Web Electronic File Transfer (Web EFT SM ) FINRA Entitlement Form

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Web Electronic File Transfer (Web EFT SM ) FINRA Entitlement Form This form is used 1) to request initial access to Web EFT, 2) to update existing Web EFT services or cancel a Web EFT subscription,

1 Web Electronic File Transfer (Web EFT SM ) FINRA Entitlement Form This form is used 1) to request initial access to Web EFT, 2) to update existing Web EFT services or cancel a Web EFT subscription, or 3) to request, update or delete a Primary or Alternate Web EFT Business and/or Technology Contact. The Organization s FINRA Web EFT Participant Agreement/Terms and Conditions must be on file with FINRA before this form will be processed. Request Initial Service Option and Designate Business/ Technology Contact: Request Service Option Change/Cancel Subscription or Update/Delete Business/Technology Contact: Complete sections, as applicable: Sections 1through 9. Section 10 is required. Complete sections, as applicable: Sections 1through 9. Section 10 is required. Section 1 Organization Information Complete all required fields. Section 2 Primary Business Contact Information Complete all required fields for a Primary Business Contact. Also, complete this section to update the current Primary Business Contact s name and/or address. Section 3 Alternate Business Contact Information Complete all required fields for an Alternate Business Contact. Also, complete this section to update the current Alternate Business Contact s name and/or address. Section 4 Primary Technology Contact Information Complete all required fields for a Primary Technology Contact. Also, complete this section to update the current Primary Technology Contact s name and/or address. Section 5 Alternate Technology Contact Information Complete all required fields for an Alternate Technology Contact. Also, complete this section to update the current Alternate Technology Contact s name and/or address Section 6 Initial Service Option Request Complete this section to select your organization s Initial Service Option: This section provides the available Service Options and the financial cost of each option. Mark the box that describes the Service Option your firm requires (Option 1, 2 or 3). Section 7 Service Option Change Request Complete this section to request a change to your current Service Option. Use this section to upgrade or downgrade your firm s Web EFT service. Section 8 Cancel Subscription Cancel Subscription: Complete this section when you need to cancel your firm s Web EFT Subscription. Section 9 Delete Business or Technology Contact Delete Contact: Complete this section when you need to delete a current Business or Technology Contact. Web EFT Entitlement Form 9/2016 Page 1 of 7

2 Section 10 Agreement and Signature Section 10 is required. An Authorized Signatory must execute the form. Use the Authorized Signatory-BD Firms Signature Block: If the signer is the Chief Compliance Officer (CCO) or authorized officer (or other authorized person) listed on Schedule A of the Organization s current Form BD and the signer and the designated Web EFT Business/Technology Contact are not the same person. Use the Authorized Signatory-IA Firms Signature Block: If the signer is the Chief Compliance Officer (CCO) or Additional Regulatory Contact (ARC) who is listed on the Organization s current Form ADV and the signer and the designated Web EFT Business/Technology Contact are not the same person. Use the Authorized Signatory-Special Circumstances Signature Block: If you are authorized to execute this Agreement on behalf of the Organization, but do not meet the Authorized Signatory requirements above, complete the Special Circumstances section. In cases where the Web EFT Business/Technology Contact and the signatory are the same person, check the boxes in (item a) that apply for the following exceptions: BD Firms: The Web EFT Business /Technology Contact designated in Sections 2, 3, 4 & 5 of this Agreement may only be the Authorized Signatory of this Agreement, if the Business/Technology Contact is (a) the sole proprietor of the Organization or (b) the Business/Technology Contact is the only person listed on Schedule A of the Organization s current Form BD who is authorized to execute agreements for the Organization. IA Firms: The Web EFT Business /Technology Contact designated in Sections 2, 3, 4 & 5 of this Agreement may only be the Authorized Signatory of this Agreement, if the Business/Technology Contact is (a) the sole proprietor of the Organization or (b) the Business/Technology Contact is (i) the only person listed as a CCO or ARC on the Organization s current Form ADV; and (ii) the only person who is listed on Schedule A of the Organization s current Form ADV authorized to execute agreements for the Organization. In all other situations, complete item b of the Special Circumstances section and provide an explanation why an Authorized Signatory is not available to execute this Agreement and item c and provide an explanation of your authority to act on behalf of the Organization. Note: The address provided by a firm s Authorized Signatory must match the address filed in the FINRA Contact System or on IARD. How To Submit this Form: Execute this FINRA Entitlement Agreement by completing all required sections and either (a) mailing the manually-signed Agreement to the address below; (b) attaching a scanned image (such as a.pdf file or fax) of the manually-signed Agreement to an or other electronic transmission and sending it to FINRA; or (c) using an electronic signature (as defined in 15 U.S.C. 7006), on condition that (i) you must have in place a technical or technological security procedure to attribute the electronic signature to the signatory, and (ii) a textual or graphical statement is included next to the electronic signature identifying the signatory and the date of execution and noting that the signature was generated electronically. Mailing Address: FINRA Entitlement Group, 9509 Key West Ave, Rockville, Maryland Fax: or entsupport@finra.org Questions: Contact the FINRA Gateway Call Center at or WebEFT.Support@finra.org Web EFT Entitlement Form 9/2016 Page 2 of 7

