PROPOSED FORM G-37x

Form G-37x

                    MSRB

 

Name of dealer: ______________________________________________________________________________

The undersigned, on behalf of the dealer identified above, does hereby certify that such dealer did not engage in "municipal securities business" (as defined in rule G-37) during the eight full consecutive calendar quarters ending immediately on or prior to the date of this Form G-37x.

The undersigned, on behalf of such dealer, does hereby acknowledge that, notwithstanding the submission of this Form G-37x to the MSRB, such dealer will be required to:

(1) submit Form G-37/G-38 for each calendar quarter unless it has met all of the requirements for an exemption set forth in rule G-37(e)(ii) for such calendar quarter;
(2) submit Form G-37/G-38 for each calendar quarter in which it has information relating to consultants that is required to be reported pursuant to rule G-37(e)(ii)(B), regardless of whether the dealer has qualified for the exemption set forth in rule G-37(e)(ii)(A)(2);
(3) undertake the recordkeeping obligations set forth in rule G-8(a)(xvi) at such time as it no longer qualifies for the exemption set forth in rule G-8(a)(xvi)(K);
(4) undertake the disclosure obligations set forth in rule G-37(e), including in particular the disclosure obligations under paragraph (e)(iii) thereof, at such time as it no longer qualifies for the exemption set forth in rule G-37(e)(ii)(A)(2); and
(5) submit a new Form G-37x in order to again meet the requirements for the exemption set forth in rule G-37(e)(ii)(A)(2) in the event that the dealer has engaged in municipal securities business subsequent to the date of this Form G-37x and thereafter wishes to qualify for said exemption.

 

Signature: ______________________________________________________ Date: _______________________

(must be officer of dealer)

Name: _________________________________________________________ Phone: ______________________


Address: ____________________________________________________________________________________


Submit to:              Municipal Securities Rulemaking Board
                               1640 King Street, Suite 300
                               Alexandria, Virginia 22314

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