electronic filing for each group. No electronic filings, other than test filings, may be submitted by or on behalf of a filer not phased in, unless otherwise permitted by Regulation S-T.
Applicants must complete all items in any Parts which are applicable. If any item in any Part is inapplicable, please so indicate. Incomplete Forms may cause delays in assigning access codes.
PART I — APPLICANT INFORMATION (To be completed by all applicants)
Indicate whether you will be sending electronic submissions as a filer, filing agent, or training agent. Only one box may be marked on an application. A "filer" is any person or entity on whose behalf an electronic filing is made. A "filing agent" is a financial printer, law firm, or other party which will be using these access codes to send a filing or portion of a filing on behalf of a filer. A "training agent" is any person or entity which will be sending only test filings in conjunction with training other persons.
If you do not already have access codes, please mark the "Initial Application" box, answer the two related questions, (if they apply), and complete all other applicable items in Parts II through V.
If you already have access codes, please provide your CIK in the upper left corner and mark the boxes to indicate the reason for the amendment and any access codes you want to replace. You also should complete Part V-Signature and those items in Parts II through IV which have changed from the previous application. Changes to access codes (except the PMAC) and most other information on Form ID may be made electronically via EDGAR. See the EDGAR Filer Manual for details.
PART II — FILER INFORMATION (To be completed by filers only)
Tax Number or Federal Identification Number - the number issued by the Internal Revenue Service. (Not required for individuals.)
State of Incorporation/Organization and Fiscal Year End are not required for individuals. Foreign private issuers are requested to include their country of organization.
PART III — CONTACT INFORMATION (To be completed by all applicants)
This section identifies the individual who should receive the access codes and EDGAR-related information.
Filers, filing agents, and training agents who become CompuServe subscribers will receive acceptance and suspension messages and any requested return copies of their filings via electronic mail at their expense. They will also be able to access and download EDGAR-related information from the CompuServe electronic bulletin board. Filers and filing agents who do not subscribe to CompuServe will receive their acceptance and suspension messages by regular U.S. Mail. They may also request return copies of their filings by U.S. Mail at their option and expense.
PART IV — ACCOUNT INFORMATION (To be completed by filers and filing agents only)
This section identifies the individual who should receive account information and/or billing invoices from the SEC. This information will be used by the SEC to facilitate electronic processing of fee payments and billings.
PART V — SIGNATURE (To be completed by all applicants)
Manually sign and date this form and return it to:
Attn:
Filer Support-EDGAR
U.S. Securities and Exchange Commission
Operations Center, Stop 0-7
6432 General Green Way
Alexandria, VA 22312