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8937Report of Organizational Actions
Affecting Basis of SecuritiesForm
(December2011)
Department of the Treasury
Internal Revenue Service0MB No. 15452224See separate instructions. Timing Issuer
Issuers
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To fill out na common stock kamn, individuals or companies must provide information about their ownership of common stock in a corporation.
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Information such as the name of the corporation, number of shares owned, and value of the common stock must be reported on na common stock kamn.
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