Postage Statement—Periodicals

1 United States Postal ServicePostage Statement PeriodicalsOne Issue or One Edition Unless Used as a Consolidated StatementPost Office: Note Mail Arrival Date & Time (Do Not Round-Stamp)MailerPublication Title and Owner or News Agent NameCAPS Cust. Ref. No. CRID Mailing Agent (Printer or Consolidator) Name, Address, Telephone, Email Printer/Consolidator Imprint Permit No. CRID Entry Post Office Name, State, and ZIP+4 MailingPublication s Mailing Date Statement Seq. No. For Automation Pieces, Enter Date of Address Matching and Coding / / For Carrier Route Pieces, Enter Date of Address Matching and Coding / / For Carrier Route Pieces, Enter Date of Carrier Route Sequencing / / For Pieces Bearing a Simplified Address Enter Date of Delivery Statistics File or Alternative Method / / No.

2 And type of Containers(Enter total number of containers.)TraysSacksPalletsIssue DateIssue FrequencyPrice CategoryRegularNonprofitClassroomScience -of-AgricultureProcessing Category LettersFlatsParcelsWeight per Copy for Issue (Round off to 4 decimal places if necessary) . poundsWeight of a Single Ride-Along Piece . poundsNumber of Addressed Pieces Excluding Addressed Supplements Number of Addressed SupplementsIn-County Outside- County Consolidated Postage Statement Yes No Advertising Percentage in This Issue . %Statement for bundles/containers only (if applicable)Combined Mailing Mixed ClassSingle ClassApplicable Parts Completed (Select all that apply): A B E FPostagePart A In-County PricesTotal part A (page 2) (Postmaster: Report total part A Postage in AIC 224) part B Outside-County Pound PricesTotal part B (page 3) part C Outside-County Piece PricesTotal part C (page 4) part D Outside-County Bundle PricesTotal part D (page 5) part E Outside-County Sack/Tray/Pallet PricesTotal part E (pages 6 & 7)Outside-County PostageSubtotal Parts B, C, D & EPreferred Price Discount Nonprofit, Classroom, Limited Circulation, Limited Circulation Science of Agriculture (Add line B17, and parts C, D, and E Totals) X.

3 05 (all others enter zero)-Subtract the Preferred Price Discount from the Outside-County Postage = part F Outside-County Ride-Along (page 8)+Total Outside-County Postage (Postmaster: Report total Outside-County Postage in AIC 135)Add Total In-County Postage and Total Outside-County PostageTotal Postage (AIC 224 + AIC 135)CertificationThe signature of the owner of the publication certifies acceptance of liability for and agreement to pay any revenue deficiencies assessed on this mailing, subject to appeal. If an agent signs this form , the agent certifies that he or she is authorized to sign on behalf of the owner of the publication and that the owner of the publication is bound by the certification and agrees to pay any deficiencies. In addition, agents may be liable for any deficiencies resulting from matters within their responsibility, knowledge, or control.

4 The owner of the publication hereby certifies that all information furnished on this form is accurate, truthful, and complete; that the mail and the supporting documentation comply with all postal standards and that the mailing qualifies for the prices and fees claimed; and that the mailing does not contain any matter prohibited by law or postal regulation. I understand that anyone who furnishes false or misleading information on this form or who omits information requested on this form , may be subject to criminal and/or civil penalties, including fines and imprisonment. Privacy Notice: For information regarding our Privacy Policy visit of Owner or Agent Printed Name of Owner or Agent Name and Telephone of Contact Person in Publisher s OfficeUSPS Use OnlyTo be completed in non-PostalOne! sitesPost Office Computed Weight per Copy (Round off to 4 decimal places if necessary).

5 PoundsUSPS Employee s SignatureRound Stamp (Required)Payment DatePrint USPS Employee s NameTime AM PMPS form 3541-1, January 2018 (Page 1 of 8) PSN 7530-07-000-6222 This form and mailing standards are available on Postal Explorer at One Issue or One EditionPart A In County PS form 3541, January 2018 (Page 2 of 8)Check box if prices are populated in this section. Pound PriceEntrySubscriber or Requester CopiesNonsubscriber or Nonrequester CopiesTotal CopiesTotal PoundsPriceTotal PostageA1 DDU$ Pound Price Postage (add lines A1 and A2)Piece Price (Presort)Entry/ZonePresort DiscountTotal CopiesAddressed PiecesPriceTotal PostageA4 BasicNonautomation$ Subtotal (Add lines A4 A15)A17 Number of Addressed Pieces at DDU Price Subtotal (A16 minus A17 )Full Service Intelligent Mail OptionA19 Number of Pieces that Comply x $ =A20 Periodicals In-County Subtotal (A18 minus A19)Ride-Along Price (Must equal the number of copies in line A16, not number of addressed pieces)Total CopiesAddressed PiecesPriceTotal PostageA21 Ride-Along Pieces$ A Total (Add lines A3, A20 and A21).

