al order. A i'01 i •—t • mrii.,,e• B • Donee's name and achtwfss neenonmio to Wow, 010,10 • Desahtlon of giff • time gift was of secwitles. gnat CUSIP no. • II dewy held entity. give EIN C 2632(b) election out D Donor's adjusted basis of gift E Date of gift F Value at date of gift 0