Loading...
HomeMy WebLinkAbout2710 e ,I { ~ I t _ _ ( ' _ _ _ _ _ _ _ _ - p iH15 FWANCWG STATEMENi ~s pf~s~nud b o 81uq off~c~r for filtep purwoe~ b tl+~ Uw~fw~ Can~•rdel Cod•: Moa.~ti da• (d onyk 4 ~ O~Wo`(f) Ilos~ Nom~ Flrsti o~d oddr~sa(~s) 2. S~~~d VorryO~s) on~ oddr~ss(~s) Fo. fUi.q OIlic~r ~OoN. i4n~. Nveb~r, fllinq Oqksl ~ rriff'n, .Li l~an E ''o~seholu ~ inance ~[~aa Co poratior~i~p~a~ Y~ 110 1~2 l~th St Po ~~ox 3219 §~-~tc cp~j~~~~~, ~ _'tPierce Fla 3345~ r't Fierce :{~la 3345o knr~-" i s 61fRr :.::~i~/!T . Rfl'!'~r, y_: F;~!l 3 ~ TAfs l:nsncuq ~b1ee~Mf co.~rs N~~ (dlo.1^Y ~?W ~ lw M~en~) ot O~oM~?~ I~ I~ P~ '1 [ i ~t ~l f ~ , ~ ~ ~T T~' ' O L~ ~~~~S 5. A»qnM{s) d S~cvr~d Verryr and Addrass(~tl ~ Kla~ CO. :~J1'iS..:a~ -`7OUJ=~ s • ~ ~1~2Q3 ~ ~ ~ 31~243 t j ~ CA~c? d h~• fM uawps rpv~nd b~ Chopt~r ~01, F.S. ho.~ M~n pioc~d on ~h~ Drwn~ssm~ Mstrvm~MS s~c~r~d ~ r A~r~b~, ond.rW obc~d on ae~ add~~ionoi and sim~for 111fffVN~M/ Nt0! TOy b~ f0 fKV/~A. i ~ fMa MoNrwM~ H kl~d ~ovt d~bwr's ~qnown b p~rbu e s~w~a~ ~nt~rp~ M cofbtud. fCA~d OO N w! ' ~ ~ Alrwd~ pO~W b O~~arrlly MNr~~I M onolh~r ~urlsdktfon .rh~n n.as brwqht ~nb M~IS s?o?~. ~ ?.A~d b Orou~d~ d IA~ wiplnd edbqrol d~wib~d obo.~ tn .FkA o t~evrll~ Me~r~st .os p~rl~d~d. . ~ Ch~d ~ d eo.~r~d: ? Prou~ds d Cotioe~rol en olw eo.~r~d. ? ProM~a~ o( Collol~rol or~ olq co.~r~d. No. d oddinonol Sh~~rs pns~nqd ~ Fil• .r.llh: ~ \ ~ ~ L~ ~ ~ ~ < gy (j P A~ By_ 1 ~ Si~rr~(s) d o~bqr 1 SiqnoNr~ls) d Su~r~d PortylNfl ~ STANOAR~ PORM - fORM UGC-1 i F:+;-; o~F:., e,:~, e.~;,a~,~.r,~e~ ~ ~on.o..rh IOM AOAMS. S~o~ec.r d sM~.. ~,,,,.,r c~,. . . _ . . _ ~ ~ _~4~~