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Title of Derivate Security 2. Date Exercisable and Expiration Date MM/DD/YYYY Date Exercisable Date 3. Nature of Indirect Beneficial Ownership Form Direct Instr. 5 D or Indirect I D Table II - Derivative Securities Beneficially Owned e.g. puts calls warrants options convertible securities 1. Relationship of Reporting Person s to Issuer Check all applicable Middle C/O BELL NUNNALLY MARTIN LLP 3232 MCKINNEY AVENUE SUITE 1400 City 3. Name and Address of Reporting Person 2. Date of Event...
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