______________ 

_____________________________________________________ 

________________________________________ 

_____________________________________________________ 

UNITED STATES

 SECURITIES AND EXCHANGE COMMISSION 

Washington, D.C. 20549 

OMB APPROVAL 

OMB Number: 3235-0425 

Expires: April 30, 2025

Estimated average burden 

hours per response. . . . . 0.33 

FORM TH 

NOTIFICATION OF RELIANCE ON TEMPORARY HARDSHIP EXEMPTION 

________________________________ ___________________________ 

Report, schedule or registration statement SECfile number(s) under which fi ling 

to which the hardship exemption relates made (Required, if assigned) 

(give period of report, if applicable) 

CIK of filer or subject company CIK, as applicable 

Name of Filer or subject company, as applicable 

Filed-by CIK (for subject company fi lings only) 

Name of “filed-by” entity (for subject company fi lings only) 

S-_______________ ________________________________________ 

(Series identifier(s) and names(s), if applicable; add more lines as needed) 

C-_______________ ________________________________________ 

(Class (contract) identifier(s) and names(s), if applicable; add more lines as needed) 

Part I — Registrant Information 

Full Name of Registrant 

Address of Principal Executive Of ce 

Street and Number 

City, State and Zip Code; Country, if other than US 

Part II — Information Relating to the Hardship

Furnish the following information: 

1. A description of the nature and extent of the temporary technical difculties experienced by the electronic fler in attempting

to submit the document in electronic format.

2. A description of the extent to which the electronic fler has successfully submitted documents previously in electronic format

with the same hardware and software, in test or required f lings.

Potential persons who are to respond to the collection of information contained 

SEC 2348 (07-06) in this form are not required to respond unless the form displays a currently valid 

OMB control number. 
 

 

 

 

 

 

 

 

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 Confrming Electronic Copy 

The fler shall include a representation that it shall cause to be fled a confrming electronic copy of the document f led in 

paper under cover of the Form TH and that its fling will be in accordance with Rule 201(b) of Regulation S-T (§232.201(b) 

of this chapter) and appropriately designated as a “confrming electronic copy” in accordance with the requirements of the

 EDGAR Filer Manual. 

Part IV — Contact Person

Name and telephone number, and e-mail address of person to contact in regard to this fling under Form TH: 

Name Area Code Telephone No. e-mail address

Part V — Signatures 

Name of Filer (if registrant, name as it appears in charter) 

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

Date: By: 

Instruction: This form may be signed by an executive ofcer of the registrant or by any other duly authorized representative. 

GENERAL INSTRUCTIONS 

1. Rule 201(a) of Regulation S-T (§232.201(a) of this chapter) requires electronic fler relying on a temporary hardship exemption

to fle this Form TH in addition to fling a paper copy of a document otherwise required to be fled in electronic format.

2. Four signed copies of this Form TH must accompany the paper format document being filed pursuant to Rule 201; fi lers must file

under Form TH within one business day after the date upon which the filer was originally to file the document electronically.

3. Signatures to the paper format document being filed with Form TH may be in typed form rather than in manual format. See Rule

 of Regulation S-T (§232.302 of this chapter). Filers must satisfy all other requirements relating to paper format fi lings,

including number of copies to be fi led.

302