Indefinite Mutual Fund Sales Report {NE-9}

Nebraska Indefinite Mutual Fund Sales Report Nebraska Department of Banking & Finance http://www.ndbf.org/ Commerce Court 1230 "O" Street, Suite 400 PO Box 95006 Lincoln, NE 68509-5006 402-471-3445 For the 12-Month Period Beginning_________________ Ending_________________ State File Number ____________________________________ Fund_______________________________________________ Address ____________________________________________ ___________________________________________________ Contact Person ______________________________________ Telephone Number ___________________________________ Email Address _______________________________________ ITEM A. DESCRIPTION Actual total sales in the fund in Nebraska during the time period for which this report is filed. Fee for actual sales during the time period for which this report is filed. B1) B2) Item A times .1% (.001) up to the first $10,000,000. Item A times .05% (.0005) of the remaining actual sales over $10,000,000. (Enter "0" on line B2 if sales were under $10,000,000). (B1) __________________ AMOUNT (A) __________________ B. (B2) __________________ (B) __________________ (C) $1,000.00 Total of B1 and B2 C. D. Fee paid for prior year's registration. Additional fee due for this 12-month period. (Item B minus Item C) If this figure is negative, enter "0". There are no refunds or credits allowed. Renewal fee due for upcoming year. (D) __________________ E. (E) $1,000.00 SEPARATE CHECKS SHOULD BE SUBMITTED FOR LINE D AND LINE E. Effective: 09/06/92 Page 1 of 1 Rev. 11/2004 Slsrpt1 American LegalNet, Inc. www.FormsWorkFlow.com