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HomeMy WebLinkAbout81-00406 , ,. " ;; '-" " " ., " ji '" " , '1 " " /, , " ." " " I " " Ii ," ,~, " ! Ii ~. '10 ,~, ,... ". cp 'fG J 'I. ,j'lo ..I / I '. f 1"1 r- ~ ), ~ 0 F So ..., ij ~ = el s: ! "y p~ ; , I ...... 5 0 I '- \:'orJ ..., !B -..... r,,' i a' s' ('. II 0- 'fil:l 10 ~. ~ 0 ........... lL'-; ~l"U III "'1 C;';: '0 ,~ [ , l'j '-'-':\',1 ;; ~ . ~ 0 ffi. Ii" :r,,;:( ~' ~ " i l2;.J t:d ~ ~ - Ie .r ~ I ~-: '*5 r:)W In ~ Z (.II 0 In iii '~ r- ,." ? .,.. f5 i-Srj ~ [ 0 0 "' n fI1 " . '" 9 a 1-" 1'0 " !i RF.PORTINO INSTRUCTIONS ~ - '"f'~ ,-- ..~ _.~ ,....- ~ .~"~_."". ,"".. '.'_: f. If lilt "'lIfl~_ MltlOUt\l 'f"tllied fin Ihi"'-llnli~lI-will hll-lC'lflnllnd #IIld II/lid tlv lht"(I~14I1C\ Ild(Jtilll~'; 11111(1; /HI ;')';" 1'llilIIC~_ "h" ~I Pitilll1flhD "JptntlhUII ACCIlIItII.h. .",llilfl". &Ilihlh(l dlj'ili~fll.llrll1 Hil1Ijlltll'" CUI/Un fl!lfllftllHn leI IIlfl POIll\hIVftfllli r..lJllllllntnl (II' "."."UI; pII""m 01 hllllllOflllt1fl, 11.0, 0010: 8321, H/lllhIHIIU, fI^ PiOn, 2.. If thl inlormtll<lln IIlldellloulflllCH1.ln lllli-hOllt" I' (IUllb{.j Mid dfHhJQIlUtl" 11I0 'IUIII!llrl'~ tlflil1\ltd, IJIIl~1' 1111 "X" ill hint.. "1.." 1111'11I1 of Ih, ''o'Qinl'Truli AtCi'U\ln! hit Mehllf1'", JJiQn, 1111\ tHmlil1i1l11 111111 \Iiplitl'110 tOr1ifll nrW..tiblllil Ih(1I1\ with 'rlllll rho~~ Itll tho itimO\lnl nl,l^ll IU 11111' Rllgi.'., 01 Will' 01 thf!' cuunty il1dllinllld, 1111' DUllflilllWfll (II llovIHlllI'" ~1I1 !!;l,u" fill ollicitJl U1.UIt'1l01l1 IPC'lnl AIV"It>>,..KI UllPn IClview, of thO' Jf11111 llUt.1 A,tj(J(11I1l1 1t1lf h'lUlfl, , ~, If Iht noIlCi"llloimaUnni. iflcolt.,.1 lind/tit CI\lhll1llld QIl,1utlllHlII tll~ hOlhU cllllm(lll Nllulllalo "nil 1 UIl' Ct~ltullllilllll ul tllll "Jlllllli t"I'", AQQOunt Hi( RIlHHn" IICbiJldi,ng III lilt jll~HutliIlIH, llfllllW, 5ilfll lilt Ullllllt.lI, find IlillllclHl- tUP'N nnd luhmit II\0m , with yow, Oil' ok 101 Ill, IlttlOll~t (If Un,; Hl Ihe nOllll'ltJf 'Ill WIII~ ul Ilia IJolIIlI'l' In\\(~f1tild, j 1hl' brilllllllllflht flf ~,vehu. Will IUUI 1111 tJfll~I" .......m.M IFtlfnl "lV, tf,..IIX1,UIlUI'l'(IVIIW fJllhCl JuihllllUlI1 A(l(:Il\lnl 1flll lIutlH/I, ,,; Addliloll,,1 ~Drnmonil or Gr,rllll"l'IliUII'" lIhnuld h. mlltlf> i'l PilI! . i'OII!"1 Illlorrn;.lillll", b, 'tltt JlJIMITI\ltt Accounl 1f)! R_Hlln mUsI he (ltlllllllOI(l11 find lfiltlllletl Wltt'llrl tlllrly 1301,d/lYII III the nullct! dalu'or lit. olllel/ll ,ufI"'..rnMi llin"fJ AIV, lDII'~XI WillbllIU,JlI(1 hltljt(l tlh Ii'll; nollrf> iIIffllflltlltun. , C. Inh.'Hfil1c...:tIllC- h"l;Ibltllit; uAlinquoflt nine IIl(H'lIlI' nllCl! U\(, d(lrl'I'lI!III'~ dtllf' 01 111111h, JoiM1'l' lutld 1'l!IIIINly Is tillll\blfl flyell Ihllugh Ii'll' ~.C"d'l'It'''(''."'lI' WU .