ly <median% I. la. 10, 18 and 19 are regulred. For Principal I Dimt« f Dekor only omsuten. 1. la. la le and 19 are rdquirod. 1. Nome of Individuel (Fint Midt», Last Nome) (or Entlty Nano) ZI1L( :? f feal pi t: Ett25"rn+IN gr‘ la. Type of Ctiontatneficial OwnorlAultionzod Party: 1-`4ZIJUltkr.74 2. Has a