P.O. box, see instructions. Date hoop orated 12/06/2004 City or town, state. and ZIP code D Total assets (see Instructions) 124,202. I' 1 i C WWI IL UN I IIIIMI (MUM iZIL_I rural return tap i name unange ill/L-1 Arlaress cnange 1 _ 1 terms recelple a Salt. I 4, 856,394 . BLS returns Dna allow