own, state, and ZIP code St. Thomas, ISVI 00802 5 Name ol officer or legal representative whom the IRS may cal for more intimation Darren Indyke OMR Subsidiary Corporation for Which Election Is Made (For 7a Name of subsidiary Jeepers , Inc. 1 0M8 No. 1545.1700 66-05674 ntern Identgictg number (EIN) 3 Tax year end