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Form TA-1/A DST SYSTEMS INC

October 19, 2016 10:55 AM EDT
 
 
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
FORM TA-1
 
OMB Approval
OMB Number:      3235-0084
Estimated average burden hours per response …... 2.00
UNIFORM FORM FOR REGISTRATION AS A TRANSFER AGENT AND FOR AMENDMENT
TO REGISTRATION PURSUANT TO SECTION 17A OF THE
SECURITIES EXCHANGE ACT OF 1934
 
GENERAL:
 
Form TA-1 is to be used to register or amend registration as a transfer agent with the Comptroller of the Currency, the Board of Governors of the Federal Reserve System, the Federal Deposit Insurance Corporation or the Securities and Exchange Commission pursuant to Section 17A of the Securities Exchange Act of 1934.
Read all instructions before completing this form.  Please print or type all responses.
 
Form Version 3.2.0
1(a). Filer CIK:
0000027048
1(c). Live/Test Filing? Live                  Test             
1(e). Is this filing an amendment to a previous filing? Yes
1(e)(i). File Number: 084-00448
2. Appropriate regulatory agency (check one) :
Securities and Exchange Commission
 Board of Governors of the Federal Reserve System
Federal Deposit Insurance Corporation
Comptroller of the Currency
Office of Thrift Supervision
3(a). Full Name of Registrant:
DST Systems, Inc.
3(a)(i). Previous name, if being amended:
3(b). Financial Industry Number Standard (FINS) number:
401588
3(c). Address of principal office where transfer agent activities are, or will be, performed:
3(c)(i). Address 1
210 W 10th Street
3(c)(ii). Address 2
3(c)(iii). City
Kansas City
3(c)(iv). State or Country
MO
MISSOURI
3(c)(v). Postal Code
64105
 
3(d). Is Mailing address different from response to Question 3c?
If "yes," provide address(es):
     Yes       No
            
3(d)(i). Address 1
Attn: Legal Department 333 W 11th Street
3(d)(ii).Address 2
5th Floor
3(d)(iii).City
Kansas City
3(d)(iv).State or Country
MO
MISSOURI
3(d)(v).Postal Code
64105
3(e). Telephone Number
     (Include Area Code)
816-435-1000
4. Does registrant conduct, or will it conduct, transfer agent activities at any location other than that given in question 3c above?
If "yes," provide address(es):
     Yes       No
            
 
4(a)(i). Address 1
7201 E 64th Ct
4(a)(ii). Address 2
4(a)(iii). City
Kansas City
4(a)(iv). State or Country
MO
MISSOURI
4(a)(v). Postal Code
64133
4(a)(i). Address 1
330 W 9th Street
4(a)(ii). Address 2
4(a)(iii). City
kansas City
4(a)(iv). State or Country
MO
MISSOURI
4(a)(v). Postal Code
64105
4(a)(i). Address 1
816 Broadway
4(a)(ii). Address 2
4(a)(iii). City
Kansas City
4(a)(iv). State or Country
MO
MISSOURI
4(a)(v). Postal Code
64105
4(a)(i). Address 1
333 W 11th Street
4(a)(ii). Address 2
4(a)(iii). City
Kansas City
4(a)(iv). State or Country
MO
MISSOURI
4(a)(v). Postal Code
64105
4(a)(i). Address 1
430 W 7th Street
4(a)(ii). Address 2
4(a)(iii). City
Kansas City
4(a)(iv). State or Country
MO
MISSOURI
4(a)(v). Postal Code
64105
5. Does registrant act, or will it act, as a transfer agent solely for its own securities and/or securities of an affiliate(s)? 
     Yes       No
            
 
6. Has registrant, as a named transfer agent, engaged, or will it engage, a service company to perform any transfer agent functions?
     Yes       No
            
If "yes," provide the name(s) and address(es) of all service companies engaged, or that will be engaged, by the registrant to perform its transfer agent functions:
6(a). Name:
Boston Financial Data Services, Inc.
6(b). File Number:  084-00896
 
6(c)(i). Address 1
2000 Crown Colony Drive
6(c)(ii). Address 2
6(c)(iii). City
Quincy
6(c)(iv). State or Country
MA
6(c)(v). Postal Code
02169
6(a). Name:
National Financial Data Services, Inc.
6(b). File Number:  084-01078
 
6(c)(i). Address 1
330 west 9th Street
6(c)(ii). Address 2
6(c)(iii). City
Kansas City
6(c)(iv). State or Country
MO
6(c)(v). Postal Code
64105
6(a). Name:
DST Worldwide Services India Private Limited
6(b). File Number:  084-06342
 
