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Get Form 3 Ownership

Over SEC 1473 11-11 FORM 3 continued 1. Title of Derivative Security Table II Derivative Securities Beneficially Owned e.g. puts calls warrants options convertible securities 2. You may not send a completed printout of this form to the SEC to satisfy a filing obligation* You can only satisfy an SEC filing obligation by submitting the information required by this form to the SEC in electronic format online at https //www. onlineforms. edgarfiling. sec*gov* UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington D*C* 20549 Form 3 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Print or Type Responses 1. Name and Address of Reporting Person Last First 2. Date of Event Requiring Statement Month/Day/Year Middle OMB APPROVAL OMB Number 3235-0104 Expires December 31 2014 Estimated average burden hours per response. 5 3. Issuer Name and Ticker or Trading Symbol 4. Relationship of Reporting Person s to Issuer Check all applicable Director Officer give title below Street 10 Owner Other specify below 5. If Amendment Date Original Filed Month/Day/ Year 6. Individual or Joint/Group Filing Check Applicable Line Form filed by One Reporting Person City 1. Title of Security Instr* 4 State Zip Table I Non-Derivative Securities Beneficially Owned 2. Amount of Securities Beneficially Owned 3. Ownership 4. Nature of Indirect Beneficial Ownership Form Direct D or Indirect I Instr* 5 Reminder Report on a separate line for each class of securities beneficially owned directly or indirectly. If the form is filed by more than one reporting person see Instruction 5 b v. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. Date Exer cisable and Expiration Date 3. Title and Amount of Securities Underlying Derivative Security Exer Expira tion Title Amount or Number of Shares 4. Conver 5. Owner ship sion or Form of Exercise Deriv Price of ative Security D or I Explanation of Responses Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U*S*C. 1001 and 15 U*S*C. 78ff a. Signature of Reporting Person Note File three copies of this Form one of which must be manually signed* If space is insufficient See Instruction 6 for procedure. You may not send a completed printout of this form to the SEC to satisfy a filing obligation* You can only satisfy an SEC filing obligation by submitting the information required by this form to the SEC in electronic format online at https //www. onlineforms. edgarfiling. sec*gov* UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington D*C* 20549 Form 3 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Print or Type Responses 1. onlineforms. edgarfiling. sec*gov* UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington D*C* 20549 Form 3 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Print or Type Responses 1. Name and Address of Reporting Person Last First 2. Date of Event Requiring Statement Month/Day/Year Middle OMB APPROVAL OMB Number 3235-0104 Expires December 31 2014 Estimated average burden hours per response.

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