OD .4 C-3 • In lamea...exatasiTfinthe wen&a / Mae I tea A rn I I-1 o ers SIDO3 S o SUM SECTION 4- COMFUIANON Of TAX A. AT RATE OF SI-SOPER THOUSAND (PLEASE ROUND DOWN TO THE NEAREST THOUSAND) ON (CHEST TOTAL PAIDM CAPITAL STOCK AS REPORTED ON LINE 3F ABOVE B. TAX DUE (4A OR $150.00 (WHCHEVER I