Fillable Printable Security and Exchange Commission
Fillable Printable Security and Exchange Commission
Security and Exchange Commission
Form 1
OMB APPROVAL
OMB Number: 3235-0017
Expires: May 31, 2016
Estimated average burden
hours per response. . . . . .30.00
APPLICATION FOR, AND AMENDMENTS TO APPLICATION FOR, REGISTRATION AS
A NATIONAL SECURITIES EXCHANGE OR EXEMPTION FROM REGISTRATION
PURSUANT TO SECTION 5 OF THE EXCHANGE ACT
SEC 1935 (2-99)
FORM 1 INSTRUCTIONS
A . GENERAL INSTRUCTIONS
1. Form 1 is the application for registration as a national securities exchange or an exchange exempt from registration
pursuant to Section 5 of the Securities Exchange Act of 1934 (“Exchange Act”).
2. UPDATING - A registered exchange or exchange exempt from registration pursuant to Section 5 of the Exchange Act
must file amendments to Form 1 in accordance with Exchange Act Rule 6a-2.
3. CONT ACT EMPLOYEE - The individual listed on the Execution Page (Page 1) of Form 1 as the contact employee must be
authorized to receive all contact information, communications, and mailings, and is responsible for disseminating such
information within the applicant’s organization.
4. FORMAT
z Attach an Execution Page (Page 1) with original manual signatures.
z Please type all information.
z Use only the current version of Form 1 or a reproduction.
5. If the information called for by any Exhibit is available in printed form, the printed material may be filed, provided it does
not exceed 8 1/2 X 11 inches in size.
6. If any Exhibit required is inapplicable, a statement to that effect shall be furnished in lieu of such Exhibit.
7. An exchange that is filing Form 1 as an application may not satisfy the requirements to provide certain information by
means of an Internet web page. All materials must be filed with the Commission in paper.
8. WHERE TO FILE AND NUMBER OF COPIES - Submit one original and two copies of Form 1 to: SEC, Division of Market
Regulation, Office of Market Supervision, 450 Fifth Street, N.W., Washington, DC 20549.
9. PAPERWORK REDUCTION ACT DISCLOSURE
z Form 1 requires an exchange seeking to register as a national securities exchange or seeking an exemption from
registration as a national securities exchange pursuant to Section 5 of the Exchange Act to provide the Securities and
Exchange Commission (“SEC” or “Commission”) with certain information regarding the operation of the exchange.
Form 1 also requires national securities exchanges or exchanges exempt from registration based on limited volume
to update certain information on a periodic basis.
z An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless
it displays a currently valid control number . Sections 3(a)(1), 5, 6(a) and 23(a) authorize the Commission to collect
information on this Form 1 from exchanges. See 15 U.S.C. §§78c(a)(1), 78e, 78f(a) and 78w(a).
z Any member of the public may direct to the Commission any comments concerning the accuracy of the burden
estimate on the facing page of Form 1 and any suggestions for reducing this burden.
z Form 1 is designed to enable the Commission to determine whether an exchange applying for registration is in
compliance with the provisions of Sections 6 and 19 of the Exchange Act. Form 1 is also designed to enable the
Commission to determine whether a national securities exchange or exchange exempt from registration based on
limited volume is operating in compliance with the Exchange Act.
z It is estimated that an exchange will spend approximately 47 hours completing the initial application on Form 1
pursuant to Rule 6a-1. It is also estimated that each exchange will spend approximately 25 hours to prepare each
amendment to Form 1 pursuant to Rule 6a-2.
z It is mandatory that an exchange seeking to operate as a national securities exchange or as an exchange exempt
from registration based on limited volume file Form 1 with the Commission. It is also mandatory that national
securities exchanges or exchanges exempt from registration based on limited volume file amendments to Form 1
under Rule 6a-2.
z No assurance of confidentiality is given by the Commission with respect to the responses made in Form 1.
The public has access to the information contained in Form 1.
z This collection of information has been reviewed by the Office of Management and Budget (“OMB”) in accordance
with the clearance requirements of 44 U.S.C. §3507. The applicable Privacy Act system of records is SEC-2 and the
routine uses of the records are set forth at 40 FR 39255 (August 27, 1975) and 41 FR 5318 (February 5, 1976).