<leli'd ,J< tI ml'lllrl III l!1l1l\'MiIOnC(i, ,.-. '" Cd "1J" 11_./ .", . , . :;\... ~1" . ;.., " 1. ~" 11'18 ffi_lh(l~J:I~iJllfll.V'I" flfiginnll'l' Ull'ilol'!jhNI" ' ,i WdiU, ... u '~Il~t,;"t,ij(l;lJhl wn lIfltllblit'lftd Wlthill IW\I yotll, III Ihll dlltllh pI Iht dllt:ndr.nL 11 If> IlloLlm\od 10 MVf, htt.f'l '~.lllbIUhHI "fn ClQnIO"jQtltlt.QLQ,'lilh; ISU lir.AMIJ~' bl, If Ihe flt~tHI'll WII. uthbh'hfl~ wHh ,fUhdL Ihlll welt togl.t(tl(ltl III tht. U'lnfl ICllnl nWIIII,lliP 'f'ld rnlllhtfllMd J"inIlV 101 RIIII!! th,.n I'N1l yDMt PIlIH III dOlllh, Ihn hCClJUnt WI,uld 11\, Illllfllllf' 10 IhfJ DI(IOnl 01 tho duecHint'. OWMlIihlp ISSREXAMPl.g AI. Dnturnf'l'llf.lilln 11'1 Ini1iclllr> Ii'll! Oflpll1sl Slllhifo (If lilt Ilfq1unl nlil$1 110 ,ubmlllpd with lh!i .)olnllllull Aconuhl hI( I\9IUI1I,' ...., I 1M f6~..c:~~~ A TIClN~I"L~Tlj\J.C I!QN.~ ~~' a, Inl;' the trlflll l,llllflf1l'lfJ (II the- "ecaUf1I 1fiC;ludlllg ji,I~I.'i ,", III tho dCllft M dntllh, 3. 'tit p.fa.nl (II t:1I. acctJllnlltih! i. tUhhlo 101 !~tt'..;.!~~I-y'iX!'.'! If; clulorminno /Ill Iflilow~ A. Th. p"b,~nlla)(.bl(l fDf JOINI blink l'i~llOuntl ullIIIII'huo t/ll)re Ihflh tWtJ y$'lIr~ ,nibl III lh, nodidll.hl'li dOflih"$ dll~rll'lll1f)d ~a fnllnw~; OIVlblD BY loUII NWl'lhe' 01, (:)I'.,.IDIO 13'1' TOIIlI 1~\Jnlb", nl k 10(1 , PflfCf"l\ hllbhl, Joln\ OWnllt. !;UIViVifl9 Jnlfll OwnfHIl .iIl..InuULA: A JoII'll 1tll01lnl ,ooll'ihrid III tht nllme of Ihedac(tllollt ftnd tWtl olhll pOrion", blVIPEtJ By 3 DIVIDED B~' ,\87 )( 100 . 18,71,f IPfl'Cbnl 11I)(~bID for ElIch Survival! B, lhil p,IClf"II 1",..~t1I'lo' ;Oilll,bMlk llCC<liml' 1U1,,/Jli~hfld Wlttlill Iv;(, Yflll'I'; 01 lhfi dct~flDnl'" dfl/llh lit IIctfHlfla UWl\ild'by 1l\\'ItiH$'tttnl bul hClIQ Ifllli"l lor ftnftth~1 i!'idivldl'_II~~ (\Ilnl IlIlIUJlltiIHIUI 1,,'OlltHtllillld &b ftJlloWt , OIVIOEr; BY 1011;1 NumhDI 01 a\IIVlving J(.lnl Ownl'lis; or tlU~l 60hlllltltll iU Jo. H.I(! i POICttn\ 1tll(lIhl(' b,.l'r'Ipl'~ Joll'Il eOOI'Il,lfIl'legl.'''tld In 11'1(1 nil"''' of IhD dtH!ed'nl IU'ld tW(:I (:Ithtt pflr,nn. ~n(f ',l/Iblj,I-,D(l Wllhln \Wti'YOtllS ,of bulh, 1 DIVID"tJ by '2 i ,&0 ~ 10(1 . tW% IPt,tnnt , IIJlbplt'\ lilt EnCh SUlvivOt) 4. The IImounl ,uhl.el 10 \fl~ Uint 4; I' dDlolmined by m\lllll)lrlng Ihe flCCOllnl blllsnt:& lltne 21.11Y 11'111 tHlIcanl ltllllltll(l,(llntl Di. ~, Il'Ilt" Ille tollll of tho dClllU ,md'ded\Jtllonl. 