3 Web Electronic File Transfer (Web EFT SM ) FINRA Entitlement Form Section 1 - Organization Information Organization ID #:* Organization Name:* Street Address:* City, State & Zip Code:* Section 2 - Primary Business Contact Information Section 3 - Alternate Business Contact Information Section 4 - Primary Technology Contact Information Section 5 - Alternate Technology Contact Information Web EFT Entitlement Form 9/2016 Page 3 of 7

4 Section 6 - Initial Service Option Request Use this section to designate the Web EFT Service Option your firm requires (Option 1, 2 or 3). Service Option 1 Form Filing/Download Service $4,800/ year Provides the capability to electronically submit specified filing types via electronic file transfer mode (batch filing) through the Web EFT System to Web CRD or IARD and provides the capability to download ( retrieve) certain firm data from Web CRD or IARD through the Web EFT System via CRD/ /IARD data reports. Service Option 2 Form Filing Service $3,600/ year Provides the capability to electronically submit specified filing types via electronic file transfer mode (batch filing) through the Web EFT System to Web CRD or IARD. Service Option 3 Download Service $1,800/ year Provides the capability to download (retrieve) certain firm data from Web CRD or IARD through the Web EFT System via CRD/ /IARD data reports. Section 7 Service Option Change Request Use this section to upgrade or downgrade your current service option. Upgrading service options during your firm s anniversary subscription year will require your firm to pay a pro-rated fee (calculated from the month following the request to change the service option through the firm s anniversary subscription date). The pro-ratechange request has been processed. See Web EFT Subscription Services & Fees for additional information. Firms may downgrade their Web EFT service option anytime; however, no refunds will be issued for reduced service options throughh the firm s subscription year. The fee associated with the reduced service option will be deducted from the firm s Web CRD/IARD Daily Account on the firm s anniversary subscription date. To cancel your firm s subscription, go to Section fee will automatically be deducted from your firm s Web CRD/IARDD Flex-Funding Account once the 8. Provide your firm s Anniversary Subscription Date (MM/YR): Mark the boxes that indicate your firm s current Service Option andd the Service Option your firm is now requesting. (See below for an explanation of fees.) Current Service Option Service Option 1- Form Filing Download Service Service Option 2- Form Filing Service Service Option 3- Download Service Service Option Update (Select option your firm is requesting.) Service Option 1- Form Filing Download Service Service Option 2- Form Filing Service Service Option 3- Download Service Web EFT Entitlementt Form 9/2016 Page 4 of 7

