Form ATS-R Form ATS-R Form ATS-R

Form ATS-R

OMB APPROVAL
OMB Number: . . . . . 3235-0509
October 31, 2018
Expires:
Estimated average burden
hours per response. . . . . . . . 3.5

QUARTERLY REPORT OF ALTERNATIVE TRADING SYSTEM ACTIVITIES
FORM ATS-R INSTRUCTIONS

SEC2551 (06-09)

A. GENERAL INSTRUCTIONS
1. Form ATS-R must be filed by alternative trading systems subject to Regulation ATS within 30 days after the end of each
calendar quarter, or more frequently upon request of the Securities and Exchange Commission (“SEC” or “Commission”).
This Form should be prepared as of the last day of each calendar quarter.
2. WHEN TO FILE A FORM ATS-R - File Form ATS-R within 30 calendar days after the end of each calendar quarter in
which the alternative trading system has operated after the effective date of Regulation ATS. Also file Form ATS-R
within 10 calendar days after an alternative trading system ceases to operate.
3. CONTACT EMPLOYEE - The individual listed on page 1 as the contact employee must be authorized to receive all
contact information, communications and mailings and be responsible for disseminating that information within the
alternative trading system’s organization.
4. FORMAT
• Attach the Execution Page (Page 1) with every filing of Form ATS-R.
• Please type all information.
• Be sure to note the alternative trading system name, CRD number, SEC file number, and report period dates on
each page.
• Use only the current version of Form ATS-R or a reproduction.
5. WHERE TO FILE AND NUMBER OF COPIES - Submit one original and two copies of Form ATS-R to: SEC, Division of
Market Regulation, 450 Fifth Street, N.W., Washington D.C. 20549-1002.
6. RECORDKEEPING - A copy of this Form ATS-R, as well as the forms filed with the SEC, must be retained by the
alternative trading system and made available for inspection upon request of the SEC.
7. PAPERWORK REDUCTION ACT DISCLOSURE
• Form ATS-R requires an alternative trading system subject to Regulation ATS to provide the Commission with
quarterly reports regarding trading activities.
•

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(b), 11A(a), 11A(c), 15(c), 17(a), 23(a) and 36(a) authorize the
Commission to collect information on this Form ATS from alternative trading systems that are subject to Regulation
ATS. See 15 U.S.C. §§78c(b), 78k-1(a), 78k-1(c), 78o(c), 78q(a), 78w(a) and 78mm(a).

•

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 ATS-R and any suggestions for reducing this burden.

•

Form ATS-R is designed to enable the Commission to more effectively track the growth and development of
alternative trading systems, as well as to more effectively comply with its statutory obligations with respect to
alternative trading systems and improve investor protection.

•

It is estimated that an alternative trading system will spend approximately 3.5 hours completing Form ATS-R.

•

It is mandatory that an alternative trading system subject to Regulation ATS file quarterly reports on Form ATS-R
with the Commission.

•

All reports provided to the Commission on Form ATS-R are deemed confidential and will be available only to the
examination of Commission staff, state securities authorities and the self-regulatory organizations. Subject to the
provisions of the Freedom of Information Act, 5 U.S.C. 522 (“FOIA”) and the Commission’s rules thereunder (17 CFR
200.80(b)(4)(iii)), the Commission does not generally publish or make available information contained in any reports,
summaries, analyses, letters, or memoranda arising out of, in anticipation of, or in connection with an examination
or inspection of the books and records of any person or any other investigation.

•

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).

8. Only those alternative trading systems subject to the fair access obligations under §242.301(b)(5) are required to respond
to question 7 on Form ATS-R.

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FORM ATS-R INSTRUCTIONS
B. EXPLANATION OF TERMS
ALTERNATIVE TRADING SYSTEM - Shall mean any organization, association, person, group of persons, or system (1) that
constitutes, maintains, or provides a market place or facilities for bringing together purchasers and sellers of securities
or for otherwise performing with respect to securities the functions commonly performed by a stock exchange within the
meaning of Rule 3b-16 under the Exchange Act; and (2) that does not (i) set rules governing the conduct of subscribers
other than the conduct of such subscribers’ trading on such organization, association, person, group of persons, or system,
or (ii) discipline subscribers other than by exclusion from trading.
CORPORATE DEBT SECURITIES - Shall mean any security that: (1) evidences a liability of the issuer of such security; (2)
has a fixed maturity date that is at least one year following the date of issuance and; (3) is not an exempted security, as
defined in §3(a)(12) of the Act (15 U.S.C. 78o).
DEBT SECURITIES - Shall mean any security other than an equity security, as defined in §240.3a11-1.
EQUITY SECURITIES - Shall have the same meaning as in §240.3a11-1.
GOVERNMENT SECURITIES - Shall have the same meaning as in Exchange Act Section 3(a)(42), including those instruments
in paragraph (D) of § 3(a)(42) of the Exchange Act.
LISTED EQUITY SECURITIES - Shall mean any equity securities that are listed and registered, or admitted to unlisted
trading privileges, on a national securities exchange.
LISTED OPTIONS - Shall mean any options traded on a registered national securities exchange or automated facility of a
registered national securities association.
MORTGAGE RELATED SECURITIES - Shall have the same meaning as in Exchange Act Section 3(a)(41).
MUNICIPAL SECURITIES - Shall have the same meaning as in Exchange Act Section 3(a)(29).
NASDAQ NATIONAL MARKET SECURITIES - Shall mean any securities designated as Nasdaq National Market Securities
by The Nasdaq Stock Market.
NASDAQ SMALLCAP MARKET SECURITIES - Shall mean any securities designated as Nasdaq SmallCap Market Securities
by The Nasdaq Stock Market.
PENNY STOCK - Shall have the same meaning as in Exchange Act Section 3(a)(51).
SUBSCRIBER - Shall mean any person that has entered into a contractual agreement with an alternative trading system to
access such alternative trading system for the purpose of effecting transactions in securities or to submit, disseminate, or
display orders on such alternative trading system, including a customer, member, user, or participant in an alternative trading
system. A subscriber, however, shall not include a national securities exchange or national securities association.
UNLISTED OPTIONS - Shall mean any options other than those traded on a registered national securities exchange or
automated facility of a registered national securities association.

