SEC 1675 X-17a-5 Schedule I

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

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FOCUS REPORT
FORM X-17A-5
SCHEDULE I
(To be filed annually as of the end of calendar year)

Contents

Schedule I

INFORMATION REQUIRED OF ALL BROKERS
AND DEALERS PURUSANT TO RULE 17a-5

* * * * *

__________________________________________________
Name of Respondent

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.

SEC1675 (6-02) 1 of 7

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM X-17A-5 SCHEDULE I
GENERAL INSTRUCTIONS
NOTE TO RESPONDENTS: Schedule I of Form X-17A-5 is a calendar year unconsolidated report to be filed by
all registrants either as a supplement to the regular fourth quarter Part II of Form X-17A-5 within seventeen business
days of the end of the third quarter.
Brokers or dealers which are exempt from the filing requirements of paragraphs (a)(iii) of Section 240.17a-5 are
to submit, no later than 17 business days after the close of the calendar year, an annual report consisting of the
Facing Page, balance sheet, and Revenue Expense Statement from Part IIA of Form and Schedule I of Form X
17A-5.
Schedule I requires the reporting of general information designed to measure certain economic and financial
characteristics of the registrant.
SPECIFIC INSTRUCTIONS
4 – The term “national securities exchange(s)” shall mean any exchange(s) registered under Section 6 of the
Securities Exchange Act of 1934.
9a & b – “Equity security” shall mean any stock or similar security, or any security convertible with or without
consideration, into such a security or carrying any warrant or right to subscribe to or purchase such a security.
The term “public customer” shall mean any person from whom or on whose behalf a broker or dealer has received
or acquired or holds funds or securities for the account of such person, but shall not include a broker or dealer,
or a general, special or limited partner or director or officer of the broker or dealer, or any person to the extent that
such person has a claim for property or funds which by contract, agreement or understanding, or by operation of
law is part of the capital of the broker or dealer or is subordinated to the claims of creditors of the broker or dealer
Omnibus accounts carried for other brokers or dealers shall not be included in the count of public customer
accounts (Item 9a) but shall be included under Item 9b.
Only active public customer accounts will be included in the public customer account total. For an accountant to
be considered “active” it must have a non-zero cash or securities balance at the end of the reporting period.
Omnibus accounts carried for other brokers at the end of the reporting period are to be included in Omnibus
account total.
11 – Indicate with “1” the methods by which respondent clears its public customer accounts. If respondent has
no customers, as defined in 9a and 9b above, respondent is to place a “1” in the “not applicable” box. If respondent
principally clears its public customer transactions through other than a broker-dealer, place a “1” in the “other” box.
12 – Exchange membership is to include associate and limited memberships as well as regular memberships. See
Item 4 description for definition of “exchange.”
13a & b – Report only full time (full time is defined as anyone who works 40 hours or more per week for respondent)
personnel employed by respondent as of the last business day of the year. A full time registered representative
is any person who works a minimum of 30 hours per week and spends a minimum of 50 percent of his time engaged
in effecting transactions with public customers on behalf of the respondent. The number of employees and
registered representatives is “as of “ the last business day of the year.
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16a & b – These items are to be completed only by carrying or clearing firms required to file Part II of Form X-17A5. Report the total number of public customer transactions executed on a national securities exchange. If basis
of count is an actual count, place a “1” in “actual” box. If statistical method is used, place a “1” in “estimate” box.
A transaction is defined as an executed trade which results in a customer trade confirmation. Therefore, the count
of transactions should be taken from the customer side and should not include confirmation corrections. For count
purposes, several executions at the same price, which result in one confirmation, should be counted as one
transaction.
For investment company securities transactions in which cash or securities are handled by respondent (exclude
transactions by others, such as voluntary or period payment plans), a count of trade confirmations should be used
to obtain the transaction count. The street and customer side are counted as one transaction. For underwriting
transactions, the takedown should be counted as one transaction and the ultimate sale to customers should be
counted based on customers’ confirmations (e.g., an underwriting of 2,000 shares is ultimately sold to five
customers-takedown of 2,000 shares counts as one trade and the sale to five customers counts as five trades.)
For commodity transactions, purchase or sale of contracts are to be counted as one transaction and each
subsequent closeout is to be counted as one transaction [e.g., five contracts of a commodity purchased in one
trade (same price and on the same day) is one transaction, subsequent sale is five separate contracts (different
day or price for each is five additional transactions)]. Do not include clearing house side in count.
For option transactions, the purchase of an option contract represents a transaction.
For commercial paper transactions, both the purchase and sale should be counted as separate transactions.
Count may be taken from confirmation or acknowledgement tickets. Items which are not strictly principal trades,
such as private placement sales should be included. Repurchase agreement sales and returns should also be
included in count.
Corrections shall be excluded from the transaction count. However, an error transaction, that is a transaction where
the wrong security was purchased and the correct security must later be purchased, is not considered a correction.
For error transactions, the original transaction and the buy and sell from the error account are to be counted as
separate transactions.
Firms carrying public customer accounts for other broker-dealers on a fully disclosed basis are to include
transactions from those accounts in their number count. Firms introducing accounts on a fully disclosed basis will
report “zero” for these items.
Although an actual count of transaction is preferred, an estimated count may be generated using the following
methodology:
1. Select specific days for which transactions will be counted
(a) Randomly selecting one of the first 15 working days in the year as the starting date,
(b) Selecting each 8th working date thereafter throughout the entire year,
(c) Listing these dates in chronological order. This should result in a list of exactly 30 dates (If more than this
number have been selected, randomly discard dates throughout the year until only 30 remain).
19a, b & c- Report whether respondent directly or indirectly controls, is controlled by, or under common control
with a U.S. bank. If the answer is “yes” provide the name of the affiliated bank and/or bank holding company, and
describe the type of institution. The term “bank” is defined in Section 3(a)(6) of the securities Exchange Act of 1934.