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FORM 1 INSTRUCTIONS
B. EXPLANATION OF TERMS
APPLICANT - The entity or organization filing an application for registration or an exemption for registration, or amending
any such application on this Form 1.
AFFILIAT E - Any person that, directly or indirectly, controls, is under common control with, or is controlled by, the national
securities exchange or exchange exempt from registration based on the limited volume of transactions effected on such
exchange, including any employees.
CONTROL - The power, directly or indirectly, to direct the management or policies of a company, whether through ownership
of securities, by contract, or otherwise. Any person that (i) is a director, general partner or officer exercising executive
responsibility (or having similar status or functions); (ii) directly or indirectly has the right to vote 25% or more of a class of
voting securities or has the power to sell or direct the sale of 25% or more of a class of voting securities; or (iii) in the case of
a partnership, has the right to receive, upon dissolution, or has contributed, 25% or more of the capital, is presumed to
control that entity.
DIRECT OWNERS - Any person that owns, beneficially owns, has the right to vote, or has the power to sell or direct the sale
of, 5% or more of a class of a voting security of the applicant. For purposes of this F orm 1, a person beneficially owns any
securities (i) owned by his/her child, stepchild, grandchild, parent, stepparent, grandparent, spouse, sibling, mother-in-law,
father-in-law, son-in-law, daughter-in-law, brother-in-law, sister-in-law, sharing the same residence; or (ii) that he/she has the
right to acquire, within 60 days, through the exercise of any option, warrant or right to purchase the security.
MEMBER - Shall have the same meaning as under Exchange Act Section 3(a)(3).
NATIONAL SECURITIES EXCHANGE - Shall mean any exchange registered pursuant to Section 6 of the Exchange Act.
PERSON AS SOCIATED WITH A MEMBER - Shall have the same meaning as under Section 3(a)(21) of the Exchange Act.
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Form 1
UNITED STATES SECURITIES AND EXCHANGE COMMIS SION
Date filed OFFICIAL
Page 1
WASHINGTON, D.C. 20549
(MM/DD/YY): USE
Execution
APPLICATION FOR , AND AMENDMENTS TO APPLICATION FOR ,
ONLY
REGISTRATION AS A NATIONAL SECURITIES EXCHANGE OR EXEMPTION
Page
FROM REGISTRATION PURSUANT TO SECTION 5 OF THE EXCHANGE ACT
WARNING: Failure to keep this form current and to file accurate supplementary information on a timely basis, or the failure to
keep accurate books and records or otherwise to comply with the provisions of law applying to the conduct of the applicant
would violate the federal securities laws and may result in disciplinary, administrative, or criminal action.
INTENTIONAL MISSTATEMENTS OR OMISSIONS OF FACTS MAY CONSTITUTE CRIMINAL VIOLATIONS
APPLICATION AMENDMENT
1. State the name of the applicant:
2. Provide the applicant’s primary street address (Do not use a P.O. Box):
3. Provide the applicant’s mailing address
(if different):
4. Provide the applicant’s business telephone and facsimile number:
(Telephone) (Facsimile)
5. Provide the name, title, and telephone number of a contact employee:
(Name) (Title) (Telephone Number)
6. Provide the name and address of counsel for the applicant:
7. Provide the date applicant’s fiscal year ends:
8. Indicate legal status of applicant: Corporation Sole Proprietorship Partnership
Limited Liability Company Other (specify):
If other than a sole proprietor, indicate the date and place where applicant obtained its legal status (e.g. state
where incorporated, place where partnership agreement was filed or where applicant entity was formed):
(a) Date (MM/DD/YY): (b) State/Country of formation:
(c) Statute under which applicant was organized:
EXECUTION: The applicant consents that service of any civil action brought by , or notice of any proceeding before, the Securities and
Exchange Commission in connection with the applicant’s activities may be given by registered or certified mail or confirmed telegram to the
applicant’s contact employee at the main address, or mailing address if different, given in Items 2 and 3. The undersigned, being first duly
sworn, deposes and says that he/she has executed this form on behalf of , and with the authority of , said applicant. The unders igned and
applicant represent that the information and statements contained herein, including exhibits, schedules, or other documents att ached hereto,
and other information filed herewith, all of which are made a part hereof, are current, true, and complete.
