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SEC Form 4UNITED STATES SECURITIES AND EXCHANGE COMMISSIONER 4Washington, D.C. 20549Check this box if no longer subject
to Section 16. Form 4 or Form 5
obligations may continue. See
Instruction 1(b).OMB
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McCarthy Gloria M is a tax form used to report miscellaneous income.
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You must report the amount of miscellaneous income received, the name and address of the payer, and your personal information such as name, address, and social security number.
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