Form Adv-W - Notice Of Withdrawal From Registration As An Investment Adviser Page 9

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Form ADV-W
Page 5
Execution
I, the undersigned, have signed this Form ADV-W on behalf of, and with the authority of, the adviser withdrawing
its registration. The adviser and I both certify, under penalty of perjury under the laws of the United States of
America, that the information and statements made in this Form ADV-W, including exhibits and any other
information submitted, are true. I further certify that the adviser’s books and records will be preserved and available
for inspection as required by law, and that all information previously submitted on Form ADV is accurate and
complete as of this date. I understand that if any information contained in items 1D or IE of this Form ADV-W is
different from the information contained on Form ADV, the information on this Form ADV-W will replace the
corresponding entry on the adviser’s Form ADV composite available through IARD. Finally, I authorize any person
having custody or possession of these books and records to make them available to authorized regulatory
representatives.
Signature:
______________________________
Date:
________________________
Printed Name:
______________________________
Title:
________________________

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