Form SH

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM SH

FORM SH COVER PAGE

Report for the Period Ended: _____[Month, Day, Year]_______

Check here if Amendment [ ]; Amendment Number: _____

This Amendment (Check only one): [ ] is a restatement.

[ ] adds new entries.

Institutional Investment Manger Filing this Report:

Name: ______________________________________

Address: ______________________________________

______________________________________

______________________________________

Form 13F File Number: 28-_______________

The institutional investment manager filing this report and the person by whom it is signed hereby represent that the person signing the report is authorized to submit it, that all information contained herein is true, correct and complete, and that it is understood that all required items, statements, schedules, lists, and tables, are considered integral parts of this form.

Person Signing this Report on Behalf of Reporting Manager:

Name: ___________________________

Title: ___________________________

Phone: ___________________________

Signature, Place, and Date of Signing

_______________________________ ____________________ ____________

[Signature] [City, State] [Date]

Report Type (Check only one):

[ ] FORM SH ENTRIES REPORT. (Check here if all entries of this reporting manager are reported in this report.)

[ ] FORM SH NOTICE. (Check here if no entries reported are in this report, and all entries are reported by other reporting manager(s).)

[ ] FORM SH COMBINATION REPORT. (Check here if a portion of the entries for this reporting manager is reported in this report and a portion is reported by other reporting manager(s).)

List of Other Managers Reporting for this Manager:

[If there are no entries in this list, omit this section.]

Form 13F File Number Name

28-__________________ ________________________________________________

[Repeat as necessary.]

FORM SH SUMMARY PAGE

Report Summary:

Number of Other Included Managers: _____________________

Form SH Information Table Entry Total: _____________________

Form SH Information Table Value Total: _____________________

(thousands)

List of Other Included Managers:

Provide a numbered list of the name(s) and Form 13F file number(s) of all institutional investment managers with respect to which this Form SH report is filed, other than the manager filing this report.

[If there are no entries in this list, state “NONE” and omit the column headings and list entries.]

No. Form 13F File Number Name

____ 28-________________________ ______________________________________

[Repeat as necessary.]

FORM SH INFORMATION TABLE –PAGE 1

MONDAY, _____[Month, Day, Year]_______

Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 Column 8

Name of Issuer	CUSIP	Short Position (Start of Day)	Number of Securities Sold Short (Day)	Value of Securities Sold Short (Day)	Short Position (End of Day)	Largest Intra-Day Short Position	Time of Day of Largest Intra-Day Short Position

FORM SH INFORMATION TABLE –PAGE 2

TUESDAY, _____[Month, Day, Year]_______

Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 Column 8

Name of Issuer	CUSIP	Short Position (Start of Day)	Number of Securities Sold Short (Day)	Value of Securities Sold Short (Day)	Short Position (End of Day)	Largest Intra-Day Short Position	Time of Day of Largest Intra-Day Short Position

FORM SH INFORMATION TABLE –PAGE 3

WEDNESDAY, _____[Month, Day, Year]_______

Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 Column 8

Name of Issuer	CUSIP	Short Position (Start of Day)	Number of Securities Sold Short (Day)	Value of Securities Sold Short (Day)	Short Position (End of Day)	Largest Intra-Day Short Position	Time of Day of Largest Intra-Day Short Position

FORM SH INFORMATION TABLE –PAGE 4

THURSDAY, _____[Month, Day, Year]_______

Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 Column 8

Name of Issuer	CUSIP	Short Position (Start of Day)	Number of Securities Sold Short (Day)	Value of Securities Sold Short (Day)	Short Position (End of Day)	Largest Intra-Day Short Position	Time of Day of Largest Intra-Day Short Position

FORM SH INFORMATION TABLE –PAGE 5

FRIDAY, _____[Month, Day, Year]_______

Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 Column 8

Name of Issuer	CUSIP	Short Position (Start of Day)	Number of Securities Sold Short (Day)	Value of Securities Sold Short (Day)	Short Position (End of Day)	Largest Intra-Day Short Position	Time of Day of Largest Intra-Day Short Position

FORM SH INFORMATION TABLE –PAGE 6

SATURDAY-SUNDAY, _____[Month, Day, Year]_______

Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 Column 8

Name of Issuer	CUSIP	Short Position (Start of Day)	Number of Securities Sold Short (Day)	Value of Securities Sold Short (Day)	Short Position (End of Day)	Largest Intra-Day Short Position	Time of Day of Largest Intra-Day Short Position