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Title of Security Instr. 4 2. Amount of Securities Beneficially Owned Common Stock 3. Ownership 4. Nature of Indirect Beneficial Ownership Form Direct D or Indirect I Instr. 5 D Reminder Report on a separate line for each class of securities beneficially owned directly or indirectly. Relationship of Reporting Person s to Issuer Check all applicable X Street EAST AMHERST NY 14051 City Director Officer give title below 10 Owner Other specify below HRT 5. Intentional misstatements or omissions...
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OMB number 3235-0104 is needed by individuals, organizations, or businesses that are required to submit specific information or reports as mandated by the Office of Management and Budget (OMB).
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What is omb number 3235-0104?
OMB number 3235-0104 is a control number assigned by the Office of Management and Budget (OMB) to certain information collection activities.
Who is required to file omb number 3235-0104?
Entities or individuals that are subject to the specific information collection activities identified by OMB number 3235-0104 are required to file.
How to fill out omb number 3235-0104?
OMB number 3235-0104 typically requires certain information to be provided in a specific format or through a designated questionnaire. Entities or individuals should carefully review the instructions provided with OMB number 3235-0104 to properly fill out the required information.
What is the purpose of omb number 3235-0104?
The purpose of OMB number 3235-0104 is to collect specific information from entities or individuals for regulatory, compliance, or statistical purposes.
What information must be reported on omb number 3235-0104?
The specific information that must be reported on OMB number 3235-0104 will depend on the nature of the information collection activity associated with the OMB number. Entities or individuals should refer to the instructions provided with OMB number 3235-0104 for details on the required information.
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