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Antitrust Improvements Act Notification and Report Form ...

Antitrust Improvements ACT Notification AND Report FORM for Certain Mergers and Acquisitions INSTRUCTIONS OMB: 3084-0005 GENERAL The Notification and Report Form ( the Form ) is required to be submitted pursuant to (a) of the premerger Notification rules, 16 CFR Parts 801-803 ( the Rules ). These instructions specify the information that must be provided in response to the items on the Form. Information The central office for information and assistance concerning the Form and the Rules is: Copies of the Form, Instructions and Rules as well as information to assist in completing the Form are available at the PNO website. Definitions The definitions used in this F orm are set forth in the Rules.

particular item, attach “additional pages” behind that item on the Form. Filers must submit a complete set of additional pages within each copy of the Form. Each additional page should identify, at the top of the page, the name of the person filing notification, the date on which the Form is completed and the item to which it is addressed.

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