(Response Form D)

DEFERRAL OF RESPONSE TO REQUEST FOR PUBLIC RECORDS

TO:

FROM:

FOI OFFICER

Office of the State Treasurer

Room 219, State Capitol

Springfield, IL  62702

ADDRESS

PHONE NUMBER

The response to your request dated ______________for the above captioned records must be delayed. The delay in responding to your request is for the following reason(s):

(Provide reason for delay in accordance with Section 3(d) of the FOIA.)

You will be notified by

as to the action taken on your request.

FOI OFFICER

DATE