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24 – This figure is used to compute fees payable to the Commission under Section 31 of the Securities Exchange
Act of 1934 (15 U.S.C § 78ec) for over-the-counter (“OTC”) sales of exchange-listed securities. The Commission
has exempted some OTC sales of exchange-listed securities for Section 31 transaction fees and Securities
Exchange Act Rule 31-1 [CFR §240.31-1] should be consulted in developing the figure to be reported in Item 24
of Schedule I.

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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form
X-17A-5

FOCUS REPORT
(Financial and Operational Combined Uniform Single Report)

Schedule I

INFORMATION REQUIRED OF BROKERS AND DEALERS PURSUANT TO RULE 17a-5
Report for the Calendar Year 20___ W1 8004
of if less than 12 months

Report for the period beginning _____/_____/_____ 8005 and ending _____/_____/_____ 8006
MM

DD

YY

MM

DD

YY

SEC FILE NUMBER

81. NAME OF BROKER DEALER
W
2

8020

N9

8011

OFFICIAL USE ONLY
8021
Firm No.

MMY Y

2. Name(s) of Broker-dealer(s) merging with respondent during reporting period:
OFFICIAL USE ONLY
3

NAME: _____________________________________________________ 8053

W40
___________________________

8057

4

NAME: _____________________________________________________ 8054

___________________________

8058

5

NAME: _____________________________________________________ 8055 ___________________________

8059

6

NAME: _____________________________________________________ 8056

8060

W
W
W
W

3. Respondent conducts a securities business exclusively with registered broker-dealers:
(enter applicable code: 1 = Yes 2 = No)

W
7

8073

4. Respondent is registered as a specialist on a national securities exchange :
(enter applicable code: 1 = Yes 2 = No)

8074

5. Respondent is registered as a specialist on a national securities exchange :
(a) equity securities ......................................................... (enter applicable code: 1 = Yes 2 = No)

(b) municipals ................................................................... (enter applicable code: 1 = Yes 2 = No)

(a) other debt instruments .............................................. (enter applicable code: 1 = Yes 2 = No)

8075
8076
8077

6. Respondent is registered solely as a municipal bond dealer:

(enter applicable code: 1 = Yes 2 = No)

8078

7. Respondent is an insurance company or an affiliate of an insurance company:
(enter applicable code: 1 = Yes 2 = No)

8079

8. Respondent carries its own public customer accounts:
(enter applicable code: 1 = Yes 2 = No)

W
8

8084

9. Respondent’s total numer of public customer accounts:
(carrying firms filing X-17A-5 Part II only
(a) Public customer accounts ...............................................................................................................

