Periodic Report Regarding Value Operations And Profitability Of Page 8

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B26 (Official Form 26) (12/08) – Cont.
8
Exhibit B-4
Statement of Changes in Shareholders’/Partners’ Equity (Deficit) for [Name of Entity]
period ending [date]
[Provide a statement of changes in shareholders’/partners equity (deficit) for the following
periods:
(i) For the initial report:
a. the period between the end of the preceding fiscal year and the end of the
most recent six-month period of the current fiscal year; and
b. the prior fiscal year.
(ii) For subsequent reports, since the closing date of the last report.
Indicate the source of this information.]

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