6(c)(i). Address 1
5th Floor, Block B, Q City
6(c)(ii). Address 2
Nanakramguda, Gachibowli
6(c)(iii). City
Hyderabad
6(c)(iv). State or Country
K7
6(c)(v). Postal Code
500032
6(a). Name:
DST Worldwide Services India Private Limited
6(b). File Number:  084-06342
 
6(c)(i). Address 1
1st Floor, Block A, Q City
6(c)(ii). Address 2
Nanakramguda, Gachibowli
6(c)(iii). City
Hyderabad
6(c)(iv). State or Country
K7
6(c)(v). Postal Code
500032
6(a). Name:
DST Worldwide Services India Private Limited
6(b). File Number:  084-06342
 
6(c)(i). Address 1
Suite 201, Building 7, Commerzone
6(c)(ii). Address 2
Samrat Ashok Path Road, Yerawada
6(c)(iii). City
Pune
6(c)(iv). State or Country
K7
6(c)(v). Postal Code
411006
7. Has registrant been engaged, or will it be engaged, as a service company by a named transfer agent to perform transfer agent functions?
     Yes       No
            
 
If "yes," provide the name(s) and File Number(s) of the named transfer agent(s) for which the registrant has been engaged, or will be engaged, as a service company to perform transfer agent functions:
7(a). Name
Thrivent Financial Investor Services Inc.
7(b). File Number:084-01547
 
7(c)(i). Address 1
4321 N Ballard Rd
7(c)(ii).Address 2
7(c)(iii).City
Appleton
7(c)(iv).State or Country
WI
7(c)(v).Postal Code
54919
7(a). Name
State Street Bank & Trust Company
7(b). File Number:085-05003
 
7(c)(i). Address 1
One Lincoln Street
7(c)(ii).Address 2
7(c)(iii).City
Boston
7(c)(iv).State or Country
MA
7(c)(v).Postal Code
02111-2900
7(a). Name
DeAWM Service Company
7(b). File Number:084-01713
 
7(c)(i). Address 1
222 South Riverside Plaza
7(c)(ii).Address 2
7(c)(iii).City
Chicago
7(c)(iv).State or Country
IL
7(c)(v).Postal Code
60606
7(a). Name
State Farm Investment Management Corp
7(b). File Number:084-00839
 
7(c)(i). Address 1
Three State Farm Plaza
7(c)(ii).Address 2
7(c)(iii).City
Bloomington
7(c)(iv).State or Country
IL
7(c)(v).Postal Code
61709
7(a). Name
Transamerica Fund Services, Inc.
7(b). File Number:084-06130
 
7(c)(i). Address 1
AEGON Purchase Processing
7(c)(ii).Address 2
570 Carillon Parkway
7(c)(iii).City
St Petersburg
7(c)(iv).State or Country
FL
7(c)(v).Postal Code
33716
7(a). Name
American Century Services, LLC
7(b). File Number:084-01406
 
7(c)(i). Address 1
4500 Main Street
7(c)(ii).Address 2
7(c)(iii).City
Kansas City
7(c)(iv).State or Country
MO
7(c)(v).Postal Code
64111
7(a). Name
Morgan Stanley Services Co Inc
7(b). File Number:084-06270
 
7(c)(i). Address 1
Harborside Financial Center
7(c)(ii).Address 2
Plaza Two, Third Floor
7(c)(iii).City
Jersey City
7(c)(iv).State or Country
NJ
7(c)(v).Postal Code
07311
7(a). Name
Leaf Financial Corporation
7(b). File Number:084-05900
 
7(c)(i). Address 1
1845 Walnut St
7(c)(ii).Address 2
Ste 100
7(c)(iii).City
Philadelphia
7(c)(iv).State or Country
PA
7(c)(v).Postal Code
19103
7(a). Name
Pioneer Investment Management Shareholder Services, Inc
7(b). File Number:084-01359
 
7(c)(i). Address 1
60 State Street
7(c)(ii).Address 2
7(c)(iii).City
Boston
7(c)(iv).State or Country
MA
7(c)(v).Postal Code
02109
7(a). Name
Goldman, Sachs & Co
7(b). File Number:084-01100
 
7(c)(i). Address 1
71 South Wacker Drive
7(c)(ii).Address 2
Suite 400
7(c)(iii).City
Chicago
7(c)(iv).State or Country
IL
7(c)(v).Postal Code
60606

Completion of Question 8 on this form is required by all independent, non-issuer registrants whose appropriate regulatory authority is the Securities and Exchange Commission.  Those registrants who are not required to complete Question 8 should select "Not Applicable".
 