(b) Omnibus accounts ...........................................................................................................................

8080
8081

10. Respondent clears its public customer and/or proprietary accounts:
(enter applicable code: 1 = Yes 2 = No)

8085
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FOCUS REPORT
Schedule I
page 2
11. Respondent clears its public customer accounts in the following manner:
(enter a “1” in appropriate boxes)
(a) Direct Mail (New York Stock Exchange Members Only) .......................................................................

8086

(b) Self-Clearing .............................................................................................................................................

8087

(c) Omnibus ....................................................................................................................................................

8088

W9

(d) Introducing ................................................................................................................................................

8089

(e) Other ..........................................................................................................................................................

8090

If Other please describe:
(f) Not applicable ...........................................................................................................................................

8091

12. (a) Respondent maintains membership(s) on national securities exchange(s):

(enter applicable code: 1 = Yes 2 = No)

8100

(b) Names of national securities exchange(s) in which respondent maintains memberships:
(enter a “1” in appropriate boxes)
(1) American ............................................................................................................................................

(2) Boston ................................................................................................................................................

(3) CBOE ..................................................................................................................................................

(4) Midwest .............................................................................................................................................
W10
(5) New York ...........................................................................................................................................

(6) Philadelphia .......................................................................................................................................

(7) Pacific Coast .....................................................................................................................................

(8) Other ..................................................................................................................................................

13. Employees:
(a) Number of full-time employees ...............................................................................................................

8101

(b) Number of full-time registered representatives employed by respondent included in 13(a) ...........

14. Number of NASDAQ stocks respondent makes market ................................................................................

8120
8121
8122
8123
8124
8125
8126
8129

8102
W11

8103

15. Total number of underwriting syndicates respondent was a member ........................................................

8104

(Carrying or clearing firms filing X-17A-5 Part II)
16. Number of respondent’s public customer transactions:
Actual ............................................................
Estimate .........................................................

8105
8106

(a) equity securities transactions effected on a
national securities exchange ...................................................................................................................

8107

(b) equity securities transactions effected other than on a
national securities exchange ...................................................................................................................

8108

(c) commodity, bond, option, and other transactions effected on or off a
national securities exchange ...................................................................................................................

8109
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FOCUS REPORT
Schedule I
page 3
17. Respondent is a member of the Securities Investor Protection Corporation
(enter applicable code: 1 = Yes 2 = No) ...
18. Number of branch offices operated by respondent ......................................................................................

19. (a) Respondent directly or indirectly controls, is controlled by, or is under
common control with, a U.S. bank
(enter applicable code: 1 = Yes 2 = No)
(b) Name of parent or affiliate ________________________________________________8131

W13

8111
8112

8130

(c) Type of institution ______________________________________________________8132
20. Respondent is an affiliate or subsidiary of a foreign broker-dealer or bank

(enter applicable code: 1 = Yes 2 = No)

21. (a) Respondent is a subsidiary of a registered broker-dealer
(enter applicable code: 1 = Yes 2 = No)
W12
(b) Name of parent _________________________________________________________8116

8113
8114

22. Respondent is a subsidiary of a parent which is not a registered broker or dealer
(enter applicable code: 1 = Yes 2 = No)

8115

23. Respondent sends quarterly statements to customers pursuant to
10b-10(b) in lieu of daily or immediate confirmations:
(enter applicable code: 1 = Yes 2 = No)*

8117

24. Aggregate Dollar Amount of Non-exempted OTC Sales of Exchange-Listed

Securities Done by Respondent During the Reporting Period ..........................................................
$

8118

*Required in any Schedule I filed for calendar year 1978 and secceeding years

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