Date:
(MM/DD/YY) (Name of applicant)
By:
(Signature) (Printed Name and Title)
______________________________
Subscribed and sworn before me this _______ day of _________________, __________ by
(Month) (Year) (Notary Public)
My Commission expires __________________ County of _____________________ S tate of ______________________________
This page must always be completed in full with original, manual signature and notarization.
Affix notary stamp or seal where applicable.
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Form 1
Page 2
UNITED STATES SECURITIES AND EXCHANGE COMMIS SION
WASHINGTON, D.C. 20549
APPLICATION FOR , AND AMENDMENTS TO APPLICATION FOR ,
REGISTRATION AS A NATIONAL SECURITIES EXCHANGE OR EXEMPTION
FROM REGISTRATION PURSUANT TO SECTION 5 OF THE EXCHANGE ACT
OFFICIAL
USE
OFFICIAL
USE
ONLY
DO NOT WRITE BELOW THIS LINE - FOR OFFICIAL USE ONLY
EXHIBITS
File all Exhibits with an application for registration as a national securities exchange or exemption from registration
pursuant to Section 5 of the Exchange Act and Rule 6a-1, or with amendments to such applications pursuant to
Rule 6a-2. For each exhibit, include the name of the applicant, the date upon which the exhibit was filed and the
date as of which the information is accurate (if different from the date of the filing). If any Exhibit required is
inapplicable a statement to that effect shall be furnished in lieu of such Exhibit.
Exhibit A A copy of the constitution, articles of incorporation or association with all subsequent amendments,
and of existing by-laws or corresponding rules or instruments, whatever the name, of the applicant.
Exhibit B A copy of all written rulings, settled practices having the effect of rules, and interpretations of the
Governing Board or other committee of the applicant in respect of any provisions of the constitution,
by-laws, rules, or trading practices of the applicant which are not included in Exhibit A.
Exhibit C For each subsidiary or affiliate of the applicant, and for any entity with whom the applicant has a
contractual or other agreement relating to the operation of an electronic trading system to be used to
effect transactions on the exchange (“System”), provide the following information:
1. Name and address of organization.
2. Form of organization (e.g., association, corporation, partnership, etc.).
3. Name of state and statute citation under which organized. Date of incorporation in present form.
4. Brief description of nature and extent of affiliation.
5. Brief description of business or functions.Description should include responsibilities with respect
to operation of the System and/or execution, reporting, clearance, or settlement of transactions in
connection with operation of the System.
6. A copy of the constitution.
7. A copy of the articles of incorporation or association including all amendments.
8. A copy of existing by-laws or corresponding rules or instruments.
9. The name and title of the present officers, governors, members of all standing committees, or
persons performing similar functions.
10. An indication of whether such business or organization ceased to be associated with the applicant
during the previous year, and a brief statement of the reasons for termination of the association.
Exhibit D For each subsidiary or affiliate of the exchange, provide unconsolidated financial statements for the
latest fiscal year. Such financial statements shall consist, at a minimum, of a balance sheet and an
income statement with such footnotes and other disclosures as are necessary to avoid rendering the
financial statements misleading. If any affiliate or subsidiary is required by another Commission rule to
submit annual financial statements, a statement to that effect, with a citation to the other Commission
rule, may be provided in lieu of the financial statements required here.
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Form 1
Page 3
UNITED STATES SECURITIES AND EXCHANGE COMMIS SION
WASHINGTON, D.C. 20549
APPLICATION FOR , AND AMENDMENTS TO APPLICATION FOR ,
REGISTRATION AS A NATIONAL SECURITIES EXCHANGE OR EXEMPTION
FROM REGISTRATION PURSUANT TO SECTION 5 OF THE EXCHANGE ACT
OFFICIAL
USE
OFFICIAL
USE
ONLY
EXHIBITS
Exhibit E
Exhibit F
Exhibit G
Exhibit H
Exhibit I
Exhibit J
Describe the manner of operation of the System. This description should include the following:
1. The means of access to the System.
2. Procedures governing entry and display of quotations and orders in the System.
3. Procedures governing the execution, reporting, clearance and settlement of transactions in
connection with the System.
4. Proposed fees.
5. Procedures for ensuring compliance with System usage guidelines.
6. The hours of operation of the System, and the date on which applicant intends to commence
operation of the System.
7. Attach a copy of the users’ manual.
8. If applicant proposes to hold funds or securities on a regular basis, describe the controls that will
be implemented to ensure safety of those funds or securities.
