Form TA-1 Transfer Agent Registration and Amendment Form

xx, 2019
Board of Governors of the Federal Reserve System OMB Number 7100-0099 Approval expires July 31, 2016
Federal Deposit Insurance Corporation
OMB Number 3064-0026 Approval expires September 30, 2016
Office of the Comptroller of the Currency
OMB Number 1557-0124 Approval expires August 31, 2016
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Board of Governors of the Federal Reserve System

Federal Deposit Insurance Corporation
Office of the Comptroller of the Currency

Transfer Agent Registration and Amendment Form—Form TA-1
Under Sections 17(a)(3), 17A(c), and 23(a) of the Act and the
rules and regulations thereunder, the ARA's are authorized to
solicit from applicants for registration as a transfer agent and
from registered transfer agents the information required to be
supplied by Form TA-1. Disclosure to the ARA of the information
requested in Form TA-1 is a prerequisite to the processing of
Form TA-1.
The information will be used for the principal purpose of
determining whether the ARA should allow an application for

registration to become effective or should deny, accelerate, or
postpone registration to an applicant.
Information supplied on this form will be available for inspection
by any interested person.
An agency may not conduct or sponsor, and an organization (or a
person) is not required to respond to, a collection of information
unless it displays a currently valid OMB control number.

Public reporting for this collection of information is estimated to average 1.25 hours per registration, and 10 minutes per updating amendment, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or
any other aspect of this collection of information, including suggestions for reducing this burden, to: Secretary, Board of Governors of the Federal Reserve System, 20th and C Streets,
NW, Washington, DC 20551; or Assistant Executive Secretary, Federal Deposit Insurance Corporation, Washington, DC 20429; or Legislative and Regulatory Activities Division, Office of
the Comptroller of the Currency, Washington, DC 20219; and to the Office of Management and Budget, ATTN: Paperwork Reduction Project (7100-0099, 1557-0124, 3064-0026),
Washington, DC 20503.

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For Official Use Only
Reg/File Number

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Transfer Agent Registration and Amendment Form
Please print or type all responses. Read all instructions before completing the form. Applicant must complete all information if
registering as a transfer agent. For amendments, registrant must identify itself and the filing by answering questions 1 through 3.
Thereafter, only answer questions that require amendment in addition to providing the name and signature of the person responsible,
and the date (questions 14-16). Detailed guidance for each item on Form TA-1 appears in Part II (Special Instructions) of the
instructions for Form TA-1.
1. Appropriate Regulatory Agency (check one):

2. Filing Status of this form (check one):

Board of Governors of the Federal Reserve System

Registration

Federal Deposit Insurance Corporation

Amendment to Registration

Office of the Comptroller of the Currency
4. Financial Industry Number Standard (FINS) Number:

3. Full name of Registrant organization:
Full Name

Previous Name (if being amended for name change)

6. Mailing Address:

5. Main Office Location of Registrant:
Street Address

City

Street Address

State

Zip Code

7. Telephone Number:

City

State

Zip Code

8. Principal Location of the Registrant where Transfer Agent
Processing Activities are:

Area Code / Phone Number
Street Address

City

State

Zip Code

9. List all other locations of the Registrant where transfer agent processing activities are conducted (locations different from responses
to questions 5 and 8 above):
Street Address

City

Street Address

State

Zip Code

Street Address

City

City

State

Zip Code

State

Zip Code

Street Address

State

Zip Code

City

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Transfer Agent Registration and Amendment Form—Continued
10. Does Registrant act (or will it act) as a transfer agent solely for its own securities and/or securities of an affiliate(s)?
Yes

No

11. Has the Registrant contracted to have an outside organization perform transfer agent functions in the Registrant's name?
("Private Label" Servicing)
Yes

No

If Yes, list the name(s) of Private Label Transfer Agents:

Appropriate Regulatory Agency (ARA)
Assigned Registered Transfer Agent Number
8

8

-

8

-

12. Does the Registrant perform any private label transfer agent services for another Registered Transfer Agent?
Yes

No
Appropriate Regulatory Agency (ARA)
Assigned Registered Transfer Agent Number
8

If Yes, list the name(s) of the Named Transfer Agents:

8

-

8

-

8

-

8

-

13. Execution: The Registrant submitting this form, and the person executing it, hereby represent that all the information contained
herein is true, correct, and complete.
Attention: Intentional misstatements or omissions of fact constitute federal criminal violations. See 18 U.S.C. 1001 and 15 U.S.C.
78ff(a).

