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pdfUNITEDSTATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
OMB APPROVAL
OMB Number: . . . . . 3235-0425
Expires: . . . . . August 31, 2015
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FORM TH
NOTIFICATION OF RELIANCE ON TEMPORARY HARDSHIP EXEMPTION
________________________________
Report, schedule or registration statement
to which the hardship exemption relates
(give period of report, if applicable)
___________________________
SEC file number(s) under which filing
made (Required, if assigned)
______________
CIK of filer or subject company CIK, as applicable
_____________________________________________________
Name of Filer or subject company, as applicable
____________
Filed-by CIK (for subject company filings only)
_____________________________________________________
Name of “filed-by” entity (for subject company filings only)
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)
Part I — Registrant Information
Full Name of Registrant
Address of Principal Executive Office
Street and Number
City, State and Zip Code; Country, if other than US
Part II — Information Relating to the Hardship
Furnish the following information:
1. A description of the nature and extent of the temporary technical difficulties experienced by the electronic filer in attempting to
submit the document in electronic format.
2. A description of the extent to which the electronic filer has successfully submitted documents previously in electronic format with
the same hardware and software, in test or required filings.
SEC 2348 (07-06)
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.
3. A description of the burden and expense involved to employ alternative means to submit the electronic submission in a timely
manner.
4. Any other reasons why an exemption is warranted.
Part III — Representation of Intent to Submit Confirming Electronic Copy
The filer shall include a representation that it shall cause to be filed a confirming electronic copy of the document filed in paper
under cover of the Form TH and that its filing will be in accordance with Rule 201(b) of Regulation S-T (§232.201(b) of this
chapter) and appropriately designated as a “confirming electronic copy” in accordance with the requirements of the
EDGAR Filer Manual.
Part IV — Contact Person
Name and telephone number, and e-mail address of person to contact in regard to this filing under Form TH:
Name
Area Code Telephone No.
e-mail address
Part V — Signatures
Name of Filer (if registrant, name as it appears in charter)
has caused this Form TH to be signed on its behalf by the undersigned, being duly authorized:
Date:
By:
Instruction: This form may be signed by an executive officer of the registrant or by any other duly authorized representative.
GENERAL INSTRUCTIONS
1. Rule 201(a) of Regulation S-T (§232.201(a) of this chapter) requires electronic filer relying on a temporary hardship exemption to file
this Form TH in addition to filing a paper copy of a document otherwise required to be filed in electronic format.
2. Four signed copies of this Form TH must accompany the paper format document being filed pursuant to Rule 201; filers must file
under Form TH within one business day after the date upon which the filer was originally to file the document electronically.
3. Signatures to the paper format document being filed with Form TH may be in typed form rather than in manual format. See Rule 302
of Regulation S-T (§232.302 of this chapter). Filers must satisfy all other requirements relating to paper format filings, including
number of copies to be filed.
File Type | application/pdf |
File Title | Form TH |
Subject | SEC2348, Date.modified: 2012-09-26 |
Author | U.S. Securities and Exchange Commission |
File Modified | 2012-09-26 |
File Created | 2009-06-24 |