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FORM 4 [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT
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Start by writing the recipient's name at the top line.
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Write 1222 Demonbreun Street on the next line, indicating the street address.
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Add '20th' at the end of the line to specify the floor number.
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Information that may need to be reported includes business entity details, contact information, financial statements, or any regulatory compliance data relevant to the operations at that address.
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