Board of Governors of the Federal Reserve System OMB Number 7100-0099 Approval expires December 31, 2025 Federal Deposit Insurance Corporation OMB Number 3064-0026 Approval expires February 28, 2026 Office of the Comptroller of the Currency OMB Number 1557-0124 Approval expires June 30, 2027
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Board of Governors of the Federal Reserve System
Transfer Agent Registration and Amendment Form—Form TA-1
Under sections 2, 17A(c), 17(a)(3), and 23(a) of the Securities Exchange Act of 1934 and the rules and regulations thereunder, the appropriate regulatory agencies (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 the 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, search- ing 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 The Bank Advisory group, 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.
Form
TA-1
Page
2
of
3
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.
Appropriate Regulatory Agency (check one):
Board of
Governors of
the Federal
Reserve System
Federal Deposit Insurance Corporation
Office of
the Comptroller
of the
Currency
Filing
Status
of
this
form
(check
one):
Registration
Amendment to
Registration
Full name of Registrant organization:
Full Name
Financial Industry Number Standard (FINS) Number:
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Previous Name (if being amended for name change)
Main Office Location of Registrant: 6. Mailing Address:
Street Address Street Address
City
State
Zip Code
City State Zip Code
Telephone Number:
Area Code / Phone Number
Registrant Principal Location where Transfer Agent Processing Activities are:
Street Address
City State Zip Code
List all other Registrant locations where Transfer Agent Processing Activities are conducted.
(Locations different from responses to questions 5 and 8 above):
Street Address Street Address
City
State
Zip Code
City
State
Zip Code
Street Address Street Address
City
State
Zip Code
City State Zip Code
Form TA-1 Page 3 of 3
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
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
Does
the
Registrant
perform
any
private
label
transfer
agent
services
for
another
Registered
Transfer
Agent?
Yes
No
If Yes, list the name(s) of the Named Transfer Agents:
14. Full name of official responsible for form (print or type):
Appropriate Regulatory Agency (ARA) Assigned Registered Transfer Agent Number
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).
15.
First Name Middle Name Last Name
14.a. Title of official responsible for form:
16.
Signature of Official Responsible for form
Title Date (MM/DD/YYYY)
08/2023
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Subject | Transfer Agent Registration and Amendment Form—TA-1 |
| Author | Federal Reserve Board |
| File Modified | 0000-00-00 |
| File Created | 2025-05-19 |