3
Shared Docs
3
Same-Page
3 / 3
Mentions
X in the appropriate O directly, as a Registered Holder O through a Broker. If you marked this box, plea
their authorized representatives to exempt you from Israeli withholding tax. ART I 1. Name: Identification and details of Shareholder (including Eligible Israeli Brokers) (see instructions) 2. Type of Shareholder (mom than one box may be applicable): (please print full name) K Corporation (or Limited Liability Co
X in the appropriate O directly, as a Registered Holder O through a Broker. If you marked this box, plea
their authorized representatives to exempt you from Israeli withholding tax. ART I 1. Name: Identification and details of Shareholder (including Eligible Israeli Brokers) (see instructions) 2. Type of Shareholder (mom than one box may be applicable): (please print full name) K Corporation (or Limited Liability Co
X in the appropriate O directly, as a Registered Holder O through a Broker. If you marked this box, plea
their authorized representatives to exempt you from Israeli withholding tax. ART I 1. Name: Identification and details of Shareholder (including Eligible Israeli Brokers) (see instructions) 2. Type of Shareholder (mom than one box may be applicable): (please print full name) K Corporation (or Limited Liability Co
Entities connected to both Eric Holder and Eligible Israeli Brokers