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FORM 91-507F3 MSC RULE 91-507 –DERIVATIVES: TRADE REPORTING
CESSATION OF OPERATIONS REPORT FOR TRADE REPOSITORY Identification: A. Full name of the designated trade repository: B. Name(s) under which business is conducted, if different from item 1A: Date designated trade repository proposes to cease carrying on business as a trade repository: If cessation of business was involuntary, date trade repository has ceased to carry on business as a trade repository:
Exhibits File all Exhibits with the Cessation of Operations Report. For each exhibit, include the name of the trade repository, the date of filing of the exhibit and the date as of which the information is accurate (if different from the date of the filing). If any Exhibit required is inapplicable, a statement to that effect shall be furnished instead of such Exhibit.
Exhibit A The reasons for the designated trade repository ceasing to carry on business as a trade repository. Exhibit B A list of all derivatives instruments for which data recordkeeping is offered during the last 30 days prior to ceasing business as a trade repository.
Exhibit C A list of all participants who are counterparties to a derivative whose derivatives data is required to be reported pursuant to MSC Rule 91-507 –Derivatives: Trade Reporting and for whom the trade repository provided services during the last 30 days prior to ceasing business as a trade repository.
CERTIFICATE OF TRADE REPOSITORY The undersigned certifies that the information given in this report is true and correct. DATED at ____________ this ____________ day of _____________________ 20 _____ ____________________ (Name of trade repository)
_______________________ (Name of director, officer or partner – please type or print)
_______________________ (Signature of director, officer or partner)
______ _______________ (Official capacity – please type or print)