Form MNF (SFN62033) "Municipal Security Notice Filing" - North Dakota

What Is Form MNF (SFN62033)?

This is a legal form that was released by the North Dakota Securities Department - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2022;
  • The latest edition provided by the North Dakota Securities Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form MNF (SFN62033) by clicking the link below or browse more documents and templates provided by the North Dakota Securities Department.

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Download Form MNF (SFN62033) "Municipal Security Notice Filing" - North Dakota

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FORM MNF
MUNICIPAL SECURITY NOTICE FILING
Securities Department
NORTH DAKOTA SECURITIES DEPARTMENT
600 E Boulevard Ave Dept
SFN 62033 (4-2022)
414 Bismarck ND 58505
(701) 328-2910
www.securities.nd.gov
1. CONTACT PERSON
Name
Title
Address
ZIP Code
State
City
Email
Telephone Number
2. ISSUER OF SECURITIES
Name
Telephone Number
Address
State
ZIP Code
City
3. USER OF PROCEEDS
Name
Telephone Number
Address
State
ZIP Code
City
4. DESCRIPTION OF SECURITIES COVERED BY THIS NOTICE:
5. A $100 filing fee must be paid electronically through the filing portal at time of the filing
submission.
6. A copy of the title page of the offering document must be filed electronically with this
notice filing.
FORM MNF
MUNICIPAL SECURITY NOTICE FILING
Securities Department
NORTH DAKOTA SECURITIES DEPARTMENT
600 E Boulevard Ave Dept
SFN 62033 (4-2022)
414 Bismarck ND 58505
(701) 328-2910
www.securities.nd.gov
1. CONTACT PERSON
Name
Title
Address
ZIP Code
State
City
Email
Telephone Number
2. ISSUER OF SECURITIES
Name
Telephone Number
Address
State
ZIP Code
City
3. USER OF PROCEEDS
Name
Telephone Number
Address
State
ZIP Code
City
4. DESCRIPTION OF SECURITIES COVERED BY THIS NOTICE:
5. A $100 filing fee must be paid electronically through the filing portal at time of the filing
submission.
6. A copy of the title page of the offering document must be filed electronically with this
notice filing.
SFN 62033 (4-2022)
Page 2 of 2
SIGNATURE AND SUBMISSION
The undersigned certifies that this notice has been filed on behalf of, and with the authority of, the
issuer. The undersigned and the issuer represent that the information and statements, and other
information filed, are current, true and complete to the best of his or her knowledge, information and
belief, and that the securities covered by this notice are covered securities as defined by the
National Securities Markets Improvement Act of 1996.
The undersigned, on behalf of the issuer, irrevocably appoints the North Dakota Securities
Commissioner as the issuer’s agent for service of process, and agrees that the Securities
Commissioner may accept service on its behalf, of any notice, process or pleading in any action or
proceeding against it arising out of, or in connection with, the sale of securities or out of violation of
the securities laws and rules of the state of North Dakota, and further agrees that such service may
be made by registered or certified mail. It is requested that a copy of any notice, process, or
pleading served hereunder be mailed to:
Name
Address
Name of Issuer
Signature of Authorized Agent of Issuer
Title of Agent for Issuer
Date
Page of 2