FORM 21-101F6 CESSATION OF OPERATIONS REPORT FOR INFORMATION PROCESSOR 1. Identification: A. Full name of information processor: B. Name(s) under which business is conducted, if different from item 1A: 2. Date information processor proposes to cease carrying on business: 3. If cessation of business was involuntary, date alternative trading system ceased to carry on business: THE FILER CONSENTS TO HAVING THE INFORMATION ON THIS FORM AND ATTACHED EXHIBITS PUBLICLY AVAILABLE. EXHIBITS File all Exhibits with the Cessation of Operations Report. For each Exhibit, include the name of the information processor, 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 information processor ceasing to carry on business. Exhibit B A list of each of the securities the information processor displays. CERTIFICATE OF INFORMATION PROCESSOR The undersigned certifies that the information given in this report is true and correct. DATED at ____________this_____ day of ___________20__ (Name of information processor) (Name of director, officer or partner - please type or print) (Signature of director, officer or partner) (Official capacity - please type or print)
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