The Securities and Exchange Commission has not necessarily reviewed the information in this filing and has not determined if it is accurate and complete.
The reader should not assume that the information is accurate and complete.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM D

Notice of Exempt Offering of Securities

OMB APPROVAL
OMB Number: 3235-0076
Estimated average burden
hours per response: 4.00

1. Issuer's Identity

CIK (Filer ID Number) Previous Names
X None
Entity Type
0001704610
   Corporation
   Limited Partnership
   Limited Liability Company
   General Partnership
   Business Trust
X Other (Specify)

Delaware Statutory Trust
Name of Issuer
Self-Storage Portfolio IV DST
Jurisdiction of Incorporation/Organization
DELAWARE
Year of Incorporation/Organization
   Over Five Years Ago
X Within Last Five Years (Specify Year) 2017
   Yet to Be Formed

2. Principal Place of Business and Contact Information

Name of Issuer
Self-Storage Portfolio IV DST
Street Address 1 Street Address 2
2901 BUTTERFIELD ROAD
City State/Province/Country ZIP/PostalCode Phone Number of Issuer
OAK BROOK ILLINOIS 60523 (630)218-8000

3. Related Persons

Last Name First Name Middle Name
Inland Private Capital Corporation
Street Address 1 Street Address 2
2901 Butterfield Road
City State/Province/Country ZIP/PostalCode
Oak Brook ILLINOIS 60523
Relationship:    Executive Officer    Director X Promoter

Clarification of Response (if Necessary):

Sponsor of the Issuer.
Last Name First Name Middle Name
Self-Storage Portfolio IV, L.L.C.
Street Address 1 Street Address 2
2901 Butterfield Road
City State/Province/Country ZIP/PostalCode
Oak Brook ILLINOIS 60523
Relationship:    Executive Officer    Director X Promoter

Clarification of Response (if Necessary):

Depositor of the Issuer.
Last Name First Name Middle Name
Self-Storage Portfolio IV Exchange, L.L.C.
Street Address 1 Street Address 2
2901 Butterfield Road
City State/Province/Country ZIP/PostalCode
Oak Brook ILLINOIS 60523
Relationship:    Executive Officer    Director X Promoter

Clarification of Response (if Necessary):

Signatory Trustee of the Issuer.
Last Name First Name Middle Name
Lampi Keith
Street Address 1 Street Address 2
2901 Butterfield Road
City State/Province/Country ZIP/PostalCode
Oak Brook ILLINOIS 60523
Relationship: X Executive Officer    Director    Promoter

Clarification of Response (if Necessary):

Mr. Lampi is the President of Inland Private Capital Corporation, the Member of Self-Storage Portfolio IV Exchange, L.L.C., the Signatory Trustee of Self-Storage Portfolio IV DST.

4. Industry Group

   Agriculture
Banking & Financial Services
   Commercial Banking
   Insurance
   Investing
   Investment Banking
   Pooled Investment Fund
Is the issuer registered as
an investment company under
the Investment Company
Act of 1940?
   Yes    No
   Other Banking & Financial Services
   Business Services
Energy
   Coal Mining
   Electric Utilities
   Energy Conservation
   Environmental Services
   Oil & Gas
   Other Energy
Health Care
   Biotechnology
   Health Insurance
   Hospitals & Physicians
   Pharmaceuticals
   Other Health Care
   Manufacturing
Real Estate
   Commercial
   Construction
   REITS & Finance
   Residential
X Other Real Estate
  
Retailing
  
Restaurants
Technology
   Computers
   Telecommunications
   Other Technology
Travel
   Airlines & Airports
   Lodging & Conventions
   Tourism & Travel Services
   Other Travel
  
Other

5. Issuer Size

Revenue Range OR Aggregate Net Asset Value Range
   No Revenues    No Aggregate Net Asset Value
   $1 - $1,000,000    $1 - $5,000,000
   $1,000,001 - $5,000,000    $5,000,001 - $25,000,000
   $5,000,001 - $25,000,000    $25,000,001 - $50,000,000
   $25,000,001 - $100,000,000    $50,000,001 - $100,000,000
   Over $100,000,000    Over $100,000,000
X Decline to Disclose    Decline to Disclose
   Not Applicable    Not Applicable

