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Form MA-NR
ICR 202607-3235-004 · OMB 3235-0681 · Object 173678000.
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Document Metadata
| File Type | application/pdf |
|---|---|
| File Title | Form MA-NR |
| Subject | Designation of U.S. Agent for Service of Process for Non-Residents |
| Keywords | oms, form MA-NR, designation, US, agent, service, process, non-residents |
| Author | OMS |
| Last Modified By | Acrobat PDFMaker 10.1 for Word |
| File Modified | 2023-12-04 |
| File Created | 2014-03-24 |
| Conversion State | complete |
Extracted Text
FORM MA-NR OMB APPROVAL OMB Number: 3235-0681 October 31, 2026 Expires: Estimated average burden hours per initial response. . . . . . . . . . . 1.0 DESIGNATION OF U.S. AGENT FOR SERVICE OF PROCESS FOR NON-RESIDENTS Please read the General Instructions for this form and other forms in the MA series, as well as its subsection, “General Instructions to Form MA-NR,” before completing this form. All italicized terms herein are defined or described in the Glossary of Terms appended to the General Instructions. Purpose: Each non-resident municipal advisor, non-resident general partner or non-resident managing agent of a municipal advisor, and non-resident natural person who is a person associated with the municipal advisor and engaged in municipal advisory activities on its behalf must execute a written irrevocable consent and power of attorney on Form MA-NR to appoint an agent in the United States, upon whom may be served any process, pleadings, or other papers in any action brought against such non-resident municipal advisor, general partner, managing agent or natural person associated with the municipal advisor. Instructions to Complete this Form: 1. This power of attorney, consent, stipulation, and agreement shall be signed and notarized by the non-resident municipal advisor, non-resident general partner or managing agent, or non-resident natural person who is a person associated with the municipal advisor and engaged in municipal advisory activities on its behalf, as applicable, in Section A of Form MA-NR. The form must be signed by the authorized agent for service of process in the United States in Section B of Form MA-NR. 2. The name of each person who signs this Form MA-NR must be typed or printed beneath the person’s signature. 3. Any person who occupies more than one of the specified positions must indicate each capacity in which the person is signing the form. 4. Section C Documentation: If any person signs this form pursuant to a written authorization – e.g., a board resolution or power of attorney – an accurate and complete copy of each such document must be included with the Form MA-NR. 5. Attachment to Form MA or Form MA-I: a) Complete and execute a printed Form MA-NR, including signatures and notarization. Then scan the original completed and executed form to create a PDF file. Please consult the instructions for uploading PDF files into EDGAR, found in the EDGAR Filer’s Manual, available at http://www.sec.gov/info/edgar.shtml. b) If any other documents are required, as specified in Section C of the form, include these documents in the same PDF file or create a separate one(s). c) Attach the PDF file(s) to the Form MA or Form MA-I, as appropriate, where prompted in the form. SEC 2900 (4/14) Power of Attorney, Consent, Stipulation, and Agreement A. Designation and Appointment of Agent for Service of Process Identify the agent for service of process for the non-resident municipal advisor, for the non-resident general partner or managing agent of a municipal advisor, or for the non-resident natural person associated with the municipal advisor and engaged in municipal advisory activities on its behalf. Fill in all lines. 1. Name of United States person designated and appointed as agent for service of process. Enter all the letters of each name and not initials or other abbreviations. (If no middle name, enter NMN on that line.) _________________________________________________________ (name) 2. Mailing Address of United States person designated and appointed as agent for service of process. Do not use a P.O. Box. Do not use a foreign address. ______________________________________________________________________ (number and street; office suite or room number) __________________ _______ (city) (state) _____________________ (U.S. postal code: zip+4) ______________________________________ (area code) (telephone number) By signing this Form MA-NR or authorizing the signatory below to sign on your behalf, you – the nonresident municipal advisor, non-resident general partner or non-resident managing agent of a municipal advisor, or non-resident natural person who is a person associated with the municipal advisor and engaged in municipal advisory activities on its behalf (hereinafter, “the Designator”) – irrevocably designate and appoint the above United States person as your Agent for Service of Process, and agree that such person may be served on your behalf, of any process, pleadings, subpoenas, or other papers, and you further agree that such service may be made by registered or certified mail, in: (a) any investigation or administrative proceeding conducted by the Commission (i) that relates to you or (as applicable) to the municipal advisor of which you are a general partner or managing agent, or with which you are associated and on whose behalf you are engaged in municipal advisory activities or (ii) with respect to which you may have information; and (b) any civil suit or action brought against you or (as applicable) the municipal advisor of which you are a general partner or managing agent, or with which you are associated and on whose behalf you are engaged in municipal advisory activities or to which you, or (as applicable) the municipal advisor of which you are a general partner or managing agent, or with which you are associated and on whose behalf you are engaged in municipal advisory activities has been joined as defendant or respondent, in any appropriate court in any place subject to the jurisdiction of any state, or of the United States or of any of its territories or possessions or of the District of Columbia, where the investigation, proceeding, or cause of action arises out of or relates to or concerns municipal advisory activities of the municipal advisor. 