Form Ss-1 - Annual Report Of Unclaimed Personal Property - Securities Summary Of Reported Issues Page 6

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ANNUAL REPORT OF UNCLAIMED PERSONAL PROPERTY
Report ID
JOHN CHIANG, CONTROLLER
STATE OF CALIFORNIA
SECURITIES SUMMARY OF REPORTED ISSUES
PROVIDED IN LETTER
FROM SCO
THIS FORM MUST BE COMPLETED AND ATTACHED TO THE HOLDER REMIT REPORT WHEN REPORTING SECURITIES.
HOLDERS TRANSFERRING SECURITIES ELECTRONICALLY, MUST ALSO E-MAIL THIS FORM AT LEAST 48 HOURS PRIOR TO TRANSFER TO:
THE STATE CONTROLLER'S OFFICE AT: ucpdtcss1@sco.ca.gov; AND ITS BROKER WACHOVIA SECURITIES, AT:
ADDITIONAL REPORTING AND REMITTING INSTRUCTIONS CAN BE FOUND AT THE STATE CONTROLLER OFFICE'S WEBSITE AT:
REPORT DUE:
HOLDER NAME:
CONTACT NAME:
REPORTING FOR YEAR:
HOLDER FEIN:
CONTACT PHONE:
INSURANCE COMPANIES:
Due prior to May 1
REMITTER NAME:
CONTACT E-MAIL:
ALL OTHER HOLDERS:
Due prior to November 1
FOR HOLDER USE ONLY
FOR SCO BROKER USE ONLY
DATE FORM RECEIVED BY SCO BROKER:
CERTIFICATE/
REPORTED
SECURITY
SECURITY
DTC
MUTUAL FUND
RECEIVED
SECURITY
TRANSFER
RECEIVED
SHARE
TICKER
CUSIP NO.
REPORTED SECURITY NAME
TYPE*
SERIES
SHARES**
SHARES**
CUSIP No.
RECEIVED SECURITY NAME
TYPE *
DATE
SHARES
VALUE
SYMBOL
*B = Bonds; C = Common Stock; D = Debentures; P = Preferred Stock; R = Rights; U = Units, W = Warrants; Mutual Funds = Leave Blank
**Total number of Shares/Units/Bonds/etc. reported this issue (extend to 4th decimal place)
SS-1 (REV. 1/08)
Page 6

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