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United States

 Securities and Exchange Commission

Washington, D.C.  20549






FORM TH

NOTIFICATION OF RELIANCE ON

TEMPORARY HARDSHIP EXEMPTION

















_______________________________________

Report, schedule or registration statement
to which the hardship exemption relates
(give period of report if applicable)		
_______________________________________

SEC file number, if available


 

________________________________________________________________

Name of Person Filing the Document

(If Other than the Registrant)










Part I — Registrant Information




 ____________________________________________________________________________

Full Name of Registrant 



 ____________________________________________________________________________

Address of Principal Executive Office 



 ____________________________________________________________________________

Street and Number 




____________________________________________________________________________

City, State and Zip Code 







Part II — Information Relating to the Hardship



Furnish the following information:

    

  1. A description of the nature and extent of the temporary technical difficulties experienced by the electronic filer in attempting to submit the document in electronic format.

    

  2. A description of the extent to which the electronic filer has successfully submitted documents previously in electronic format with the same hardware and software, in test or required filings.

    

  3. A description of the burden and expense involved to employ alternative means to submit the electronic submission in a timely manner. 

    

  4. Any other reasons why an exemption is warranted.






Part III —  Representation of Intent to Submit Confirming Electronic Copy




The registrant shall include a representation that a confirming electronic copy of the document filed in paper will be filed in accordance with Rule 201(b) of Regulation S-T (§232.201(b)).



Part IV — Contact Person



Name and telephone number of person to contact in regard to this notification;  





_________________________________

Name 		(_____________)
Area Code 		______________________
Telephone No. 




Part V — Signatures





 

____________________________________________________________________________

Name of registrant as appears in charter:



has caused this notification to be signed on its behalf by the undersigned, being duly authorized:



Date: _________________________       By: _______________________



Instruction:  This form may be signed by an executive officer of the registrant or by any other duly authorized representative. Signatures may be in typed form rather than in manual format.








 





GENERAL INSTRUCTIONS


    

  1. Rule 201(a) of Regulation S-T requires electronic filers relying on a temporary hardship exemption to file this form in addition to filing a paper copy of a document otherwise required to be filed in electronic format.

    

  2. Four signed copies of this form shall accompany the paper format document and shall be filed within one business day after the date upon which the document filed in paper originally was to be filed electronically.

    

  3. Signatures to the paper format document being filed pursuant to the exemption may be in typed form rather than manual format.  See Rule 302 of Regulation S-T (§232.302 of this chapter).  All other requirements relating to paper format filings, including number of copies to be filed, shall be satisfied.










http://www.sec.gov/divisions/corpfin/forms/th.htm

Last update: 02/11/2002