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NEBRASKA ACCOUNTABILITY AND DISCLOSURE COMMISSION 11th Floor, State Capitol P.O. Box 95086 Lincoln, NE 68509 (402) 4712522BEFORE COMPLETING THIS FORM READ THE FILING INSTRUCTIONSPOSTMARKDATEMICROFILMNUMBERSPECIAL

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What is before completing this form?

Before completing this form, gather all relevant information and documents.

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The purpose of completing this form is to submit required information to the relevant authority.

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