Applicant 4 Doss CU ID End? Yes CAS tO a 0220534454 Applicant Ian: Pan 0. Inc Tat &SU: 324201234 II Clint Ceetliadt Yes Cartrricadwe COS: l Olen& cn F re Cnruhcation Oa: 04/2C470C 7 Type Or Ceelikatiort: W.9 it %II StalO type II Vs' a NRAft TOO Ctuenshiplauntry US Lrisial Domicile UNITED STATES