rint Signature of Co-Owner (me /fin 4paR aumm-Rs Home Address of Owner -- 2 O h 6-3 Co-Owner's Name - Type or Print 67:Ifier4vas [-IS 14 Mtge,— City/State/Country/Zip day of 7 -Lyn e z - LAUREN J KWINYNF Signature s f Publ* no y Public, State of New York No. 02KW6016686 Commission Expires Qualifie

se check one: ID I prefer to have distributions wired to the following financial institution: Bank Name: Bank ABA 14: For Further Credit to: City/State/Country: Account Name: Account Name: Account 1k Account Swift Code*: ID I prefer to receive distributions by check. *Required for U.S. dollar w

ne: O I prefer to have distributions wired to the following financial institution: Bank Name: Bank ABA #: Swift Code*: For Further Credit to: City/State/Country: Account Name: Account Name: Account #: Account #: O I prefer to receive distributions by check. *Required for U.S. dollar wire transfer

-1/ Owner's Name (type or print) Co-Owner's Name (type or print) 4/00 Rob limed ia-47fiX3 6-3 37-Thvn4S U S VS Pc -51.O e. Home Address Of Owner City/State/Country Zip Sworn to a Signature • otary Public Personally Known me this 27 day of Noente• Joe LAUREN J. KWINTNER Commission Expires Notary Pub

(type or print) Signature Of Co-Owner Co-Owner's Name (type or print) c/co' 4 cek RrO-Reff≤ B3 67:7-4424-3 i)5 tr oaSed- Home Address Of Owner City/State/Country Zip to and subscribed to me this day of J 011-41:27 LAUREN J. KWINTNER Notary Pu • York Commission Expires uai le m ew on<County Commission

or print) Signature Of Co-Owner Co-Owner's Name (type or print) 6/0.0 flux 0001/25 63 s "T• Tfin 9.s refsv.r 00,34, 2- Home Address Of Owner City/State/Country Zip Sworn t d subscribed •me this 2 ay of fratafRY lor alPii Signa re Of Notary Public Personally Known •/' HA Commission Expires rotary RR

"CP rfily Art • E.057;ex:v Owner's Name (type or print) Co-Owner's Name (type or print) 5 3 67; rthlmfr6 11 6 1/3-- peek 2. Address Of Owner City/State/Country Zip this o filday of iQiemlay lira° 7 LAUREN J. KWINTNER Commission ExpiresNcdarY Public. Stave of New York Signatu Public PIZ IPIP IRPARI

e or print) Signature Of Co-Owner Co-Owner's Name (type or print) 6,10D i414 siett ounglies 8-3 577-Amos lit 3 VT co 8a 2.- Home Address Of Owner City/State/Country Zip n eA,3, ( SC/on to me this .4--- I day of 'WC -7 - 1/4, LAUREN J. KWINTNER --------Cbqunission Expires Notary Pu York °nabbed in Nuw Yo