Securities form 5: Fill out & sign online

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Click ‘Get Form’ to open the securities form 5 in the editor.
Begin by entering your name in the 'Name of Reporting Person' field. Ensure you include your last, first, and middle names as required.
Next, fill in the 'Issuer Name and Ticker or Trading Symbol' along with the street address of the issuer.
Indicate the fiscal year end date for the issuer by selecting the appropriate month, day, and year.
In section 5, check all applicable boxes to describe your relationship to the issuer (e.g., Director, Officer).
Complete Table I by reporting any non-derivative securities acquired or disposed of. Fill in each column accurately including transaction dates and amounts.
If applicable, proceed to Table II for derivative securities. Follow similar steps as in Table I for accurate reporting.
Finally, review all entries for accuracy before signing and dating at the bottom of the form.

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