N.M. Admin. Code § 13.2.2.19 - FORM H
A.
When
required:
(1) A person claiming that
they do not, or will not upon the taking of some proposed action, control
another subject person shall file Form H in accordance with this
rule.
(2) A person requesting
termination of registration shall file Form H in accordance with this
rule.
B. A request for
termination of registration shall be deemed to have been granted unless the
superintendent, within thirty days after receipt of the request, notifies the
registrant otherwise.
C.
Information required in Form H:
(1)
Caption: Place the following
caption at the top of the cover page:
FORM H
DISCLAIMER OF AFFILIATION OR REQUEST FOR TERMINATION OF REGISTRATION
(2)
Disclaimant: Provide the name, address, and telephone number and
email of the person disclaiming affiliation or requesting termination of
registration.
(3)
Subject
person: Provide the name, address, and telephone number and email of the
person no longer affiliated with or subject to the control of the
disclaimant.
(4)
Voting
securities: Provide the number of authorized, issued and outstanding
voting securities of the subject person.
(5)
Shares held by disclaimant:
With respect to the disclaimant and all affiliates of the disclaimant, indicate
the number and percentage of shares of the subject person's voting securities
which are held of record or known to be beneficially owned, and the number of
shares the disclaimant has a right to acquire, directly or
indirectly.
(6)
Affiliations: Describe all material relationships and bases for
affiliation between the subject person and disclaimant and all affiliates of
the disclaimant.
(7)
Explanation: State why the disclaimant should not be considered to
control the subject person.
Notes
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