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Form 13-502F7
SPECIFIED REGULATED ENTITIES - PARTICIPATION FEE
*
Indicates required field
Name of Specified Regulated Entity:
*
Applicable Year:
*
Type of Specified Regulated Entity:
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Recognized exchange or recognized quotation and trade reporting system
Alternative trading system for exchange-traded securities
Other alternative trading system
Recognized clearing agency
Exempt exchange, Exempt clearing agency or Designated Trade Repository
(6) Prorated Participation Fee:
Line 20: If this is the first time paying a participation fee as a specified regulated entity, prorate the amount under subsection 4.6(1) of the Rule.
(7) Late Fee
Line 21: Unpaid portion of Participation Fee from Sections (1), (2), (3), (4), (5), (6).
Line 22: Number of Calendar Days Late.
Line 23: Late Fee Payable is as follows: Amount from Line 21*[Amount from Line 22*0.1%].
(8) Total Fee Payable
Line 24: Aggregate Participant Fee from Sections (1), (2), (3), (4), (5), (6).
Line 25: Late Fee from Line 23.
Line 26: Fee Payable is amount from Line 24 plus amount from Line 25. If negative, there is a refund due to you of the amount determined.
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