Nasdaq Broker-Dealer Membership Application
This file is a Nasdaq Broker-Dealer Membership Application for organizations seeking membership to Nasdaq affiliated exchanges. It provides all necessary fields and detailed information needed to apply. The document includes sections about applicant profile, intended activities, and compliance information.
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How do I fill this out?
To complete the Nasdaq Broker-Dealer Membership Application, please read each section carefully and provide all requested information. Ensure that all required fields are filled in accurately to avoid processing delays. Refer to the supplemental material sections for any supporting documents that need to be attached.

How to fill out the Nasdaq Broker-Dealer Membership Application?
1
Read the entire application to understand the requirements.
2
Fill out the Applicant Profile section with your organization's details.
3
Indicate the nature of your intended activity and provide necessary supervision details.
4
Include all required clearing and compliance information.
5
Attach any supplemental material as outlined in the application.
Who needs the Nasdaq Broker-Dealer Membership Application?
1
Organizations seeking membership to a Nasdaq affiliated exchange need this application to apply.
2
Current members of one Nasdaq exchange looking to join additional Nasdaq exchanges require this form.
3
Firms wishing to update their membership information or business activities use this application.
4
FINRA members eligible to waive-in on Nasdaq exchanges need to submit this document.
5
Entities designating a new executive representative or compliance officer must complete this application.
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2
Open the PDF in our editor and fill out all required sections.
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Make any necessary edits to the document for accuracy.
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Attach any supplemental materials directly within the editor.
5
Save and download the updated version of the application.

What are the instructions for submitting this form?
Submit the completed Nasdaq Broker-Dealer Membership Application along with any required supplemental materials as outlined in the application. Email the completed form to membership@nasdaq.com or fax it to 202-496-2020. Alternatively, submit the application online through the Nasdaq membership portal or mail it to Nasdaq Membership Services, 805 King Farm Blvd, Rockville, MD 20850. Ensure that you include all required documents and information to avoid delays in processing.
What are the important dates for this form in 2024 and 2025?
The Nasdaq Exchange Broker Dealer Membership Application should be submitted by April 2024.

What is the purpose of this form?
The primary purpose of the Nasdaq Broker-Dealer Membership Application is to facilitate the process for organizations seeking membership to Nasdaq affiliated exchanges. This form gathers essential information about the applicant organization, including its legal name, address, business activities, and compliance officers. By providing this information, Nasdaq can ensure that all members meet regulatory requirements and maintain high standards of conduct.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant Profile: Collects basic information about the applicant organization such as legal name, address, and contact details.
- 2. Application Type: Identifies whether the application is for initial membership, amendment, or waive-in membership.
- 3. Nature of Intended Activity: Specifies the types of activities the applicant intends to pursue, including equity, options, and floor participation.
- 4. Supervision: Requires the name and CRD number of the person responsible for overseeing trading activities.
- 5. Clearing Information: Gathers details about the applicant's clearing arrangements, including account numbers and clearing agents.
- 6. Executive Representative Designation: Designates the individual authorized to exercise voting and designation rights on behalf of the member.
- 7. Compliance Officer: Provides the name and contact details of the person responsible for compliance within the organization.
- 8. Billing Information: Designates the billing contact for receiving monthly invoices via email.
- 9. Emergency Management: Identifies primary and secondary contacts for emergency situations outside of normal business hours.
- 10. Statutory Disqualification Disclosure: Discloses whether any person associated with the applicant organization is subject to statutory disqualification.
What happens if I fail to submit this form?
Failure to submit the Nasdaq Broker-Dealer Membership Application can result in delays in obtaining membership approval or processing updates to existing memberships.
- Delayed Membership Approval: Submitting the application late may postpone the approval process.
- Incomplete Membership Records: Not submitting the required information can leave gaps in the organization's membership records.
How do I know when to use this form?

- 1. Initial Membership Application: Use this form to apply for membership to a Nasdaq exchange for the first time.
- 2. Amendment: Submit this form to update or amend existing membership information and business activities.
- 3. Waive-In Membership: Use this form if you are a FINRA member eligible to waive-in on a Nasdaq exchange.
- 4. Executive Representative Designation: Complete this form to designate a new executive representative.
- 5. Compliance Officer Designation: Use this form to appoint a new compliance officer within your organization.
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