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Page 17 · column 1 of 2 · from the scan, no model involved
7. OWNER Wowm) by a corporation. Its name and address must be stated and also Immediately thereunder the names and addresses of stockholders mid.0',,??!.’! L prrcen' ** mor* of •oiel amount of stock If not owned by a corporation, the names and addresses of the individual owners must y * Partnership or other unincorporated firm. Its name and address, as well at that of each individual must be given. If the publication ts published by a nonprofit organisation. Its nante and address must be stated.) (Item must be completed.) FULL NAME COMPLETE MAILING ADDRESS q/nPAHANNOU, NKWS 3® urL »!i"h.7 r.TP:M.i,—"aprf-Wrow, va 2211 AH IUU7 W AMIJND1. T7T 2 7 PLAINS, VA—22171
8 AmSljUt OP «»E«VAND OTHEn SECURITY HOLDERS OWNING OR HOLDING 1 PERCENT OR MORE OF TOTAL AMOUNT OF BONDS. MORTGAGES OR OTHER SECURITIES Ilf there are none, so state) FULL NAME COMPLETE MAILING ADDRESS "NONE
^P^L^“^rri:L2R6^2AT,ONS AUTHO«'«D TO MAIL AT SPECIAL RATES fSection 423 1 2DMM only) PWP°"' U"C,K>n- •nd BO"pro,rt •“*» of th. organization and tha axampt natut for Fadar* incoma tax purpoaai ,Check one, (1)
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