See 18 U.S.C. 1001 and 15 U.S.C. 7811(a). Note: File three copies of this Form. one ol wlich must be manually signed. 11 space is insulficienl. see lnstruclion 61a procedure. Persons who respond to the collection of Inkumalkm contained in this form are not required to respond unless the lorm displays a currentl