A complete set of all forms pertaining to:
1. Application for membership, participation, or subscription to the entity.
2. Application for approval as a person associated with a member , participant, or subscriber of the
entity.
3. Any other similar materials.
A complete set of all forms of financial statements, reports, or questionnaires required of members,
participants, subscribers, or any other users relating to financial responsibility or minimum capital
requirements for such members, participants, or any other users. Provide a table of contents listing the
forms included in this Exhibit G.
A complete set of documents comprising the applicant’s listing applications, including any agreements
required to be executed in connection with listing and a schedule of listing fees. If the applicant does
not list securities, provide a brief description of the criteria used to determine what securities may be
traded on the exchange. Provide a table of contents listing the forms included in this Exhibit H.
For the latest fiscal year of the applicant, audited financial statements which are prepared in accordance
with, or in the case of a foreign applicant, reconciled with, United States generally accepted accounting
principles, and are covered by a report prepared by an independent public accountant. If an applicant
has no consolidated subsidiaries, it shall file audited financial statements under Exhibit I alone and
need not file a separate unaudited financial statement for the applicant under Exhibit D.
A list of the officers, governors, members of all standing committees, or persons performing similar
functions, who presently hold or have held their offices or positions during the previous year, indicating
the following for each:
1. Name.
2. Title.
3. Dates of commencement and termination of term of office or position.
4. Type of business in which each is primarily engaged (e.g., floor broker, specialist, odd lot dealer,
etc.).
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Form 1
Page 4
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
APPLICATION FOR, AND AMENDMENTS TO APPLICATION FOR,
ISTRATION AS A NATIONAL SECURITIES EXCHANGE OR EXEMPTION
M REGISTRATION PURSUANT TO SECTION 5 OF THE EXCHANGE ACT
REG
FRO
OFFICIAL
USE
OFFICIAL
USE
ONLY
Exhibit K
This Exhibit is applicable only to exchanges that have one or more owners, shareholders, or partners
that are not also members of the exchange. If the exchange is a corporation, please provide a list of
each shareholder that directly owns 5% or more of a class of a voting security of the applicant. If the
exchange is a partnership, please provide a list of all general partners and those limited and special
partners that have the right to receive upon dissolution, or have contributed, 5% or more of the
partnership’s capital. For each of the persons listed in the Exhibit K, please provide the following:
1. Full legal name;
2. Title or Status;
3. Date title or status was acquired;
4. Approximate ownership interest; and
5. Whether the person has control, a term that is defined in the instructions to this Form.
Exhibit L
Describe the exchange’s criteria for membership in the exchange. Describe conditions under which
members may be subject to suspension or termination with regard to access to the exchange.
Describe any procedures that will be involved in the suspension or termination of a member.
Exhibit M
Provide an alphabetical list of all members, participants, subscribers or other users, including the
following information:
1. Name;
2. Date of election to membership or acceptance as a participant, subscriber or other user;
3. Principal business address and telephone number;
4. If member, participant, subscriber or other user is an individual, the name of the entity with which
such individual is associated and the relationship of such individual to the entity (e.g. partner
officer, director, employee, etc.);
5. Describe the type of activities primarily engaged in by the membe, rparticipant, subscriber, or other
user (e.g. floor broker, specialist, odd lot dealer, other market maker, proprietary trader, non-broker
dealer, inactive or other functions).A person shall be “primarily engaged” in an activity or function
for purposes of this item when that activity or function is the one in which that person is engaged
for the majority of their time. When more than one type of person at an entity engages in any of
the six types of activities or functions enumerated in this item, identify each type (e.g. proprietary
,
trader Registered Competitive Trader and Registered Competitive Market Maker) and state the
number of members, participants, subscribers, or other us
ers i
n
each; and
6
.
The class of membership, participation or subscription or other access.
Exhibit N
Provide a schedule for each of the following:
1. The securities listed in the exchange, indicating for each the name of the issuer and a description
of the security;
2. The securities admitted to unlisted trading privileges, indicating for each the name of the issuer
and a description of the security;
3. The unregistered securities admitted to trading on the exchange which are exempt from
registration under Section 12(a) of the Act. For each security listed, provide the name of the issuer
and a description of the security, and the statutory exemption claimed (e.g. Rule 12a-6); and
4. Other securities traded on the exchange, including for each the name of the issuer and a
description of the security.
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