8. Is registrant a: Corporation 
Section for Initial Registration and for Amendments Reporting Additional Persons.
8(a)(i). Full Name
Randall D. Young
8(a)(ii). Relationship Start Date
2002-07-01
8(a)(iii). Title or Status
Sr.Vice President/GC/Sec/CLO
8(a)(iv). Ownership Code
NA - 0 to 5%
8(a)(v). Control Person
8(a)(vi). Relationship End Date
8(a)(i). Full Name
Stephen C Hooley
8(a)(ii). Relationship Start Date
2009-06-30
8(a)(iii). Title or Status
Director/President/CEO
8(a)(iv). Ownership Code
NA - 0 to 5%
8(a)(v). Control Person
8(a)(vi). Relationship End Date
8(a)(i). Full Name
Lowell L. Bryan
8(a)(ii). Relationship Start Date
2012-05-08
8(a)(iii). Title or Status
Director
8(a)(iv). Ownership Code
NA - 0 to 5%
8(a)(v). Control Person
8(a)(vi). Relationship End Date
8(a)(i). Full Name
Samuel G. Liss
8(a)(ii). Relationship Start Date
2012-05-08
8(a)(iii). Title or Status
Director
8(a)(iv). Ownership Code
NA - 0 to 5%
8(a)(v). Control Person
8(a)(vi). Relationship End Date
8(a)(i). Full Name
Gregg W Givens
8(a)(ii). Relationship Start Date
2014-01-01
8(a)(iii). Title or Status
Senior Vice President/CFO/Treasurer
8(a)(iv). Ownership Code
NA - 0 to 5%
8(a)(v). Control Person
8(a)(vi). Relationship End Date
8(a)(i). Full Name
BlackRock, Inc.
8(a)(ii). Relationship Start Date
2013-12-31
8(a)(iii). Title or Status
8.4% Owner
8(a)(iv). Ownership Code
A - 5% up to 10%
8(a)(v). Control Person
8(a)(vi). Relationship End Date
8(a)(i). Full Name
Lynn Dorsey Bleil
8(a)(ii). Relationship Start Date
2014-05-13
8(a)(iii). Title or Status
Director
8(a)(iv). Ownership Code
NA - 0 to 5%
8(a)(v). Control Person
8(a)(vi). Relationship End Date
8(a)(i). Full Name
Charles E Haldeman, Jr
8(a)(ii). Relationship Start Date
2014-11-10
8(a)(iii). Title or Status
Director
8(a)(iv). Ownership Code
NA - 0 to 5%
8(a)(v). Control Person
8(a)(vi). Relationship End Date
8(a)(i). Full Name
The Vanguard Group
8(a)(ii). Relationship Start Date
2014-12-31
8(a)(iii). Title or Status
7.64% Owner
8(a)(iv). Ownership Code
A - 5% up to 10%
8(a)(v). Control Person
8(a)(vi). Relationship End Date
8(a)(i). Full Name
Jerome H. Bailey
8(a)(ii). Relationship Start Date
2015-05-12
8(a)(iii). Title or Status
Director
8(a)(iv). Ownership Code
NA - 0 to 5%
8(a)(v). Control Person
8(a)(vi). Relationship End Date
8(a)(i). Full Name
Gary Forsee
8(a)(ii). Relationship Start Date
2015-05-12
8(a)(iii). Title or Status
Director
8(a)(iv). Ownership Code
NA - 0 to 5%
8(a)(v). Control Person
8(a)(vi). Relationship End Date
8(a)(i). Full Name
Joseph C. Antonellis
8(a)(ii). Relationship Start Date
2015-12-15
8(a)(iii). Title or Status
Director
8(a)(iv). Ownership Code
NA - 0 to 5%
8(a)(v). Control Person
8(a)(vi). Relationship End Date
9. Does any person or entity not named in the answer to Question 8:
9(a). directly or indirectly, through agreement or otherwise exercise or have the power to exercise control over the management or policies of applicant; or . . . .
    Yes    No        
9(b). wholly or partially finance the business of applicant, directly or indirectly, in any manner other than by a public offering of securities made pursuant to the Securities Act of 1933 or by credit extended in the ordinary course of business by suppliers, banks and others ? . . . . . . . . . . . . . . . . . . . . . . . . . .
 Yes    No
     
 
10.Applicant and Control Affiliate Disciplinary History:
 
The following definitions apply for purposes of answering this Question 10
 
Control affiliate
- An individual or firm that directly or indirectly controls, is under common control with, or is controlled by applicant. Included are any employees identified in 8(a), 8(b), 8(c) of this form as exercising control.  Excluded are any employees who perform solely clerical, administrative support of similar functions, or who, regardless of title, perform no executive duties or have no senior policy making authority.
Investment or investment related
- Pertaining to securities, commodities, banking, insurance, or real estate (including, but not limited to, acting as or being associated with a broker-dealer, investment company, investment adviser, futures sponsor, bank, or savings and loan association).
Involved
- Doing an act of aiding, abetting, counseling, commanding, inducing, conspiring with or failing reasonably to supervise another in doing an act.
 
