Insider Trading Reporting Forms And Instructions Page 2

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SECURITIES BENEFICIALLY OWNED
TITLE OF SECURITY
NATURE OF
AMOUNT OWNED
(See instruction 7)
OWNERSHIP
BENEFICIALLY
(See instruction 8)
(See instruction 9)
REMARKS: (See instruction 10)
I affirm under penalty of perjury that
the foregoing is full, true and correct.
____________________________________
Signature
Date of statement:________________________

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