SEC 2084 (5/93)
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    Applicant's CIK (if 
      known)

  

    






  
  

    OMB APPROVAL

  

    OMB Number: 325-0328

  

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United States
Securities and Exchange 
Commission
Washington, D.C. 20549


FORM ID




UNIFORM APPLICATION FOR ACCESS CODES TO FILE ON EDGAR





  
  

    [   ]
    Initial Application
        
    
    [  ]
    Amendment





PART I — APPLICATION FOR ACCESS CODES TO FILE ON EDGAR



Name of applicant (registrant's name as 
specified in its charter, individual's name for signature purposes; company or 
individual name of filing agent or training agent) 




Former Name (if changed since last application) 




Mailing Address or Post Office Box No.



  
  

    City
    State 
    Zip
E-Mail 
Address: 


Applicant is a (see definitions in the General Instructions):



  
  

    empty check box
    Filer
    empty check box 
    Filing Agent
    empty check box
    Training 
Agent






  
  

    empty check box
    Initial Application for EDGAR Access 
      Codes.



empty check box Amended Application 
for (see definitions in the General Instructions): 




  
  

    empty check box 
    CCC 
    empty check box
    Password 
    empty check box 
    PMAC



empty check box Amended Application to 
change reported information only (Access codes to remain the same) 




PART II — FILER INFORMATION (to be completed by filers 
only)



If you currently file with the SEC, check this box empty check box and provide at least one of your SEC file 
numbers, if known: 



  
  

    1933 Act No.
    1934 Act No.
    1935 Act No. 
    1940 Act No. 
    Other

  

    2
    - 
    __________
    0
    - 
    __________
    70
    - 
    __________
    811
    - 
    __________
    ____
    - 
    __________

  

    33
    - 
    __________
    1
    - 
    __________
    69
    - 
    __________
    814
    - 
    __________
  

    333
    - 
    __________
    28
    - 
    __________
    






  
  

    Registrant's 
      Tax Number or Federal Identification Number 


    Telephone 
      Number (Include Area Code)




Primary Business Address or Post Office Box No. (if different from mailing 
address)



  
  

    City
    State
    Zip






  
  

    State of 
      Incorporation/Organization
    Fiscal Year End 
  (mm/dd)





PART III — CONTACT INFORMATION (To be completed by 
applicants)



Person to receive EDGAR Information, Inquiries and Access Codes 


Telephone Number (Include Area Code)   (     ) 


Mailing Address or Post Office Box No. (if different from applicant's mailing 
address)



  
  

    City
    State 
    Zip
E-Mail 
Address: 


If you are an EDGAR Private Mail subscriber, provide your User ID: 




PART IV — ACCOUNT INFORMATION (To be completed by filers and filing 
agents only)






  
  

    Person to receive SEC 
      Account Information and Billing Invoices
    Telephone Number (Include Area 
      Code)
(   )



Mailing Address or Post Office Box No. (if different from applicant's mailing 
address)



  
  

    City
    State
    Zip





PART V — SIGNATURE (To be Completed by all Applicants)






  
  

    Signature:

    Type or Print 
      Name:

  

    Position or 
      Title:

    Date:



Section 19 of the Securities Act of 1933 (15 U.S.C. 77s), sections 13(a) and 23 
of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a) and 78w), section 319 
of the Trust Indenture Act of 1939 (15 U.S.C. 77sss), section 20 of the Public 
Utility Holding Company Act of 1935 (15 U.S.C. 79t) and sections 30 and 38 of 
the Investment Company Act of 1940 (15 U.S.C. 80a-29 and 30a-37) authorize 
solicitation of this information. This information will be used to assign system 
identification to filers, filing agents, and training agents. This will allow 
the Commission to identify persons sending electronic submissions and grant 
secure access to the EDGAR system. 






Form ID


GENERAL INSTRUCTIONS







USE AND PREPARATION OF FORM ID
Use Form ID to apply for or to amend the following EDGAR codes: 


  


Please see the EDGAR Filer Manual for instructions on how to file 
electronically, including how to use the access codes. 

You must complete all items in any parts which apply to you. If any item 
in any part does not apply to you, please mark that part "NA." If your form is 
incomplete, it may take us longer to assign your access codes. 






PART I - APPLICANT INFORMATION (to be completed by all 
applicants)





Please check the appropriate box to indicate whether you will be sending 
electronic submissions as a filer, filing agent, or training agent. Mark only 
one of these boxes per application. A "filer" is any person or entity on whose 
behalf an electronic filing is made. A "filing agent" is a financial printer, 
law firm, or other party which will be using these access codes to send a filing 
or portion of a filing on behalf of a filer. A "training agent" is any person or 
entity which will be sending only test filings in conjunction with training 
other persons. 

If you do not already have access codes, please mark the "Initial 
application" box, and complete all other items in Parts II through V that apply 
to you. 

If you already have access codes, please provide your CIK in the upper left 
corner, and mark the boxes to indicate the reason you are filing the amendment 
and any access codes you want to replace. You also should complete Part V 
(signature) and those items in Parts II through IV which have changed from the 
previous application. You may change your access codes (except your PMAC) and 
most other information on Form ID electronically via EDGAR. See the EDGAR Filer 
Manual for details. 






PART II - FILER INFORMATION (to be completed by filers 
only)





The registrant's tax or federal identification number is the number issued by 
the Internal Revenue Service. Foreign private issuers should include all zeroes 
if they do not have a tax or federal identification number. (We do not require 
this number for individuals.) 

We do not require state of incorporation/organization or fiscal year end for 
individuals. We request that foreign private issuers include their country of 
organization. 






PART III - CONTACT INFORMATION (to be completed by all 
applicants)





In this section, identify the individual who should receive the access codes 
and EDGAR-related information. 

If you are or become an EDGAR Private Mail subscriber, you can receive 
acceptance and suspension messages and any requested return copies of your 
filings via electronic mail at your expense. If you do not subscribe to EDGAR 
Private Mail, you can receive your acceptance and suspension messages via 
Internet E-Mail if you provide an address. We will not send return copies of 
filings to an Internet address. 






PART IV - ACCOUNT INFORMATION (to be completed by filers and 
filing agents only)





Identify in this section the individual who should receive account 
information and/or billing invoices from us. We will use this information to 
electronically process fee payments and billings. 






PART V - SIGNATURE (to be completed by all applicants)





Send your manually signed and dated form to: 




  
  

    Branch of Filer Support
U.S. Securities and Exchange 
      Commission
Operations Center, Stop 0-7
6432 General Green 
      Way
Alexandria, VA 22312








http://www.sec.gov/smbus/forms/id.htm 
Last update: 10/22/1999 



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