C2 Give-Up Change Form
Clearing Trading Permit Holder Rejecting the Trade (Name and OCC#): ___________________________
In signing this form, the signatory represents that it is authorized by the Clearing Trading Permit Holder to act
on its behalf to reject the trade.
____________________________________________
Name
_________________________________________
Title
_____________________________________________ _________________________________________
Signature
Date
Phone Number: ____________________
Email Address: ________________________________________
Trade Information (attach copy of trade record):
Executing clearing number: _______________
Class: _______________
CMTA (if applicable): _______________
Expiration Month: _______________
Expiration Date: _______________
Strike Price: ____________ Put or Call: ____________ Volume: ____________
Trade Date: ____________________
Price: ______________
Trade Time: _______________________________
Parties to the Trade (Name and Acronym): _____________________________________________________
Reason for Rejecting the Trade:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
The new Give Up on the above trade will be (please check one):
□
The executing Trading Permit Holder’s Guarantor (“Guarantor”)
Guarantor’s Name and OCC #: _________________________________________________________
□
Another Clearing Trading Permit Holder (“Accepting Clearing Trading Permit Holder”)*
Accepting Clearing Trading Permit Holder’s Name and OCC#: ________________________________
*The Accepting Clearing Trading Permit Holder must complete and submit to the Market Services Department
the “C2 Give-Up Change Form For Accepting Clearing Trading Permit Holders”
Please email the completed form to [email protected].
--------------------------------------------------------------------------------------------------------------------------------------------------Market Services Information (Only):
Name: _____________________ Time CTMI Opened: __________ Give-up and trade checked: ___________
January 2017