5 Explanation of Fees for Service Level Upgrade 1: If your firm initially subscribed to Web EFT Form Filing Servicee and your firm now wants to upgrade to include the Web EFT Download Service, your firm will pay a pro-rated monthly rate of $100, calculated from the next month from the date of the service change request to anniversary subscription date. your firm s Example Upgrade #1: 1. Firm A enrolls in Web EFT Form Filing Servicee Option in April Firm is charged the initial Web EFT Form Filing Fee of $3, Firm upgrades to include the Download Service Option in July Firm is charged an additional $900 Web EFT Download Upgrade Fee (9 months (August thru $100/month= =$900) 5. Amount of $900 is i deducted from firm s Web CRD/IARD Daily Account in August. 6. Total annual cost to firm, including pro-rated amount = $4,500 Explanation of Fees for Service Level Upgrade 2: If your firm initially subscribed to Web EFT Download Service and your firm now wants to upgrade to include Web EFT Form Filing Service, your firm willl pay a pro-rated monthly rate of $250, calculated from the next month from the date of the service change request to your firm s anniversary subscription date. Example Upgrade #2: 1. Firm B enrolls in Web EFT Download Plan in April Firm is charged the Web EFT Download Fee of $1, Firm upgrades to Download/ Form Filing in July Firm is charged an additional $2,250 Web EFT Form Filing Upgrade Fee (9 months (August thru $250/month=$2, Amount of $2,250 is deducted from Firm s Daily Account in August. 6. Total pro-rated annual cost to firms = $4,050 Section 8 Cancel Subscription Use this section to cancel your firm s existing Web EFT Subscription. Firms may cancel their Web EFT service option at any time throughout the year; however, no refunds will be issued. Cancel Web EFT subscription effective (cancellation date) Section 9 Delete Business or Technology Contact Complete this section when you need to delete a Businesss or Technology Contact. Delete Business Contact: Primary Alternate Delete Technology Contact: Primary Alternate Name of Contact to Delete: Reason for Deleting Contact: Web EFT Entitlementt Form 9/2016 Page 5 of 7

6 Section 10 Agreement and Signature Authorized Signatory BD Firms (Including firms that are BD and IA) Executed on:*, 20 Authorized Signatory s Signature:* Authorized Signatory CRD #: Check All Boxes that Apply:* Chief Compliance Officer (CCO) Authorized Officer (or Other Authorized Person) Listed on Schedule A Title:* Print Name:* (Must match the current address that is filed in the FINRA Contact System) Authorized Signatory IA Firms Executed on:*, 20 Authorized Signatory s Signature:* Authorized Signatory CRD #: Check All Boxes that Apply:* Chief Compliance Officer (CCO) Additional Regulatory Contact (ARC) Title:* Print Name:* (Must match the address that is filed on current Form ADV) Web EFT Entitlement Form 9/2016 Page 6 of 7

7 Authorized Signatory Special Circumstances Sign using this section if you are authorized to execute this Agreement on behalf of the Organization, but do not meet the requirements of the Section 10 instructions. If the Web EFT Business/Technology Contact designated in Sections 2, 3, 4 & 5 of this Agreement is the same as the Authorized Signatory (self-signed), check the applicable box(es) in (item a). In all other situations, provide an explanation of why a person described in Section 10 of the instructions is not available to execute this Agreement (item b) and of your authority to act on behalf of the Organization (item c). The form must be signed by the Authorized Signatory and applicable information provided. Failure to complete the required items in this section, as instructed, will result in a deficient form that will not be processed. a. In cases where the Web EFT Business/Technology Contact and the Authorized Signatory are the same person (selfsigned), check the box(es) that apply: *as applicable Sole Proprietor CCO/ARC Only Person Authorized to Execute Agreements for the Organization b. Explain why an Authorized Signatory is not available to execute this Agreement:* as applicable c. Explain your authority to act on behalf of the Organization: * as applicable Executed on:*, 20 Authorized Signatory s Signature:* Individual CRD #: Print Name: Title:* Web EFT Entitlement Form 9/2016 Page 7 of 7

FINRA Entitlement Program: Super Account Administrator Reference Guide

FINRA Entitlement Program: Super Account Administrator Reference Guide Each organization must designate one (1) Super Account Administrator (SAA) per Organization. The SAA is the main point of contact