14. Full name of official responsible for form (print or type):
First Name

Middle Name

14.a. Title of official responsible for form:
Title

15.
Last Name

Signature of Official Responsible for form

16.
Date (MM/DD/YYYY)

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FORM TA-1
TRANSFER AGENT REGISTRATION AND AMENDMENT FORM
DISCLOSURE OF ESTIMATED REPORTING BURDEN
An agency may not conduct or sponsor, and an organization (or a person) is not required to respond to, a collection of information unless it displays a
currently valid OMB control number.
Public reporting for this collection of information is estimated to average 1.25 hours per registration, and 10 minutes per updating amendment,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to:
x Secretary, Board of Governors of the Federal Reserve System, Washington, DC 20551; or
x Assistant Executive Secretary (Regulatory Analysis), FDIC, Washington, DC 20429; or
x Legislative and Regulatory Activities Division, Office of the Comptroller of the Currency, Washington, DC 20219; or
x Assistant Managing Director, Examination and Supervision Policy, Office of Thrift Supervision, Washington, DC 20552
and to the Office of Management and Budget, ATTN: Paperwork Reduction Project (7100-0099, 1557-0124, 3064-0026), Washington, DC 20503.

INSTRUCTIONS FOR USE

or

GENERAL: Form TA-1 is to be used to register or amend registration as a transfer agent with the Comptroller of the
Currency, the Board of Governors of the Federal Reserve System, the Federal Deposit Insurance Corporation, or the Office
of Thrift Supervision pursuant to Section 17A of the Securities Exchange Act of 1934.
ATTENTION: Certain statutes applicable to transfer agents are referenced or summarized below. Transfer agents are urged
to review all applicable provisions of the Federal securities laws.
NOTE: Detailed guidance for each item on Form TA-1 appears under Part II - Special Instructions for Completing Form TA-1. See page 4.

See page 7.

Form TA-1

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Part I General Instructions for Filing and Amending Form TA-1

A. Terms and Abbreviations. The following terms and abbreviations are used throughout these instructions.
1. "Act" refers to the Securities Exchange Act of 1934.
2. "ARA" refers to the appropriate regulatory agency, as defined in Section 3(a)(34)(B) of the Act. See General
Instruction D on page 3.

and

3. "Federal Bank Regulators" or "FBRs" refers to the Office of the Comptroller of the Currency ("OCC"), the Board of
Governors of the Federal Reserve System ("FRB"), the Federal Deposit Insurance Corporation ("FDIC"), and the
Office of Thrift Supervision (“OTS”).
4. "Form TA-1" includes the Form and any attachments, whether filed as a registration or an amendment.
5. "Registrant" refers to the entity on whose behalf Form TA-1 is filed.
6. "SEC" refers to the Securities and Exchange Commission.
7. "Transfer agent" is defined in Section 3(a)(25) of the Act as any person who engages on behalf of an issuer of
securities, or on behalf of itself as an issuer, in at least one of the functions enumerated therein.
8. Examples of transfer agent functions include maintaining records of securityholders, maintaining records of securities
and securities certificates issued, transferring ownership of securities, countersigning securities upon issue,
monitoring an issue of securities to preclude over- or under-issuance, and the exchanging or converting of securities.
"Book-issue" securities (those where no securities certificates are issued) are also included.
B. Who Must File. Under Section 17A(c)(1) of the Act, it is unlawful for any transfer agent to perform any transfer agent
function with respect to any qualifying security unless that transfer agent is registered with its ARA.
A "qualifying security" is any security registered under Section 12 of the Act. Thus, qualifying securities include
securities registered on a national securities exchange pursuant to Section 12(b) of the Act, as well as equity
securities registered pursuant to Section 12(g)(1) of the Act for issuers that have:

See
insert #1

1. a class of equity securities (other than exempted securities) held of record by 500 or more persons, and
2. total assets exceeding $10,000,000.

See
In addition, qualifying securities include equity securities of registered investment companies and certain
insert #2 insurance companies that would be required to be registered under Section 12(g) except for the exemptions
provided by subsections (g)(2)(B) (mutual funds and investment companies) and (g)(2)(G) (insurance
companies), respectively, of Section 12, i.e., when the asset and shareholder criteria of Section 12(g)(1)(B) are
met.
A
C. When to File. Before a transfer agent may perform any transfer agent function for a qualifying security, it must
register on Form TA-1 with its current ARA. Instructions for amending Form TA-1 appear at General Instruction G,
on page 4.

page 7.