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Form ATS-R
Page 1
Execution
Page

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
QUARTERLY REPORT OF ALTERNATIVE TRADING SYSTEM ACTIVITIES

OFFICIAL
USE

INTENTIONAL MISSTATEMENTS OR OMISSIONS OF FACTS MAY CONSTITUTE CRIMINAL VIOLATIONS

Alternative Trading System Name:
Period covered by this report:

to

1. Exact name, principal business address, mailing address, if different, and telephone number of alternative
trading system:
A. Full name of alternative trading system (if sole proprietor, last, first and middle name):

B. Name(s) under which business is conducted, if different from Item 1A:
C. CRD Number:

D.

SEC File No.: 8 -

E. If this filing makes a name change on behalf of the alternative trading system, enter the previous name
and specify whether the name change is of the ________ alternative trading system name (1A), or ________
business name (1B):

Previous name:

F. Alternative trading system’s main street address (Do not use a P.O. Box):

G. Mailing address (if different):

H. Business telephone and facsimile number:

(Telephone)

(Facsimile)

I. Contact employee:
(Name and Title) (Telephone) (Facsimile)

2. Attach as Exhibit A, a list of all subscribers that were participants of the alternative trading system at any
time during the period covered by this report.
3. Attach as Exhibit B, a list of all securities that were traded on the alternative trading system at any time during
the period covered by this report.
EXECUTION: The alternative trading system consents that service of any civil action brought by, or notice of any proceeding before, the
SEC or self-regulatory organization in connection with the alternative trading system’s activities may be given by registered or certified mail
or confirmed telegram to the alternative trading system’s contact employee at the main address, or mailing address if different, given in
Items 1F and 1G. 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 alternative trading system. The undersigned and alternative trading system represent that the information and statements
contained herein, including exhibits, schedules, or other documents attached 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 alternative trading system)

By:
(Signature)

(Printed Name and Title)

Subscribed and sworn before me this _______ day of _________________, __________ by ______________________________
(Month) (Year) (Notary Public)

My Commission expires __________________ County of _____________________ State 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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OFFICIAL
USE
ONLY

Form ATS-R
Page 2

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
QUARTERLY REPORT OF ALTERNATIVE TRADING SYSTEM ACTIVITIES

OFFICIAL
USE

OFFICIAL
USE
ONLY

DO NOT WRITE BELOW THIS LINE - FOR OFFICIAL USE ONLY

Alternative Trading System Name:
Period covered by this report:

CRD Number: _______________________
to

SEC File Number: 8-

4. Provide the total unit and dollar volume of transactions in the following securities. For securities reported
in 4J-4O, report total settlement value in U.S. Dollars. Enter “None,” “N/A” or “0” where appropriate.
Category of Securities

Total Unit Volume of
Transactions

A. Listed Equity Securities
B. Nasdaq National Market Securities
C. Nasdaq SmallCap Market Securities
D. Equity securities issued pursuant to

Rule 144A of the Securities Act of 1933
E. Penny Stock, other than any securities

included in Items 4A-4D above
F. Other equity securities not included in
Items 4A-4E above
G. Rights and warrants
H. Listed options
I. Unlisted options
J. Government securities
K. Municipal securities
L. Corporate debt securities
M. Mortgage related securities
N. Debt securities other than any securities

included in Items 4J-4N above
5. A. List the types of equity securities reported in
Item 4F above:

B. List the types of debt reported in Item 4O above:

5

Total Dollar Volume of
Transactions

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
QUARTERLY REPORT OF ALTERNATIVE TRADING SYSTEM ACTIVITIES

Form ATS-R
Page 3

OFFICIAL
USE

DO NOT WRITE BELOW THIS LINE - FOR OFFICIAL USE ONLY

Alternative Trading System Name:

CRD Number ________________________

Period covered by this report:

to

SEC File Number:8-

6. Provide the total unit and dollar volume of transactions for after-hours trading in the following securities.
Enter “None,” “N/A” or “0” where appropriate.

Category of Securities

Total Unit Volume of
Transactions

Total Dollar Volume of
Transactions

A. Listed Equity Securities
B. Nasdaq National Market Securities
C. Nasdaq SmallCap Market Securities
D. Listed options
7. Attach as Exhibit C, a list of all persons granted, denied, or limited access to the alternative trading system
during the period covered by this report, designating for each person (a) whether they were granted, denied,
or limited access; (b) the date the alternative trading system took such action; (c) the effective date of such
action; and (d) the nature of any denial on limitation of access.

6

OFFICIAL
USE
ONLY