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rs. Inc * Pinar No. Officer,, TrUsteg, Atehodatil Oaf. Qtill ( is Print Narneffitle3effreT Epstein• ere, Si Cie .4. Signature of Officer, Penner. Trustee, Authorized Party Date Print NerneMtle Signature of Officer, Partner. Trustee. Authorized Party Date Print Name/Title 13.AWLI.0196
of the first spouse). Signature Date Print Name SSWEIN Signature Date Print Name SSN/EIN Signature Date Print Name SSIVEIN CorperretiOn, athrierinip, trust or other entity: CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILMES . . . . Client acknowledges having solo responsibility t
Entity Jeepers. Inc Signatory of Officer, Partner. Triistoo, C ire. Si . Print Name/Title EPRoirl Of ti *Rini' el No. Signature of Officer, Penner. Trustee, Authorized Party Dote Print NarneMtle Signature ol Officer, Partner. Trustee. Authorized Party Delo Print Name/Title i3.AWM.0196 7
f the first spouse). Signature Date Print Name SSWEIN Signature Date Print Name SSN/EIN Signature Date Print Name SSalrEIN CorperretiOn, athrierinip, trust or other sniffy: CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES . . . . Client acknowledges having solo responsibility
f Entity Jeepers. Inc Signatory of Officer, Partner. Triistoo, C ire. Si . Print Name/Title EPRoirl Of ti *Rini' el Kb Signature of Officer, Penner. Trustee, Authorized Party Dote Print NarneMtle Signature ol Officer, Partner. Trustee. Authorized Party Delo Print Name/Title i3.AWM.0196 7
f the first spouse). Signature Date Print Name SSWEIN Signature Date Print Name SSN/EIN Signature Date Print Name SSalrEIN CorperretiOn, athrierinip, trust or other sniffy: CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES . . . . Client acknowledges having solo responsibility
Entities connected to both Penner and CorperretiOn

Joi Ito
PERSONU.S. Department of Labor
ORGANIZATIONDBSrs
LOCATIONWilats
LOCATIONTHE INTERNAL REWENUE SERVICE
ORGANIZATIONconVamericas
ORGANIZATIONEntity Jeepers
ORGANIZATIONInconstegban
PERSON