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D. How and Where to File. Each registrant must file Form TA-1 with its own current ARA. The FBRs will send copies
of the submitted filings to the SEC on behalf of their registrants.
A registrant may determine the name and address of its ARA from the following:

A national bank, Federal savings bank, or a bank
1. A national bank or a bank operating under the Code of Law for the District of Columbia, or a subsidiary of any
such bank, registers with the Comptroller of the Currency at:
Office of the Comptroller of the Currency
Administrator of National Banks
Asset Management Division
Washington, DC 20219
For Information: Telephone (202) 874-4447

a savings and loan
holding company,

649-6360

or other entity that is a
bank within the
meaning of the Act
that is not required to
register with the OCC
or FDIC and that

2. A state-chartered bank which is a member of the Federal Reserve System, a subsidiary thereof, a bank holding
company, or a state-chartered trust company which is a subsidiary of a bank holding company, registers with the
Board of Governors of the Federal Reserve System at:
Board of Governors of the Federal Reserve System
Division of Banking Supervision and Regulation
Registered Transfer Agents
Washington, DC 20551
For Information: Telephone (202) 452-2837

by submitting a Portable Document
Format ("PDF") version of the form and
attachments to the designated email
address [email protected].

Note: All other non-bank subsidiaries of a bank holding company, other than those cited above, register with the
Securities and Exchange Commission. See below.

3. A state-chartered bank which is insured by the Federal Deposit Insurance Corporation (other than a bank which is
a member of the Federal Reserve System), or a subsidiary thereof, registers with the Federal Deposit Insurance
Corporation at:

or a state
by either mailing or submitting an electronic
Federal Deposit Insurance Corporation
savings
copy of the form (available at www.fdic.gov) and
Division of Supervision and Consumer Protection
association, or Policy and Program Development Section
attachments to the secure email address MSGa subsidiary
ATTN: Registered Transfer Agents
[email protected]. Report the form
thereof, which 550 - 17th Street, NW
and attachments in Portable Document Format
Washington, DC 20429
is insured by
("PDF"). The form may be mailed to the
the Federal
following address:
For Information: Telephone (202) 898-7496
Deposit
Insurance
4. A savings association, the deposits of which are insured by the Federal Deposit Insurance Corporation, or a
Corporation,
subsidiary of any such savings association, or a savings and loan holding company, registers with the Office of
Thrift Supervision at:
Office of Thrift Supervision
Assistant Managing Director
Examination and Supervision Policy
Attn: Registered Transfer Agents
1700 G Street NW
Washington, DC 20552

For information contact the FDIC's Division of Risk
Management Supervision, Policy and Program Development
Section, Registered Transfer Agents, at telephone number
(678) 916-2289.

For Information: Telephone (202) 906-6068

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5. All other transfer agents register with the Securities and Exchange Commission, - using the SEC's electronic
version of Form TA-1, located at: http://www.sec.gov/about/forms/formta-1.pdf

4.

Registrants file electronically in EDGAR. Registrants should refer to the EDGAR Filer Manual, which is available
at the SEC’s web site (www.sec.gov) for the instructions on preparing the form.

OCC
E. Number of Copies. FBR registrants must file the original and two copies of any registration or amendment with their
respective ARA.

(move
up)

copy

The original copy of Form TA-1 must be manually signed and any additional copies may be photocopies of the
signed original copy. All copies must be legible, on good quality 8-1/2 x 11 inch white paper. The registrant must
keep an exact copy of any filing for its records.
(as a new paragraph) FRB and FDIC registrants

must file a manually signed original copy, and must
keep an
exactthirty
copydays
of any
for
F. Effective Dates. Registration of a transfer agent becomes
effective
afterfiling
receipt
byits
therecords.
ARA of the
application for registration, unless the filing does not comply with applicable requirements or the ARA takes
affirmative action to accelerate, deny, or postpone registration in accordance with the provisions of Section 17A(c) of
the Act.

G. Amending Registration. Each registrant must amend Form TA-1 within sixty calendar days following the date on
which information reported therein becomes inaccurate, incomplete or misleading. When amending Form TA-1, the
registrant must identify itself and the filing by answering Questions 1 through 3. Thereafter, only answer questions
that require amending. When adding new information, enter that information into the appropriate spaces. The form
is completed only after signing and completing questions 14-16 (name of person, signature and date).
Part II - Special Instructions for Completing Form TA-1
General. Respond in full to all questions. If the appropriate response to a question is "none", or "not applicable",
respond with "None" or "N/A", respectively. When filing an amendment please refer to Section G.

Item 1.

In determining which regulatory agency Form TA-1 is filed with, refer to General Instruction D above: How
and Where to File, on page 3. page 6.

Item 2.

A filing on Form TA-1 is either an initial registration or an updating amendment. If this is the first time a Form
TA-1 has ever been filed with the regulatory agency indicated in Item 1, check the Registration block. If you
are changing information on an earlier Form TA-1 with the same agency, check the Amendment block.
The name of the "Registrant" is the current name of the organization, such as a bank, trust company, savings
bank, bank holding company, or a subsidiary organization. It is never the name of a person.

Item 3.

If the amendment reflects a name change of the Registrant organization, the previous name is also to be
indicated.
Add space between #2 and

#3

Item 4.

