ation number 66.0789697 Number and street (or P 0 box number rf mail is not delivered to street address) 9053 ESTATE THOMAS SUITE 101 Room/suite B Telephone number (see instructions) (340) 779-2564 City or town, state or province, country, and ZIP or foreign postal code ST THOMAS, VI 00802 C If exempt

wise, print or type Number and street (or P O box number if mail is not delivered to street address) do George V. Delson Associates, Room/suite B Telephone number (see page 11 of the instructions) Qty or town, state, and ZIP code C If exemption app cation is pending, check here P 0 See Specific Instr

r 13-3996471 Number and Street (or P.O. box number If mall Is not delivered to street address) i C/O ASSOCIATES 11.0 EAST 59TH STR Room/suite B Telephone nbmbor (see pegs 10 of the instructs:as) City or town, state, and ZIP code NEW YORK NY 10022 C ii siidezuee chectre e , s le. pen 0 1. Face

print or type. Number and street for P 0 box number a mail is not delNered to street address) c/o Associates, 110 East 59th St. Il• RoomMune B Telephone number (see page 11 of the instructions) ( ) See Specific Instructions. OW or town, stale. and ZIP code New York, NY 10022 C II exemption appa