/ 74 /0 ll sam EFTA00186316 9595 O VOID O CORRECTED PAYE'S erne, slant address, city, state, 7.1* cods, and telephone no. JEGE, Inc. .c/o George V. Deleon Associates 110 East 59th Street New York New York 10022 PAYER'S Faders& idandeatbn nrante • . 1 Pone; 2 Royale. OMB No. 1505 0115 2005 ram 1099-5118C

, 10, 15, and 17 EFTA_00258755 EFTA01338259 • s 9595 K VOID K CORRECTED PAYS'S on wood ockben. dry,.ta 7W cede ord bedew en JEGE, Inc. c/o George V. Deleon Associates 110 East 59th Street New York New York 10022 1 Rat, S t nonXos $ 3 Mir Inure $ 11 Reed boat pant. !"./ .• • • 0143 Na. 130•0115 2005 rem

atafaienn1 X Yes No Signature Otter Tide of Preparers (Si geweeg V. Paid anneal* Date 413110 Clunk gulf- Pr•Pares SSW 0 r PTIN eaaple George V. Deleon Associates Preparer's rim% mr mem 0 . Use Only yours if stif„ pbodx 885 2nd Avenue 26th P1 address. and 2IP code NYC, NY 10017 phone • For Privacy Act

ty Five Thousand Dollars & 00/100 (565,000) from the above account to: Bank Nene: Signature Bank Routing number: Account number. Account name: George V. Deleon Associates ID: 036107281345596 DATE: 07/28/2011 17-..56:00 Page 4 of 4 DID: 8887316607 CSID: 302-634-5955 INDEX1: INDEX2: Confidential Treatment Requested by

a r. Illantecalloa raw 32-0201294 011~101111 Aril 12, 2007 C lacOncelteenw Delman >rant's., nod. rd son a sun re Of 0. 0 bag, ea leatmanal c/o George V. Deleon Associates, 110 t 59th Street Cory or en.. art lid 29 van I New York, NY 10022 D Check the apply...able boa(es) WV» COrtrOradcn, a rter app prg for tne EJN

ty Five Thousand Dollars & 00/i 00 ($65,000) from the above account to: Bank Name: Signature Sank Routing number: Account number: Account name: George V. Deleon Associates ID: DATE: 07/28/2011 17:56:00 Page 4 of 4 DID: INDEX1: INDEX2: EFTA01589168

ess if you want the copy of this application for an additional 3-month extension returned to an address different than the one entered above. Name George V. Deleon Associates Type or print $ A 3111055 000 'lul':lt'1'.'Iue•ll'xim'tI':l lril., 1 Number and street (Inckide suite, room, or apt. no.) Or a P.O. box number

th extension returned to an address different than the one entered above. Dade: t. afttfINSVPROVEirrns Typo or print Ise sr loss I clod Name George V. Deleon Associates room, or apt. no.) Or • P.O. box number and country (including postal or ZIP code) Form 8668 (12.20%) EFTA00192513 Li Li EFTA00192514 EFTA0