6. Federal Exemption(s) and Exclusion(s) Claimed (select all that apply)

   Rule 504(b)(1) (not (i), (ii) or (iii))
   Rule 504 (b)(1)(i)
   Rule 504 (b)(1)(ii)
   Rule 504 (b)(1)(iii)
X Rule 506(b)
   Rule 506(c)
   Securities Act Section 4(a)(5)
   Investment Company Act Section 3(c)
   Section 3(c)(1)    Section 3(c)(9)  
   Section 3(c)(2)    Section 3(c)(10)
   Section 3(c)(3)    Section 3(c)(11)
   Section 3(c)(4)    Section 3(c)(12)
   Section 3(c)(5)    Section 3(c)(13)
   Section 3(c)(6)    Section 3(c)(14)
   Section 3(c)(7)

7. Type of Filing

   New Notice Date of First Sale 2017-04-17    First Sale Yet to Occur
X Amendment

8. Duration of Offering

Does the Issuer intend this offering to last more than one year?
   Yes X No

9. Type(s) of Securities Offered (select all that apply)

   Equity    Pooled Investment Fund Interests
   Debt    Tenant-in-Common Securities
   Option, Warrant or Other Right to Acquire Another Security    Mineral Property Securities
   Security to be Acquired Upon Exercise of Option, Warrant or Other Right to Acquire Security X Other (describe)
Beneficial interests in Delaware Statutory Trust reflecting beneficial interests in real estate.

10. Business Combination Transaction

Is this offering being made in connection with a business combination transaction, such as a merger, acquisition or exchange offer?
   Yes X No

Clarification of Response (if Necessary):

11. Minimum Investment

Minimum investment accepted from any outside investor $25,000 USD

12. Sales Compensation

Recipient
Recipient CRD Number    None
Inland Private Capital Corporation 15807
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Inland Private Capital Corporation 15807
Street Address 1 Street Address 2
2901 Butterfield Road
City State/Province/Country ZIP/Postal Code
Oak Brook ILLINOIS 60523
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
ILLINOIS

Recipient
Recipient CRD Number    None
Nathaniel M. Kuhn 4624143
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Concorde Investment Services, LLC 151604
Street Address 1 Street Address 2
120 W. Eastman, Suite 300
City State/Province/Country ZIP/Postal Code
Arlington Heights ILLINOIS 60004
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
ILLINOIS
MASSACHUSETTS

Recipient
Recipient CRD Number    None
Timothy L. Stauffer 4178198
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Concordde Investment Services, LLC 151604
Street Address 1 Street Address 2
333 Fiddlers Cove
City State/Province/Country ZIP/Postal Code
Fort Wayne INDIANA 46825
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
INDIANA

Recipient
Recipient CRD Number    None
Joseph G. Michaletz 1327534
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Cocncorde Investment Services, LLC 151604
Street Address 1 Street Address 2
150 St. Andrews Ct., Suite 210
City State/Province/Country ZIP/Postal Code
Mankato MINNESOTA 56001
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
TEXAS

Recipient
Recipient CRD Number    None
Daniel P. Raupp 4079107
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Concorde Investment Services, LLC 151604
Street Address 1 Street Address 2
417 East Main Street, 3rd Floor
City State/Province/Country ZIP/Postal Code
Port Jefferson NEW YORK 11777
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
MARYLAND
NEW YORK

Recipient
Recipient CRD Number    None
April D. Guinchard 1723146
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Silver Portal Capital LLC 1142920
Street Address 1 Street Address 2
12265 EL Camino Real, Suite 230
City State/Province/Country ZIP/Postal Code
California CALIFORNIA 92130
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
CALIFORNIA

Recipient
Recipient CRD Number    None
Debra J. Schleining 2768752
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
McDermott Investment Services, LLC 154926
Street Address 1 Street Address 2
13530 Parker Street
City State/Province/Country ZIP/Postal Code
Omaha NEBRASKA 68154
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
NEBRASKA

