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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CFATIFV UNDER PENALTY OF lAW TNAPI HAVE PERSONALLY EXAMINED AND TELEPHONE DATE
<br />AM FAMIUM WITH THE INF011MATION SUBMITTED HEREIN: MD BARED ON
<br />.lAAy MY INQUIRY OF THOSF 'INdVIpUAL9 IMMEDIATELY RESPONSIBLE FOR
<br />~7) ~ ~, ~ ~ ! A~ I 1 ~ e~,.K OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS ,
<br />' ! TRUE. ACCUMTE MD COMPLETE. I AM AWARE THAT ?HERE ME _ "?~
<br />_ SIGNIFICNIT PENN.TIES FOR SUBMITTING FALSE INFORMATION, INCLWING ~~ ' ' ~ ~~ ~O ~ ~p ~{ ~ -~ - •(. _ ~J L. ~ /
<br />THE~POSSIBILITY~OF RNE MD IMPRISONMENT. SEE id U.S.C. 1 1001 MD 3G BIONATURE OF PRINCIPAL EXECUTNE J
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all efrechmenn here)
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