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FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 OMB APPROVAL INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES OMB Number: 3235-0104 Expires: January 31, 2005,
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Begin by writing your full legal name in the "Name" field. Make sure to use your first name, middle name (if applicable), and last name. Avoid using nicknames or abbreviations.
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If you are filling out a form or document on behalf of someone else, such as a minor or a dependent, ensure you accurately provide their name and address. Use the same guidelines mentioned in step 1 for their name and follow step 2 for their address.

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Name and address of refers to the details of the individual or organization that is being identified.
Those who are required to provide name and address information are individuals or organizations that are completing a form or document.
To fill out name and address information, simply provide the requested details including full name and physical address.
The purpose of name and address information is to correctly identify and communicate with the individual or organization in question.
The information that must be reported on name and address forms typically includes the full legal name and physical address of the individual or organization.
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