Recipient
Recipient CRD Number    None
Jason D. Stone 5455271
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Crown Capital Securites, L.P. 6312
Street Address 1 Street Address 2
333 City Blvd West, Suite 2050
City State/Province/Country ZIP/Postal Code
Orange CALIFORNIA 92868
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
CALIFORNIA

Recipient
Recipient CRD Number    None
Peter Cherin 6787497
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Sandlapper Securities, LLC 137906
Street Address 1 Street Address 2
Sandlapper Financial Center 800 E. North Street, 2nd Floor
City State/Province/Country ZIP/Postal Code
Greenville SOUTH CAROLINA 29301
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
NEW YORK

Recipient
Recipient CRD Number    None
Jonathan R. Creighton 1495897
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Concorde Investment Services, LLC 151604
Street Address 1 Street Address 2
350 Lincoln Street, Suite 2400
City State/Province/Country ZIP/Postal Code
Hingham MASSACHUSETTS 02043
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
NEW YORK

Recipient
Recipient CRD Number    None
Gene A. Brehm 2815437
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
1st Global Capital Corp. 30349
Street Address 1 Street Address 2
7809 Broadway Street
City State/Province/Country ZIP/Postal Code
San Antonio TEXAS 78029
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
TEXAS

Recipient
Recipient CRD Number    None
Jason M. Baker 2571121
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Cambridge Investment Research, Inc. 39543
Street Address 1 Street Address 2
10955 Winds Crossing Drive #100
City State/Province/Country ZIP/Postal Code
Charlotte NORTH CAROLINA 28273
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
NORTH CAROLINA

Recipient
Recipient CRD Number    None
Preston P. Morkis 5179201
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Concorde Investmetnn Services, LLC 151604
Street Address 1 Street Address 2
3905 Quail Hollow Drive
City State/Province/Country ZIP/Postal Code
Raleigh NORTH CAROLINA 27609
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
NORTH CAROLINA

Recipient
Recipient CRD Number    None
Craig E. Fernsler 5558907
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Silver Portal Capital LLC 114290
Street Address 1 Street Address 2
12265 El Camino Real, Suite 230
City State/Province/Country ZIP/Postal Code
San Diego CALIFORNIA 92130
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
FLORIDA

Recipient
Recipient CRD Number    None
Joel F. Woods 1470780
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Concorde Investment Service, LLC 151604
Street Address 1 Street Address 2
4700 Bryant Irvin Court #303
City State/Province/Country ZIP/Postal Code
Fort Worth TEXAS 76107
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
TEXAS

Recipient
Recipient CRD Number    None
Alan N. Lichtenstein 1877017
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Concorde Investment Service, LLC 151604
Street Address 1 Street Address 2
417 East Amin Street, 3rd Floor
City State/Province/Country ZIP/Postal Code
Port Jefferson NEW YORK 11777
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
NEW YORK

Recipient
Recipient CRD Number    None
David A. Langan 3183316
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Cambridge Investment Research, Inc. 39543
Street Address 1 Street Address 2
2009 Market Street
City State/Province/Country ZIP/Postal Code
Camp Hill PENNSYLVANIA 17011
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
PENNSYLVANIA

Recipient
Recipient CRD Number    None
Bruce C. Hatter 2963171
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Proequities, Inc. 15708
Street Address 1 Street Address 2
201 Osage Land, Suite 1
City State/Province/Country ZIP/Postal Code
Waynesboro VIRGINIA 22980
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
VIRGINIA

Recipient
Recipient CRD Number    None
Jeffrey B. Baker 2102752
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Vanderbilt Securities, LLC 5953
Street Address 1 Street Address 2
12 E. Water Street
City State/Province/Country ZIP/Postal Code
Newburgh INDIANA 47629
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
INDIANA

Recipient
Recipient CRD Number    None
Robert S. Smith 1412333
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Concorde Investment Services, LLC 151604
Street Address 1 Street Address 2
5000 Meadows Road, Suite 230
City State/Province/Country ZIP/Postal Code
Lake Oswego OREGON 97035
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
CALIFORNIA

