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14200 Copper Road Boyd's, MD 20841www.actinic.us p: 3015407770 / f: 3015402041Date: Mr. / Mrs. / Ms. / Dr. First Name Last Name Address: City: State: Zip Code: Telephone Number:, please circle if
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Retail investors us own refers to the holdings of individual investors in publicly traded companies.
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Any individual or entity that owns shares in a publicly traded company is required to file retail investors us own.
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Retail investors us own can be filled out electronically through the SEC's EDGAR system.
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