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8937Report of Organizational Actions Affecting Basis of SecuritiesForm (December 2017) Department of the Treasury Internal Revenue Serviceman See separate instructions. Reporting Issuer1 Issuer\'s

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Under penalties of perjury means that the person making the statement swears that the information provided is true and accurate, and acknowledges that they can be prosecuted if found to be lying.

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Anyone submitting a legal document or filling out a form that requires a signature and includes a declaration stating that the information provided is true and correct is required to file under penalties of perjury.

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