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e instructions) N Shareholder's tax year ends (month and day) Number of shares or percentage of ownership Date(S) acquired Signature Date Jeffrey E. Epstein, Trustee of Maple I Trust 6100 Red Hook Otr, B-3 St. Thomas, VI 00802 100% 11/22/11 12131 Election Information (continued) Form 2553 (Rev. 12
ip Date(S) acquired Signature Date Jeffrey E. Epstein, Trustee of Maple I Trust 6100 Red Hook Otr, B-
of ownership Date(S) acquired Signature Date Jeffrey E. Epstein, Trustee of Maple I Trust 6100 Red Hoo
of ownership Date(S) acquired Signature Date Jeffrey E. Epstein, Trustee of Maple I Trust 6100 Red Hook
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
instructions) N Shareholder's tax year ends and day) Number of (month shares or percentage of ownership Date(S) acquired Signature Date Jeffrey Epstein, Trustee of Nautilus I Trust 6100 Red Flood Otr B-3 St. Thomas, VI 00802 100% 11/22/11 12/31 Election Information (continued Form 2553 (Rev.
rship Date(S) acquired Signature Date Jeffrey Epstein, Trustee of Nautilus I Trust 6100 Red Flood Otr
of ownership Date(S) acquired Signature Date Jeffrey Epstein, Trustee of Nautilus I Trust 6100 Red F
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 instructions) N Shareholder's tax year ends (month and day) Number of shares or percentage of ownership Date(S) acquired Signature Date Jeffrey Epstein, Trustee of Poplar I Trust 6100 Red Hook Otr, B-3 St. Thomas, VI 00802 100% 11/22/11 12131 Election Information (continued) Form 2553 (Rev. 1
rship Date(S) acquired Signature Date Jeffrey Epstein, Trustee of Poplar I Trust 6100 Red Hook Otr, B
of ownership Date(S) acquired Signature Date Jeffrey Epstein, Trustee of Poplar I Trust 6100 Red Hoo
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
instructions) N Shareholder's ra, year ends (month and day) Number of shares or percentage of ownership Date(S) acquired Signature Date Jeffrey Epstein, Trustee of Cypress I Trust 6100 Red Hook Otr, B-3 St. Thomas, VI 00802 100% 11/22/11 12131 Election Information (continue Form 2553 (Rev. 12
rship Date(S) acquired Signature Date Jeffrey Epstein, Trustee of Cypress I Trust 6100 Red Hook Otr,
of ownership Date(S) acquired Signature Date Jeffrey Epstein, Trustee of Cypress I Trust 6100 Red Ho
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 Jeffrey Epstein and C State