Contact Ptrson RICHARD lOWN NOtine Phone Mailing Address' 0 0 —g-C4 -104 — Guniet.,°"°13 s, cm, V.50.0 zip 0.060? i3itg Cty Email Address B. Account Information Title of /Arco...Matta bus mess SOulhERN TRUST COMPANY, INC. V Corporation 0 Partnership 0 PICiPtiC 3 Sole Proprietors/lip 7 Endowment U Foundatio

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okerage and IM Accounts: Revenue ($) Gross Annual Total Assets ($) Country Liquid Net Worth (investable assets) ($) Zip Total Net Worth ($) B. Account Information Title of account/Name of business: K Corporation K Partnership o PIC/PHC o Limited Liability Company o Sole Proprietorship o Foundation K Asset

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