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,t••••• I. G1A I • GIA CLARITY: COLOR SCALE I !SCALE , i , . • I 0 8' • • Li SI, c k. • If O ir R : s si V I LY X y I Z Hew York Headtuantrs 580 Fifth /ULM I New Yodt NY 1E036.4794 T: 212-321.5858 I F: 212.5754035 Carlsbad 5355 Armada Drne I C-idetnd. CA 92023-4639 T: 7
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v. riven 2055) I FILER'S name 1 EPSTEIN INTERESTS Street address (Including room or suite number) 457 MADISON AVENUE City, state, and ZIP code LNEW YORK, NY 1 0 02 2 I Name of person to contact Telephone number For Official Use Only Email address Fax number Oli ( ) I EmptoyeriangiCation hun
sic po ay 3 Sode securty wages l i 587136.84 4 Social acuity tax withheld 36402.49 0 Totel number ol Forme 44 11 0 Establishment number 5 Meeker° wageo and lips 10384.62 e medlars tax withheld 11750.58 G timpbyet Idenasentilon number (E1N) 66-0567418 7 Social unitary tpe 7 f Empbyert name
Entities connected to both New York City and Meeker

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