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EXTENDED TO NOVEMBER 15, 2016 990 Under …

Checkifself-employedOMB No. 1545-0047 Department of the TreasuryInternal Revenue ServiceCheck ifapplicable:AddresschangeNamechangeInit ialreturnFinalreturn/termin-atedGross receipts $AmendedreturnApplica-tionpendingAre all subordinates included? 532001 12-16-15 Beginning of Current YearPaidPreparerUse OnlyUnder section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)| Do not enter social security numbers on this form as it may be made to Public Inspection| Information about Form 990 and its instructions is at AFor the 2015 calendar year, or tax year beginningand endingBCDE mployer identification numberEGH(a)H(b)H(c)FYesNoYesNoIJKW ebsite: |LM123456734567a7babActivities & GovernancePrior YearCurrent Year8910111213141516171819 RevenueabExpensesEnd of Year202122 SignHereYesNoFor Paperwork Reduction Act Notice, see the separate instructions.

Check if self-employed OMB No. 1545-0047 Department of the Treasury Internal Revenue Service Check if applicable: Address change Name change Initial return

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