ormation Name (see instructions) Nautilus, Inc. Type or Print *nstructions.) A Employer Identification number B Date incorporated 11/22/2011 C State of incorporation St. Thomas, VI 00802 VI D Check he applicable box(es) if the corporation. after applying for the EIN shown in A above, changed it

Name (see instructions) Maple, Inc. A Employer Identification number Type ns.t B oat or Print 11/22/2011 City or town. state. and ZIP code C State of incorporation St. Thomas, VI 00802 VI D Check the applicable box(es) if the corporation. after applying for the EIN shown in A above, changed i

g with reference to the month of ► If box (2) or (4) is checked, complete Part II A Em to r Identification number B Date incorporated 11/22/2011 C State of incorporation VI changed its K name or K address ► 11 / 22 / 2011 usually enter the 0 If more than 100 shareholders are listed for item J

Type I Number street, and room or stile no or Print box see instructions.) A B Date incorporated 11/22/2011 City or town. state. and ZIP code C State of incorporation St. Thomas, VI 00802 VI D Check he applicable box(es) if the corporation. after applying for the EIN shown in A above, changed it