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8937Report of Organizational Actions
Affecting Basis of SecuritiesForm
(December 2017)
Department of the Treasury
Internal Revenue Serviceman Ia See OMB No. 15450123separate instructions. Reporting
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Shareholders that represented in refers to the individuals or entities who have ownership in a company, typically in the form of shares of stock.
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To fill out information on shareholders that are represented in a company, the entity must provide details such as names, addresses, number of shares owned, voting rights, and percentage of ownership.
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