Request for Participation (RFP)

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1 Request for Participation (RFP) Form Purpose Prudential Financial Planning Services For Prudential Financial Planning Services, Financial Planning Program or Investment Advisor Representative Program (IAR) The purpose of this document is for the applicant to request permission to obtain any of the following statuses: Full Financial Planner, Financial Planning Program Solicitor, Financial Planning Program Supervisory, or IAR status only, as a Financial Advisor or Financial Professional, as applicable (in order to sell managed money products). All s: The RFP is to be completed by. On page two, Section 1, check the box for the status you are requesting as discussed above. Review your Form U4 information and ensure it is current. Attach documentation to the RFP that supports requirements are completed as applicable. Refer to Section 3 and company policy. Complete certification in Section 4. Submit RFP with required documentation to Supervisor for review and approval. Specific to Box 1 4 s (see page 2): Refer to Chapter of the Compliance Manual for details on entry requirements for producers and managers, respectively. Specific to Box 5 s (see page 2): Complete the Financial Advisor (IAR) Curriculum located Also, refer to Chapter Policy 1.02 in the Compliance Manual - Licensing, Appointment and Registration for licensing and registration requirements. Supervisor Form Approval and Processing Incomplete RFPs will not be processed. Therefore, to ensure s RFP is approved by home office, Supervisor must: Ensure all requirements for the status selected by on page 2 are completed in accordance with published policy. Ascertain that has attached documentation to the RFP that supports requirements have been completed, as applicable. Refer to Section 3 and company policy. Review the Form U4 with to ensure it is current. Complete certification in Section 5. After approving, Supervisor must fax the RFP and required attachments to the following two fax numbers: Field Administration at: (844) Licensing and Registration Services ( LRS ) at: (877) Approval Notification Form Filing is not to engage in any investment advisory services until is notified by LRS that status has been activated. In addition, Financial Planning is not to engage in financial planning services until has also been notified by Field Administration that status has been activated. Firms are to maintain a copy of the form approved by Supervisor and all required attachments. Page 1 of 5

2 1 Status Request and Supervisor Information Prudential Financial Planning Services Request for Participation (RFP) For Prudential Financial Planning Services, Financial Planning Program or Investment Advisor Representative Program (IAR) Name of (first, last name) Today s date / / 20 Contract number Telephone number ( ) Firm code Name of Managing Director/Supervisor (first, last name) Contract number Telephone number ( ) Name of Qualified Delegate, if applicable (first, last name, title) Telephone number ( ), check box that applies: o Box 1: Full Financial Planner status for managers and producers (includes producers who have completed the one year wait period after loss of Financial Planner status) o Check this box if is pursuing Alternate Method for Gaining Financial Planner status and must complete Section 2 below. o Box 2: Those producers seeking to obtain Financial Planning Program Solicitor status Those selecting this box must select the title requested (check one): o Financial Advisor, or o Financial Professional o Box 3: Those producers seeking to recertify as a Financial Planner (producers not subject to the one year wait period) o Box 4: Those managers seeking to obtain Financial Planning Program Supervisory status o Box 5: Those producers seeking IAR status only Those selecting this box must select the title requested (check one): o Financial Advisor, or o Financial Professional 2 This section is not required to be completed by unless relevant. Box 1 s 2017 Pilot Alternate Method for Gaining Financial Planner Status In lieu of the Face to Face Financial Planning School requirement, Solicitor may assist a Financial Planner(s) to deliver 4 financial plans in a twelve month consecutive time frame. The plan fee must be shared. If seeking Financial Planner status using the alternative method, list the financial planning engagements delivered that qualify under this requirement in the table below Client Last Name Page 2 of 5 FP# Financial Plan Was Delivered Total Fee Please provide the date of the Policy and Procedure Webinar that you attended: Amount of Fee Applied to: Solicitor Financial Planner(s)

