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Nature of Indirect Beneficial Ownership Form Direct Instr. 5 D or Indirect I See Footnotes 1 2 Table II - Derivative Securities Beneficially Owned e.g. puts calls warrants options convertible securities 1. Title of Derivate Security 2. Date Exercisable and Expiration Date MM/DD/YYYY 3. Title and Amount of Securities Underlying Derivative Security Date Expiration Title Exercisable Date Amount or Number of Shares 4. Title of Security Instr. 4 2. Amount of Securities Beneficially Owned Common...

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