2 The Designator stipulates and agrees that: any such civil suit or action or administrative proceeding may be commenced by the service of process upon, and that service of an administrative subpoena shall be effected by service upon, the above-named Agent for Service of Process; and that service as aforesaid shall be taken and held in all courts and administrative tribunals to be valid and binding as if personal service thereof had been made. Such person cannot be a Commission member, official, or employee. Appointment and Consent: Effect on Partnerships. If you are organized as a partnership, this irrevocable power of attorney and consent to service of process will continue in effect if any partner withdraws from or is admitted to the partnership, provided that the admission or withdrawal does not create a new partnership. If the partnership dissolves, this irrevocable power of attorney and consent shall be in effect for any action brought against you or any of your former partners. Certification: The undersigned certifies under penalty of perjury under the laws of the United States of America, that the information contained in this Form MA-NR is true and correct and that this Form MA-NR is signed as a free and voluntary act. Unless the Designator is a natural person signing on his or her own behalf, the undersigned further certifies that the Designator has duly caused this power of attorney, consent, stipulation, and agreement to be signed on the Designator’s behalf by the undersigned, thereunto duly authorized: Signature of Designator or Person Signing on Behalf of Designator: _____________________________________ Date: ____________________ Printed Name: ____________________________ Title: _________________ In the City of: __________________________ In the Country of: _______________________ The Designator is executing this Form MA-NR as a: (Check all that apply.) ___ Non-resident municipal advisory firm, other than a sole proprietor ___ Non-resident natural person who is a person associated with the municipal advisor and engaged in municipal advisory activities on its behalf ___ Non-resident municipal advisor sole proprietor ___ Non-resident general partner of a municipal advisor Name of municipal advisor ______________________________________ ___ Non-resident managing agent of a municipal advisor Name of municipal advisor ______________________________________ The Designator is executing this Form MA-NR in connection with a(n): (Check all that apply.) ___Initial application on Form MA of the Designator for registration as a municipal advisor ___Initial application on Form MA of the municipal advisor of which the Designator is a general partner or managing agent ___Initial submission on Form MA-I filed regarding a natural person who is a person associated with the municipal advisor and engaged in municipal advisory activities on its behalf 3 ___Change of status of Designator from a resident to a non-resident ___Amendment to information supplied on a previous Form MA-NR Mailing Address of the Designator Do not use a P.O. Box. ______________________________________________________________________ (number and street) __________ ___________ (city) (state/region) _________ (country) _____________________________ (postal code) ________________________________________ (country code) (area code) (telephone number) For a telephone number outside of the U.S., provide the country code with the area code and number. EDGAR CIK No. (if any)___________ SEC File No. (if any): ______________ Notary Public Signature and Information: Signature: _________________________________ [PLACE SEAL HERE] Subscribed and sworn to me this ____ day of __________, ______ My commission expires on _______________ State/Region of ________________________ County of ______________________ Country of _____________________ B. Acceptance of the Above Designation and Appointment as Agent for Service of Process. The United States person identified in Section A above as the agent for service of process hereby accepts this designation and appointment as agent for service of process, under the terms set forth in this Form MA-NR. By signing below, the signatory certifies that the person identified in Section A above as the agency for service of process has duly caused this power of attorney, consent, stipulation, and agreement to be signed on its behalf by the undersigned, thereunto duly authorized: Signature of U.S. Agent for Service of Process: _____________________________________ Date: _________________________ Printed Name: _________________________ Title: _________________________ C. Attached Documents 1. Is any name signed above pursuant to a written authorization, such as a board resolution or power of attorney? Yes No 2. Is there a written contractual agreement or other written document evidencing the designation and appointment of the above named U.S. agent for service of process and/or the agent’s acceptance? Yes No 4 If “Yes” to Section C-1 and/or Section C-2., identify each such document on a separate line below, and include an accurate and complete copy of each such document as part of the PDF file in which the Form MA-NR is attached to the Form MA or Form MA-I, or attach each such document as a separate PDF to the relevant Form MA or Form MA-I. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 5