3 3 Supervisor or Qualified Delegate Checklist : Section 3 is to be completed by s supervisor or the qualified delegate. Requirements vary dependent on status sought by and state registration requirements. Do not sign Section 5 below unless you have determined that all requirements have been completed and proof of completion is attached to this form (i.e. PALMS passing grade for a required e-course). Provide the state(s) where has a place of business. Provide the state(s) where is applying for Investment Adviser Representative (IAR) registration. Box Selected in Section 1 All Is maintaining any of the following? Check ALL that apply o ChFC o CFP o RICP o Series 65 o Series 66 (for those with a Series 7) Requirement IAR registration requirements vary by state. You must refer to Chapter 1.02 of the Compliance Manual for state specific requirements to determine if has completed state licensing requirements for the state(s) in which is seeking registration. After review, complete the following: 1. Provide the state(s) for which is seeking to register as an IAR. 2. List registration requirements completed to qualify for state registration(s) noted in item 1 directly above or state if none are required. Supervisor Reviewed All All except those that selected Box 3 1 (N/A for all field managers) 3. When you have determined has completed the necessary requirements to become registered as an IAR for the state(s) listed in item 1 above, reference the date your review is completed in the next column. You have reviewed s Form U4 with and have determined that s Form U4 is current. You have reviewed and determined that completed the Financial Advisor Curriculum You have determined that completed the necessary designation course work and proof of completion is attached to this form (i.e. CFP, CLU, ChFC, RICP ). 2 You have determined that completed the Financial Planning 101 Curriculum 1 and 4 You have determined that completed the Financial Planning 101 and 201 Curriculums 1 or 3 (N/A for all You have reviewed and approved s business marketing plan. field managers) 1-4 You have determined the necessary appeals, if applicable, have been approved in the Exceptions Database and you have attached a copy of the approvals. List appeals approved: Requirement Appealed Approved by Home Office Page 3 of 5

4 4 Political Contributions: Prudential Financial Planning Services must comply with laws which govern political Certifications contributions made by its investment advisory representatives and family members, including SEC Rule 206(4)-5, that affect its investment advisory business and applies pay-to-play limits to certain past political contributions of new investment advisory representatives that had been made anywhere in the United States. These laws are in place to prevent conflicts of interest and allow PFPS to do business with governmental clients. Based on your responses to questions asked below, and in order to preserve PFPS ability to solicit and contract with government entities, please respond to the following questions. This information will be used to determine whether approving your request to act as an investment advisory representative, including financial planner, may have an impact on PFPS ability to solicit and contract with such entities. 1. Have you, your spouse, including civil union partner, or your dependent child made any political contributions on or after March 14, 2011, valued at $150 or more? o No o Yes If yes, complete next question. 2. If you answered YES to the above question, please indicate the donor s identity (you, your spouse or civil union partner, or dependent child), the name of the candidate or official to whom the contribution was made, the office held or sought, and the date and amount of such contribution. Conflicts of Interest: Please confirm that: 1. You are aware of company policies surrounding outside business activities and personal trading. 2. That all information regarding outside business activities you perform, personal trading accounts held at other financial institutions have been properly reported in accordance with company policy. 3. You understand and will comply with Pruco Securities requirements that you must not engage in securities activities, including but not limited to the offering or sale of securities product, which have not been approved by Pruco Securities (selling away activities). If you answered NO to any of the Conflict of Interest Questions, please provide an explanation. Other: 1. You have read and understand all Fee Based Financial Planning Policies and Procedures in the Compliance Manual in their entirety. This is applicable to Box 1, 3 and 4 applicants. 2. Managers seeking Financial Planning Program Supervisory Status, please provide date of the Supervisory Webinar that you attended: Your Form U4 is current. You completed all requirements, including training as specified in company policy for the status you are requesting. You attached proof of requirements completed per company policy. This document authorizes Prudential to verify or investigate your responses herin in order to consider your eligibility. Before signing and forwarding this document, you should carefully review all answers in this application and your Form U4 to be certain that both documents are accurate and complete as any material misrepresentation or omission may result in a disciplinary action that may include termination of employment. Page 4 of 5

5 4 Certifications : You may NOT commence any financial planning related activities or sell managed money products until you and your supervisor have received both Field Administration and Licensing and Registration that your RFP has been approved. Applications received by Field Administration that do not contain proof that requirements are completed are not in good order and will not be processed. s signature 5 Managing Director or Qualified Delegate Certification Managing Director/Qualified Delegate: By signing and forwarding this document to Field Administration and LRS for processing, you certify that: If has answered yes to the Political Contribution question or no to any of the Conflict of Interest questions in Section 4, you must review and discuss the answer(s) in detail with to determine if further inquiry is necessary. You have discussed s request to become an IAR and if applicable, either a Financial Planner, Financial Planning Program Solicitor, or Supervisor, with your management team for feedback. You personally interviewed and reviewed his or her RFP, current U4, and proof of course work completed. has completed all of the requirements and training in accordance with company policy. Proof of requirements completed are attached per company policy and as discussed in Section 3. You endorse the to proceed with gaining the status he/she requested. Applications received by Field Administration that do not contain proof that requirements are completed are not in good order and will not be processed. Managing Director s or qualified delegate s signature TVP s signature (only if applicant is an MD) 6 Home Office Form Processing AD Field Administration or LRS Approval / / Approver Name (first, last name) Page 5 of 5