Form SEC 2082 SEC 2082 Form SE

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D. C. 20549

OMB APPROVAL
OMB Number: . . . . . 3235-0327
Expires: . . . . . . . June 30, 2015
Estimated average burden
hours per response. . . . . . . . 0.10

FORM SE
FORM FOR SUBMISSION OF PAPER FORMAT EXHIBITS

BY EDGAR ELECTRONIC FILERS

Exact name of registrant as specified in charter

Registrant CIK Number

Electronic report, schedule or registration statement
of which the documents are a part (give period of report)

SEC file number, if available

S-_______________ ________________________________________

(Series identifier(s) and names(s), if applicable; add more lines as needed)

C-_______________ ________________________________________

(Class (contract) identifier(s) and names(s), if applicable; add more lines as needed)

________________________________________________
Report period (if applicable)
________________________________________________
Name of person filing this exhibit (if other than the registrant)

Identify the provision of Regulation S-T (§232 of this chapter) under which this exhibit is being filed in paper (check only one):

____ Rule 201 (Temporary Hardship Exemption)

____ Rule 202 (Continuing Hardship Exemption)

____ Rule 311 (Permitted Paper Exhibit)

SIGNATURES
Filings Made By the Registrant:

of

The Registrant has duly caused this form to be signed on its behalf by the undersigned, thereunto duly authorized, in the City
, State of
, 20
.

(Registrant)
By:
(Name )
(Title)
Filings Made by Person Other Than the Registrant:

After reasonable inquiry and to the best of my knowledge and belief, I certify on _____________________, 20 _____, that the information set forth in
this statement is true and complete.
By:
(Name)

(Title)

SEC 2082 (11-11)

Persons who 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.

FORM SE GENERAL INSTRUCTIONS

1.

Rules as to Use of Form SE

A. Electronic filers must use this form to submit any paper format exhibit under the Securities Act of 1933, the Securities
Exchange Act of 1934, the Trust Indenture Act of 1939, or the Investment Company Act of 1940, provided that the submission of
such exhibit in paper is permitted under Rule 201, 202, or 311 of Regulation S-T (§§ 232.201, 232.202, or 232.311 of this chapter).

B. Electronic filers are subject to Regulation S-T (Part 232 of this chapter) and the EDGAR Filer Manual. We direct your attention to the General Rules and Regulations under the Securities Act of 1933, the Securities Exchange Act of 1934, the Trust Indenture
Act of 1939, the Investment Company Act of 1940, and the electronic filing rules and regulations under these Acts.

2.

Preparation of Form SE.
Submit in paper format four complete copies of both the Form SE and the exhibit filed under cover of the Form SE.

3.

Filing of Form SE.

A. If you are filing the exhibit under a temporary hardship exemption, submit the exhibit and a Form TH (§§239.65, 249.447,
259.604, 269.10, and 274.404 of this chapter) under cover of this Form SE no later than one business day after the date on which the
exhibit was to have been filed electronically. See Rule 201 of Regulation S-T (§232.201 of this chapter).
B. If you are filing the exhibit under a continuing hardship exemption under Rule 202 of Regulation S-T (§232.202 of this
chapter), or as allowed by Rule 311 of Regulation S-T (§232.311 of this chapter), you may file the exhibit in paper under cover of Form
SE up to six business days before or on the date of filing of the electronic format document to which it relates; you may not file the
exhibit after the filing date of the electronic document to which it relates. Exhibits filed under a continuing hardship exemption must
include the legend required by Rule 202(c) (§232.202(c) of this chapter). If you submit the paper exhibit in this manner, you will have
satisfied any requirements that you file the exhibit with, provide the document with, or have the document accompany the electronic
filing. This instruction does not affect any requirement that you deliver or furnish the information in the exhibit to persons other than
the
Commission.
C. Identify the exhibit being filed. Attach to the Form SE the paper format exhibit and an exhibit index if required by Item 601 of
Regulation S-K of this chapter.

4.

Signatures.

A. Submit one copy signed by each person on whose behalf you are submitting the form or by that person’s authorized representative. If the form is signed by the authorized representative of a person (other than an executive officer or general partner), file
with the form the evidence of the authority of the representative to sign on behalf of such person, except that you may incorporate
by reference a power of attorney for this purpose that is already on file with the Commission.
B. Signatures may be in typed form rather than manual format.