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Get Form 501 Annual Information Return Summary Of Reports Enclosed Herewith

Is form) Please do not use this space Name of person or organization submitting this return Please check one: Corporation If this is your final return, please check here Partnership Individual Fiduciary Other Street address or Rural Route LY LY N O AL City, State and ZIP S E NIC S O PO RNumber Federal Identification Number Social Security T R PU LEC L A DE N Number of reports enclosed (Form 500 or 1099) Total amount of income IO FILE reported with this form Oklahoma income tax withheld.

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