Your U.S. Mai!keg Address 5.a. In Care Of Name (if any) 5.b. Street Number and Name 5.c. 2 Apt. 0 Ste. 0 Flr. 5.d. City or Town 5.e. State Ny Nem Yock 5.1. ZIP Code 6. Is your current mailing address the same as your physical address? VI Yes 0 No NOTE: If you answered "No" to Item Number 6.,