111100 in pMI ,~, Allowflbl. (fib" flhd UIHhit;llon' flr(J dfller'HlneU at fOlloW$,' A, VOli fl'f, IflOllih' 1.,pn"'lbltfCH PflvMonl. b. l\,l'l,i'IJit;'\fI'H~ plllU il'lll uul.ll' bllor Itlt Ulltdi'l 01 Inl(.PD~odelf' fI'lI.1 t811 1111 II I\oi II 111(\01 ni IHlylritil'lL C. ltlt, iflrn..Utlbl' ftlf','hClI ~llIlrne(i (:In lhtl oorl'ldtl'ii', InhlI/IIM'tO 111); 11011"" 01 b~' t,nr olh" '1lIVIV(iF, D.' Otbll beln'll ,11Iflilf'lftd mIlS'I be f\.llly Ii.miltd In PtIIl 3,11 IIddllitll1~'I. tpfltf> is huded, I". pllliil 8 11~ >; II" Ille.u,p!,oof of pilytninl I'rIH ht rflqu..,ad by Ille tlepartlT'le,,! 01 RevGnu,o, 1 O. 'ht flmo!,J(\\ !fI){;.blil Hinu 61 II. delnlmihli1 b,' IlIbllllclIng 1M I'lll'lls IInr! dlll'lUCII'on, II In. 61 flnnl Iht IlmaurH tVblfrel lo'I,,~ .11111,41. '7, lhlo, ,'ho '..',..'1". to' "" Iii.. 71 " d''''''''.'d h~'.W. Ii.; lien'-fll' ill Utl_1t1 deuftndflnU Intl\ldll'" flltllbL moth,', hunhiln~, wlfr;, ,t,lfi. d~vphtfJl, ~ltindehildflh, (I'ilntjl111llh!li, 'On-ill'IIIW, dllll(.ltHtt'il1iJII'l\' blO Ih)(/lbltl fI! (; ttliltflfll. b, lIMISI",. HI nClIll i!ltttl I InClUdIng b,olhDr, IIISlfll, Ilnell" ,lIuni. no~,lltw,,,na f1l0Ce tlllI t/llliCst/11l 11\ It> rlllt,!f'll, ft. the i/'nolil'll ,,1 It)!' dUt' (Hntla. it, dflll\ttTlitHiCl by ",UHIPlyfnQ 'hi l'itiiouhl lIu;ltliill flUIO 6i L\Y thfl I"" '111& Oitl€! ?j. Pl~P.\!l[PJ.A.!: Th. iJniMiTfu,tAccounl 111)/, Rfltuln Utubjtel 10 ~Porovitthy the tl'Plllim.nl ,,1 R_v.nulI.:. th<<,HlkpiYir tTliy Wiihh'!' tuny 1001 d~y' of Itlt dill. of the olficilll uuUfflonl IFnrm MV, JUesxl."Olllcllll Nollee of..lnhllll.nce Th APptiltfrlrfClflt, ~II(:1Wllnce 01 DIt/lIIQWllncft tll DtJducUonl IInd A.ieumerlt 01 TIM onJolnlly H.ldor lflllll AUItS", filii II PlOt'" with 1M P'II'lnlyIVIll'llll DIIPanmenl 01 Atvllm!II't,Donld of ApplUlltl ur an illlpe"l with Iho 10t:il'O,phant' ClJull, Ian holll'ltl 1001 01 Ihlll Inh'HIMee Md Utile lh'MI olU01 112 r.5, SiCtlot. 21181)'1001.1 - ~~ \,' C. " 1<"( t.. , \1_\ II' ci I ~_; N ,:.... C,)ti, \?(- U,. I.,J\d '\-11 t-1'-" ~ I..n ~~ '{,~; Oe) ~'t\ ~ \.-ll ( ~ .,.'u <-J . " .. '0 t-I tJ' N .~\ tl.~ ( , ''''~ (':0,_ '.D I I'B U~ ;,,1, 1..,0 ') L ;ll(.1: ~..I,'\ ~~8 p;