10(a). In the past ten years has the applicant or a control affiliate been convicted of or plead guilty or nolo contender ("no contest") to:
10(a)(1). a felony or misdemeanor involving: investments or an investment-related business, fraud, false statements or omissions, wrongful taking of property, or bribery, forgery, counterfeiting or extortion?  . . . . . . . . . . . .
    Yes    No
        
10(a)(2). any other felony? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Yes    No
        
10(b). Has any court in the past ten years: 
10(b)(1). enjoined the applicant or a control affiliate in connection with any investment-related activity? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Yes    No
        
10(b)(2). found that the applicant or a control affiliate was involved in a violation of investment-related statutes or regulations? . . . . .
    Yes    No
        
10(c). Has the U.S. Securities and Exchange Commission or the Commodity Futures Trading Commission ever:
10(c)(1). found the applicant or a control affiliate to have made a false statement or omission? . . . . . . . . . . . . . . . . . . . . . . . .
    Yes    No
        
10(c)(2). found the applicant or a control affiliate to have been involved in a violation of its regulations or statutes? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Yes    No
        
10(c)(3). found the applicant or a control affiliate to have been a cause of an investment-related business having its authorization to do business denied, suspended, revoked or restricted? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Yes    No
        
10(c)(4). entered an order denying, suspending or revoking the applicant's or a control affiliate's registration or otherwise disciplined it by restricting its activities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Yes    No
        
10(d). Has any other Federal regulatory agency or any state regulatory agency: 
10(d)(1). ever found the applicant or a control affiliate to have made a false statement or omission or to have been dishonest, unfair, or unethical? . . . . . .
    Yes    No
        
10(d)(2). ever found the applicant or a control affiliate to have been involved in a violation of investment-related regulations or statutes? . . . . . . . . . . . . . . . . .
    Yes    No
        
10(d)(3). ever found the applicant or a control affiliate to have been a cause of an investment-related business having its authorization to do business denied, suspended, revoked, or restricted? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Yes    No
        
10(d)(4). in the past ten years entered an order against the applicant or a control affiliate in connection with investment-related activity? . . . . . . . . . .
    Yes    No
        
10(d)(5). ever denied, suspended, or revoked the applicant's or a control affiliate's registration or license, or prevented it from associating with an investment-related business, or otherwise disciplined it by restricting its activities? . . . . . .
    Yes    No
        
10(d)(6). ever revoked or suspended the applicant's or a control affiliate's license as an attorney or accountant? . . . . . . . . . . . . . . . . . . . . . . . .
    Yes    No
        
10(e). Has any self-regulatory organization or commodities exchange ever: 
10(e)(1). found the applicant or a control affiliate to have made a false statement or omission? . . . . . . . . . . . . . . . . . .
    Yes    No
        
10(e)(2). found the applicant or a control affiliate to have been involved in a violation of its rules? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Yes    No
        
10(e)(3). found the applicant or a control affiliate to have been the cause of an investment-related business losing its authorization to do business? . . . . . . . .
    Yes    No
        
10(e)(4). disciplined the applicant or a control affiliate by expelling or suspending it from membership, by barring or suspending its association with other members, or by otherwise restricting its activities? . . . . . . . . . . . . . . . .
    Yes    No
        
10(f). Has any foreign government, court, regulatory agency, or exchange ever entered an order against the applicant or a control affiliate related to investments or fraud? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Yes    No
        
10(g). Is the applicant or a control affiliate now the subject of any proceeding that could result in a yes answer to questions 10(a) - 10(F)?
    Yes    No
        
10(h). Has a bonding company denied, paid out on, or revoked a bond for the applicant or a control affiliate? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Yes    No
        
10(i). Does the applicant or a control affiliate have any unsatisfied judgments or liens against it? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Yes    No
        

ATTENTION: INTENTIONAL MISSTATEMENTS OR OMISSIONS OF FACT
CONSTITUTE FEDERAL CRIMINAL VIOLATIONS.  See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a)
 
SIGNATURE: The registrant submitting this form, and as required, the SEC supplement and Schedules A-D,
And the executing official hereby represent that all the information contained herein is true, correct and complete.
 
11(a). Signature of Official responsible for Form:
Randall Young
11(b). Telephone number:
816-435-8651
11(c). Title of Signing Officer:
Sr Vice President, General Counsel & Secretary
11(d). Date signed (Month/Day/Year):
2016-10-18


 
 


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