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Did you purchase any shares that we located as a part of an initial Please indicate whether this is an initial report or an amended report. 
Public Offering? For amendments. please provide the date Of the report you are
Yes NO amending. A $200 penalty shall be assessed against
If you answered ?yes" to this question, please contact the Committee on Initial Report . Amendment anyone Who ?les more than 30 days late.
Ethics for further guidance. 
Date of Report Being Amended:
DATE
TYPE OF ?3:5 NOTIFIED
FULL ASSET NAME TRANS- OF AMOUNT OF TRANSACTION
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ACTION ACTION TRANS-
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