Appendix A - NOTICE OF INVESTMENT COMPANY EXEMPTION
Notice and payment of fees pursuant to W.S. 17-4-114(a)(xi) is hereby made to the Secretary of State and Securities Commissioner of the State of Wyoming.
Filing For: _______Mutual Fund
_______Unit Investment Trust Sponsor
Name and Address of Mutual Fund or Unit Investment Trust Sponsor:
Former name if previously filed under a different name (if applicable):
Name, Address and Telephone Number of Correspondent To Whom Notice and Communications Regarding Investment Company Exemption May Be Sent:
List the Securities Covered By This Notice (e.g., portfolios, series, trusts or funds):
____________________ ____________________
____________________ ____________________
____________________ ____________________
Provide The Mutual Fund's for Unit Investment Trust Sponsor's Date of Fiscal Year End:
For the Period:
_/_/_ through _/_/_
Fee Enclosed: $100.00 Payable to the Wyoming Secretary of State