Recipient
Recipient CRD Number    None
Jeffrey A. Kiesnoski 2688017
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Concorde Investment Services, LLC 151604
Street Address 1 Street Address 2
417 East Main Street 3rd Floor
City State/Province/Country ZIP/Postal Code
Port Jefferson NEW YORK 11777
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
NEW JERSEY
NEW YORK

Recipient
Recipient CRD Number    None
Silver Portal Capital LLC 114290
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Silver Portal Capital LLC 114290
Street Address 1 Street Address 2
12265 EL Camino Real, Suite 230
City State/Province/Country ZIP/Postal Code
San Diego CALIFORNIA 92130
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
WISCONSIN

Recipient
Recipient CRD Number    None
Gary L. Chapman 5244594
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Concorde Investment Services, LLC 151604
Street Address 1 Street Address 2
111 Monumnet Circle, Suite 2700
City State/Province/Country ZIP/Postal Code
Indianapolis INDIANA 46204
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
INDIANA

Recipient
Recipient CRD Number    None
Willard B. Wellings 4436815
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
1st Global Capital Corp. 30349
Street Address 1 Street Address 2
695 Oak Grove Avenue, Suite 100
City State/Province/Country ZIP/Postal Code
Menlo Park CALIFORNIA 94025cal
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
CALIFORNIA

Recipient
Recipient CRD Number    None
Juile L. Bradsher 5230771
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
1st Global Capital Corp. 30349
Street Address 1 Street Address 2
105 East Annadale Road, Suite 215
City State/Province/Country ZIP/Postal Code
Falls Church VIRGINIA 22046
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
VIRGINIA

Recipient
Recipient CRD Number    None
Ann H. Stewart 2388888
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Cambridge Investment Research, Inc. 39543
Street Address 1 Street Address 2
2114 N. Lincoln Ave #206
City State/Province/Country ZIP/Postal Code
Loveland COLORADO 80538
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
COLORADO

Recipient
Recipient CRD Number    None
David P. Robinson 1980643
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
FSC Securities Corporation 7461
Street Address 1 Street Address 2
10415 Morado Circle The Avallon-Building 1, STE 150
City State/Province/Country ZIP/Postal Code
Austin TEXAS 78759
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
TEXAS

Recipient
Recipient CRD Number    None
Jack W. Stumpus 2909689
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Sagepoint Financial, Inc. 133763
Street Address 1 Street Address 2
3400 Airport Ave, Suite 45&13
City State/Province/Country ZIP/Postal Code
Santa Monica CALIFORNIA 90425
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
CALIFORNIA

Recipient
Recipient CRD Number    None
Kevin M. Sweeney 4281256
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
1st Global Capital Corp. 30349
Street Address 1 Street Address 2
3800 Blackhawk Road, Suite 100
City State/Province/Country ZIP/Postal Code
Danville CALIFORNIA 94506
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
CALIFORNIA

Recipient
Recipient CRD Number    None
Laurence A. Iannarelli 1221062
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
FSC Securities Corporation 7461
Street Address 1 Street Address 2
3277 Fruitville Raoad Building B
City State/Province/Country ZIP/Postal Code
Sarasota FLORIDA 34237
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
FLORIDA

Recipient
Recipient CRD Number    None
David T. Phillips 3094195
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Moloney Sercurities Co., Inc. 38535
Street Address 1 Street Address 2
200 E. Williams Field Road, STE 200
City State/Province/Country ZIP/Postal Code
Gilbert ARIZONA 85295
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
MASSACHUSETTS

Recipient
Recipient CRD Number    None
Christian S. Nielson 4866971
(Associated) Broker or Dealer    None
(Associated) Broker or Dealer CRD Number    None
Primex 29394
Street Address 1 Street Address 2
650 Town Center Drive, STE 1400
City State/Province/Country ZIP/Postal Code
Costa Mesa CALIFORNIA 92626
State(s) of Solicitation (select all that apply)
Check “All States” or check individual States
   All States
   Foreign/non-US
VIRGINIA

