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test 2 under Who May Elect in the instructions) In 0 H Name and title of officer or legal representative who the IRS may call for more information Erika A. Kellerhals I Telephone number of officer or legal representative ( 340 ) 779-2564 If this S corporation election is being filed with Form 1120S, I declare
ormation Name (see instructions) Nautilus, Inc. Type or Print *nstructions.) A Employer Identification number B Date incorporated 11/22/2011 C State of incorporation St. Thomas, VI 00802 VI D Check he applicable box(es) if the corporation. after applying for the EIN shown in A above, changed it
e test 2 under Who May Elect in the instructions) ► K H Name and title of officer or legal representative who the IRS may call for more information Erika A. Kellerhals I Telephone number of officer or legal representative If this S corporation election is being filed with Form 112OS, I declare that I had reasonab
Name (see instructions) Maple, Inc. A Employer Identification number Type ns.t B oat or Print 11/22/2011 City or town. state. and ZIP code C State of incorporation St. Thomas, VI 00802 VI D Check the applicable box(es) if the corporation. after applying for the EIN shown in A above, changed i
e test 2 under Who May Elect in the instructions) ► K H Name and title of officer or legal representative who the IRS may call for more information Erika A. Kellerhals I Telephone number of officer or legal representative It this S corporation election is being filed with Form 112OS, I declare that I had reasonab
g with reference to the month of ► If box (2) or (4) is checked, complete Part II A Em to r Identification number B Date incorporated 11/22/2011 C State of incorporation VI changed its K name or K address ► 11 / 22 / 2011 usually enter the 0 If more than 100 shareholders are listed for item J
e test 2 under Who May Elect in the instructions) ► K H Name and title of officer or legal representative who the IRS may call for more information Erika A. Kellerhals I Telephone number of officer reneesents4I0e If this S corporation election is being filed with Form 112OS, I declare that I had reasonable cause
Type I Number street, and room or stile no or Print box see instructions.) A B Date incorporated 11/22/2011 City or town. state. and ZIP code C State of incorporation St. Thomas, VI 00802 VI D Check he applicable box(es) if the corporation. after applying for the EIN shown in A above, changed it
Entities connected to both Erika Kellerhals and C State