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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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Belief it is true is a statement made by an individual asserting the truthfulness of a document or information provided.

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The information that must be reported on belief it is true includes the individual's name, signature, date, and a statement affirming the truthfulness of the document or information provided.

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