13. Offering and Sales Amounts

Total Offering Amount $26,755,741 USD
or    Indefinite
Total Amount Sold $26,755,741 USD
Total Remaining to be Sold $0 USD
or    Indefinite

Clarification of Response (if Necessary):

14. Investors

  
Select if securities in the offering have been or may be sold to persons who do not qualify as accredited investors, and enter the number of such non-accredited investors who already have invested in the offering.
Regardless of whether securities in the offering have been or may be sold to persons who do not qualify as accredited investors, enter the total number of investors who already have invested in the offering:
45

15. Sales Commissions & Finder's Fees Expenses

Provide separately the amounts of sales commissions and finders fees expenses, if any. If the amount of an expenditure is not known, provide an estimate and check the box next to the amount.

Sales Commissions $1,337,787 USD
X Estimate
Finders' Fees $0 USD
   Estimate

Clarification of Response (if Necessary):

16. Use of Proceeds

Provide the amount of the gross proceeds of the offering that has been or is proposed to be used for payments to any of the persons required to be named as executive officers, directors or promoters in response to Item 3 above. If the amount is unknown, provide an estimate and check the box next to the amount.

$2,421,535 USD
X Estimate

Clarification of Response (if Necessary):

Estimate of certain fees, including Dealer Fee & Placement Agent Fee, and offering and organizational expenses that may accrue to one or more Related Persons.

Signature and Submission

Please verify the information you have entered and review the Terms of Submission below before signing and clicking SUBMIT below to file this notice.

Terms of Submission

In submitting this notice, each issuer named above is:
  • Notifying the SEC and/or each State in which this notice is filed of the offering of securities described and undertaking to furnish them, upon written request, in the accordance with applicable law, the information furnished to offerees.*
  • Irrevocably appointing each of the Secretary of the SEC and, the Securities Administrator or other legally designated officer of the State in which the issuer maintains its principal place of business and any State in which this notice is filed, as its agents for service of process, and agreeing that these persons may accept service on its behalf, of any notice, process or pleading, and further agreeing that such service may be made by registered or certified mail, in any Federal or state action, administrative proceeding, or arbitration brought against the issuer in any place subject to the jurisdiction of the United States, if the action, proceeding or arbitration (a) arises out of any activity in connection with the offering of securities that is the subject of this notice, and (b) is founded, directly or indirectly, upon the provisions of:  (i) the Securities Act of 1933, the Securities Exchange Act of 1934, the Trust Indenture Act of 1939, the Investment Company Act of 1940, or the Investment Advisers Act of 1940, or any rule or regulation under any of these statutes, or (ii) the laws of the State in which the issuer maintains its principal place of business or any State in which this notice is filed.
  • Certifying that, if the issuer is claiming a Regulation D exemption for the offering, the issuer is not disqualified from relying on Rule 504 or Rule 506 for one of the reasons stated in Rule 504(b)(3) or Rule 506(d).

Each Issuer identified above has read this notice, knows the contents to be true, and has duly caused this notice to be signed on its behalf by the undersigned duly authorized person.

For signature, type in the signer's name or other letters or characters adopted or authorized as the signer's signature.

Issuer Signature Name of Signer Title Date
Self-Storage Portfolio IV DST /s/ Keith Lampi Keith Lampi President of the Member of the Signatory Trustee 2018-07-25

Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.

* This undertaking does not affect any limits Section 102(a) of the National Securities Markets Improvement Act of 1996 ("NSMIA") [Pub. L. No. 104-290, 110 Stat. 3416 (Oct. 11, 1996)] imposes on the ability of States to require information. As a result, if the securities that are the subject of this Form D are "covered securities" for purposes of NSMIA, whether in all instances or due to the nature of the offering that is the subject of this Form D, States cannot routinely require offering materials under this undertaking or otherwise and can require offering materials only to the extent NSMIA permits them to do so under NSMIA's preservation of their anti-fraud authority.