Form TA-1 Filer Information
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM TA-1/A
OMB APPROVAL
FORM TA-1/A
OMB Number: 3235-0084
Estimated average burden hours per response: 1.5
TA-1/A
: Filer Information
Form Version
X0405
1(a).
Filer CIK:
1(b).
Filer CCC:
1(c).
Is this a LIVE or TEST submission?
Live
Test
1(d).
Would you like a Return Copy?
Yes
Submission Contact Information
The registrant may provide a single e-mail address for contact purposes.
1(f)(i).
Contact Name:
1(f)(ii).
Contact Phone Number:
1(f)(iii).
Contact E-Mail Address:
Notification Information
The registrant may provide additional e-mail addresses for those persons
the filer would like to receive notification e-mails regarding the filing.
1(g).
Notification E-mail Address:
TA-1/A
: Registrant Information
Appropriate regulatory agency (check one):
Securities and Exchange Commission
Federal Deposit Insurance Corporation
Comptroller of the Currency
3(a).
Full Name of Registrant:
PRIMERICA SHAREHOLDER SERVICES, INC.
3(a)(i).
Previous name, if being amended:
PRIMERICA SHAREHOLDER SERVICES /TA
3(b).
Financial Industry Number (FINS) number:
3(c).
Address of principal office where transfer agent activities are, or
will be, performed:
3(c)(i).
Address 1
1 Primerica Parkway
3(c)(ii).
Address 2
3(c)(iii).
City
Duluth
3(c)(iv).
State or Country
GEORGIA
3(c)(v).
Postal Code
3(d).
Is Mailing address different from response to Question 3c?
If "yes" provide address(es):
Yes
No
3(e).
Telephone Number (Include Area Code)
Does Registrant conduct, or will it conduct, transfer agent