6 Postmaster: Report in AIC 224 Periodicals One Issue or One EditionPart B Outside-County Pound Prices PS form 3541-3, January 2018 (Page 3 of 8) PSN 7530-07-000-6223 Check box if prices are populated in this section. Advertising Pound PricesEntry ZoneSubscriber or Requester CopiesNonsubscriber or Nonrequester CopiesTotal CopiesTotal Pounds Advertising PoundsPriceTotal PostageRegSci/AgB1 DDU$ $ & (Add lines B1 B11)Nonadvertising Pound PricesTotal Pounds minusAdvertising Pounds equalsNonadvertising Pounds xPriceTotal PostageRegSci/AgB13 DDU(From B1)(From B1)$ $ (From B2)(From B2)0 .13 20 .13 2B15 DADC(From B3)(From B3)0 .1410 .141B16 All Others(From B4 B11)(From B4 B11)0 .1570 .157B17 Subtotal (Add lines B13 B16)Pound Price Postage Total (Add lines B12 and B17)Nonadvertising Pound Prices Alternate (Nonprofit and Classroom publications with 10% or less advertising, or other publications with 0% advertising.)

7 Entry ZoneSubscriber or Requester CopiesNonsubscriber or Nonrequester CopiesTotal CopiesTotal PoundsPriceTotal PostageRegSci/AgB13 DDU$ $ .13 20 .13 2B15 DADC0 .1410 .141B16 All Others0 .1570 .157B17 Subtotal (Add lines B13 B16) part B Total Pound Price Total (Add lines B12 and B17)For Nonprofit & Classroom: All commingled nonsubscriber or nonrequester copies over the 10% limit must pay regular prices & use a separate PS form form 3541, January 2018 (Page 4 of 8) Periodicals One Issue or One EditionPart C Outside-County Piece Prices Machinable FlatsLevelPrice LevelTotal CopiesAddressed PiecesPriceTotal PostageC1 Mixed ADCB arcoded$ FlatsLevelPrice LevelTotal CopiesAddressed PiecesPriceTotal PostageC9 Mixed ADCB arcoded$ CopiesAddressed PiecesPriceTotal PostageC17 Mixed ADC$ LevelTotal CopiesAddressed PiecesPriceTotal PostageC21 Mixed ADCB arcoded$ Route & Firm BundlesLevelTotal CopiesAddressed PiecesPriceTotal PostageC29 Basic$ Bundle (Use Addressed Pieces to calculate Postage .)

8 (Add lines C1 C32)C34 Nonadv. % (100 minus adv. %) x # of addressed pieces (C33) x $ Outside-County Piece Prices (Line C33 minus C34)Full Service Intelligent Mail OptionC36 Number of Pieces that Comply x $ = part C Total (Line C35 minus C36)Check box if prices are populated in this section. Periodicals One Issue or One EditionPart D Outside-County Bundle Prices PS form 3541-5 January 2018 (Page 5 of 8) PSN 7530-10-000-0501 Check box if prices are populated in this section. Container LevelBundle LevelBundlesPriceTotal PostageD1 Mixed ADCM ixed ADC$ D Total (Add lines D1 D18)Periodicals One Issue or One EditionPart E Outside-County Sack PricesPS form 3541, January 2018 (Page 6 of 8) Check box if prices are populated in this section. Container LevelEntrySacksPriceTotal PostageE1 Mixed ADC SackOrigin NDC$ Post SackOrigin Post E9 Destination SackOrigin Post Route SackOrigin Post part E continued on next pagePeriodicals One Issue or One EditionPart E Continued Outside-County Tray PricesPS form 3541-7, January 2018 (Page 7 of 8) PSN 7530-10-000-0502 Container LevelEntryTraysPriceTotal PostageE26 Mixed ADC TrayOrigin NDC$ Post TrayOrigin Post E34 Destination - D igit /SCF TrayOrigin Post Route TrayOrigin Post E Sack and Tray Total (Add lines E1 E50) part E continued on next pageCheck box if prices are populated in this section.

9 Periodicals One Issue or One EditionPart E Continued Outside-County Pallet PricesPS form 3541, January 2018 (Page 8 of 8) Check box if prices are populated in this section. Check box if prices are populated in this section. Container LevelEntryPalletsPriceTotal PostageE52 Mixed ADC PalletOrigin NDC$ Post PalletOrigin NDC6 5E57 Origin ADC6 5E58 Origin SCF6 5E59 Origin Post Office/DMU6 5E60 Destination PalletOrigin Post 7E67 Destination PalletOrigin Post 74 Destination Route PalletOrigin Post E Pallet Total (Add lines E52 E83) part E Total (Add lines E51 and E84) part F Ride-Along Price (Outside-County Only)Ride-Along Price (Must equal the number of copies, not number of addressed pieces)Total CopiesAddressed PiecesPriceTotal PostageF1 Ride-Along Pieces$ 0 .176 part F Total (Line F1)Periodicals InstructionsUse this form for Periodicals form 3541, January 2018 (Instructions)Step 1: Complete Mailer and Mailing sections on page 1.

10 List all containers in the Number and Type of Containers field. You must select either Yes or No under Consolidated Postage 2: Before you complete the Postage section, go to parts A through E and complete the part (s) that pertain to your mailing. Pieces that comply with the Full-Service Intelligent Mail option requirements are additionally reported on the line provided. The following information will help you determine which parts to complete: part A: In-County piece and pound prices. part B: Outside-County pound prices. part C: Outside-County piece prices. part D: Outside-County bundle prices. part E: Outside-County sack/tray/pallet prices. part F: Outside-County Ride-along 3: Complete only applicable part (s), as follows:1. For In-County mailings, complete only part A. 2. For Outside-County mailings, complete applicable parts B through 4: Go to the Postage Section on page 1.