The term "Financial Industry Number Standard" ("FINS" number) means a six-digit number assigned by The
Depository Trust Company (DTC) upon request to financial institutions engaged in activities involving
securities. Registrants that do not have a FINS number may obtain one by requesting it following the steps
described on the DTC web site (www.dtc.org), and click on the section entitled “Underwriting.” There is a
one-page application posted at that location that can be downloaded and printed.

Item 5.

State the full street address of the Registrant's principal or main office. This should be the headquarters or
principle administrative office of the Registrant, not necessarily the "official" main office listed by bank
regulators. A post office box is not acceptable. The full nine-digit Zip Code (12345-6789) is preferred. Do
not enter the address of any servicer organization.

Item 6.

If the mailing address is different from that given in Item 5, state the full address to which the Registrant wants
official mail sent. A post office box is acceptable. The full nine-digit Zip Code (12345-6789) is preferred.

Item 7.

Provide a telephone number for the appropriate individual or department at the Registrant to whom questions
may be addressed.

clicking

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Item 8.

Indicate the principal transfer agent location of the Registrant where transfer agent processing takes place, if
different from Item 5. A post office box is not acceptable. The full nine-digit Zip Code (12345-6789) is
preferred. Do not enter the address of any servicer organization.

Item 9.

List any other locations of the Registrant where transfer agent processing activities take place, if different from
Items 5 and 8. A post office box number is not acceptable. Do not enter the address of any servicer
organization.

Item 10.

The answer to this question should reflect all securities transferred by the Registrant organization, in all
Divisions and/or locations of the Registrant, including any Trust Department. If a Registrant transfers any
securities other than its own or those of an affiliate, the question should be answered "No."
If the Registrant transfers any mutual funds, including "proprietary" mutual funds affiliated with a bank or its
parent company, Item 10 is to be answered "No."
For purposes of this form, a transfer agent is an "affiliate" of, or "affiliated" with, a person if the transfer agent,
directly or indirectly through one or more intermediaries, controls or is controlled by, or is under common
control with, that person.

Item 11.

If the Registrant contracts with an outside service company to perform the functions of a transfer agent in the
Registrant's name, the outside service company must also be a Registered Transfer Agent. In this
arrangement, the outside service company is often known as a "private label" transfer agent. Refer to the
definition of a transfer agent in Item A.7 on page 2 for examples of transfer agent functions.

page 5.
Any private label transfer agent(s) used by the Registrant are to be listed in this item. Enter the name of the
private label servicer and its ARA-assigned Registered Transfer Agent Number.
Do not list any EDP servicers (such as SEI or SunGard), even if they maintain records for transfer agent
activities.
If additional space is needed to answer this question, photocopy the appropriate page of a blank Form TA-1,
and continue such answers thereon.
Item 12.

If the Registrant performs any "private label" transfer agent servicing for another Registered Transfer Agent
(the "Named" Transfer Agent), enter the name of the other Registered Transfer Agent and its ARA-assigned
Transfer Agent Number. For an explanation of the term "private label", refer to Item 11.
If additional space is needed to answer this question, photocopy the appropriate page of a blank Form TA-1,
and continue such answers thereon.

Items 13 through 16.
The name of the individual signing Form TA-1 shall be stated in full (i.e., first name, middle name, and last
name). Initials are not acceptable, unless they are part of the individual's legal name.
Execution of Form TA-1 and Amendments Thereto. Any officer or director of the Registrant may execute
Form TA-1 and any amendments thereto at Item 15 on behalf of the Registrant.

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Part III Notice
Under Sections 17(a)(3), 17A(c), and 23(a) of the Act and the rules and regulations thereunder, the ARA's are authorized
to solicit from applicants for registration as a transfer agent and from registered transfer agents the information required to
be supplied by Form TA-1. Disclosure to the ARA of the information requested in Form TA-1 is a prerequisite to the
processing of Form TA-1.
The information will be used for the principal purpose of determining whether the ARA should allow an application for
registration to become effective or should deny, accelerate, or postpone registration to an applicant.
Information supplied on this Form will be available for inspection by any interested person.

Insert #1: A. total assets exceeding $10,000,000 and a class of
equity security (other than an exempted security) held of record
by either 2,000 persons, or 500 persons who are not accredited
investors (as such term is defined by the Commission), and

Insert #2: B. in the case of an issuer that is a bank, a savings and
loan holding company (as defined in section 10 of the Home
Owners' Loan Act), or a bank holding company, as such term is
defined in section 2 of the Bank Holding Company Act of 1956
(12 U.S.C. 1841), has total assets exceeding $10,000,000 and a
class of equity security (other than an exempted security) held of
record by 2,000 or more persons.

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