Checklist

x x x x x ca x ¥ | ny) x x 4] Kuo parinbas MUO 3 Sung doyy £q poyraads se uonewowunuoyy 2 r] x x x any q { Aq parinbas sv s3201q uorrearyps29 arcudoxdd ¥ Fi x x Be x x ae x spoudug pur Areisso0g “ueurEN.D 40) 5490/9 237 % x Bre x Be ae x x % x x x x x x x x “pyees pur moLre QUON SI x x x x pre x x x safes uejd yd2ou0>-uor oad u payrorep ssoj 9q Acuu apnpayos 7 “a1 X supe ‘oes alo ses Suni segs “undop “ypin ‘e220 10} x x x bie x x x x p< ¥ x x x x x x x x x x x x x x x % x x x x x x x x x 5% “queaydde pue sowno Jo ssauppe ‘oueN UST] “| NOLLWVNWOANTIVIFLOTOUd 1 jeuly, feuly Aveurwyaig ueld uel aus uondiasag = saquinyy w1aj] s - qusuidojeaag ef g 5 uel aus voistarpqns, tes2ua9 uonvoyddy sour unjg 1d20u09 $4 = = - uoneayddy-ag se} 2| & 5 2 2 is) 6 “IYNOISSA40Ud GASNAITT Zz ° uonvoyddy softy AGSUIL MAN AD GITVaS ANY G3NDIS “ddUVIIUd AM LSA SINAIWAION TTY, atl APS Urojyy k ul 6, Ll <INVOITddV¥ QONVUO LSIM AO dIHSNMOL ISHPIAYD UOISTAIPGNS Ue] AUS

“IVNOISSTAOUd G! x x x % os bu Ajjensn suvjd sourur ‘aaitis urd Waou0r ¥ | v “(Surseis ,es9u98—JaD. Joy) sunjd Bure1s 30 sasers wawdojaa2q t Ni 54 xe x x x x x 'D “asm atjqnd of pareaipap 40 40) paasasar pur] 10 1uawuasea pasodosd so Sunsixa kay SWS “1Z ¥ x x x x x x x 3 'siurusA09 40 suonauIsar p2ap pasodosd 40 Sunstxs Aue Jo vorreautjap s0/pue Adod ‘TTT “Oz IN x x x x x x auenbs ut sio] Jo vase pue saul 10] pasodoad ry :asiy x x x x x x x x “Buruueyd payronep soy wevodusr way TUsUROD (suonnao] jrs2u23 — Y weayjdde-a1d put {q 203) siannis pasodoud ‘ue Jo suo|suowip pur wo1se207] x x x 6 x me xe * x X x x x % x x x 4 xe Be aC x x 5g x “(aioe 1s9189U O1—GC1O JOp) 24: en Jo aReasy (Tr x x x * x x ~ x x 4 Y\N sofeus pure Jou Joy sey Suypty do ‘diyssauMo Jo x x xe seAmna auijsaqu2a puc ‘Keavjo-iysus put s: p [e 40} Sa|Sue peu pue spsoy> “S94 x x x x x x " x doy £q pasnboy TOSUTTOS EAST WDE NabT ach X WOE ssiaays pazipsepuers (F) snoy Jo(1) au RH “zt way | Grunig | peug | Arouuyarg = cig evs | vorstarpans F A . qwausdojan2q uondiasag saquiny wary ge 5 ueig aus wolstarpqng ee uoneoyddy sour, urjg way 38 = = woneayddy-a Esc = 2 6 is) INCOMPLETE uonvayddy soley ASUS IN AW CATVAS ANV G ‘dauVvdTed 11 SAW SLNAWNIO TTY

ns s0feus 30) papaou st 2p BIO YY STOTT yaalqns Jo sainmuay joatydfodo, “Ta “OE > (87 WAH ‘“Sanamoy x aamsuas Apes poo “Sassnoo sareat ‘aanis Sunst “aaucutpio Aq posinbox uo ued as ve pasinbos ‘sours ud “‘Weays deus sey 1uagaz Isour uo paynuept oOT U sjaaued fe Jo souty puv siousto Ausdosy “pouasayuoa uonnoydde-aid Joy pasodui 10u 24 TSUOD “Seay uoneaydde Jo jusuideg “5 “97 “aaueuipso Aq pasinbax st a9110u Jt [UO Ut We pauinbar ‘sa8cis ued aus re pannbos ‘soSes urd idaouos-uonwaydde-aud re Asessasou jou ‘sainjonis: quadefpe fe Jo uoNes0] saquuas7q, Jo SsaAreA\ UBIsop pour “| [ec] | “uorreusoyu Surureyd aise > ‘palsonbas 40 pasmba saouetta jo < # ‘voneuoyur SuuuEyd ais; sqraoudde Kioreyndas pasnbas jo WAIVER REQUESTED INCOMPLETE COMPLETE La qeuy | Gow ued US uoIstaipqns wid qwouidejsnrq jesu29 uri aus | uorstarpang uondiiasag = saquiny wajy uoneaynddy sour uonvayddy soley aja wWeou03 “IVNOISSIA0Ud CASNIOIT AISUIP AMIN AT CTTVIS GNV GaNOIS ‘dANVAIN IM LSA SINTIWAIOT TIV

x x x Ba x ba pasmnbas AL 219°9 pur ou192{2 ‘auoydayar Jos YONPoO] waUAT KIC. | nuatod Jo asnesaq ued x x 5% % xe % x oF x x x x Pans sofeu ie parenyeas xy JUPWASCUBUI JZIEM ULOIS asneIAq 2BeIs {gy Ie x x x x “sais ego We 214) v N ‘uoneaydde sofeur soy Aressaaayy dey sary scutes te x x % er qns sofeurs0y Avo pastas x 5 ee ae an 5G x x fe q N “(Gavan Kew erap) sasmeay peatskyd IS s24f10 pu ‘saan uauntozds ‘scam papoom “Arepunoy te x x x x “08 iat 01 pasoddo se {¢ wiayj Jo [1012p Jo [anzy saumnbay ca Teun Teun uid ueg ag | uorstaipqng, uondizasag = saquiny way] Us a qaurdojaaaq, Fa 2 5 Tessuag uonvoyddy sour, zig 1d3au03 28 = 52 é S uoneayddy soley “IVNOISSSAOUd TASNIIIT ASUS MAN Ad CATVAS ANY GaNOIS ‘dauVATUd IA LSA SINAWAIOT TY

x x x x x “pray 29g TaN X : Jonuod auyen ‘suais voneayy x x x X wt] 298 ‘uo woresapisuo: “unjd quaws% x x x Suideaspucy pasnbas jo spnnuscut a4 Jo 2sneaaq sugjd as 10} parmboy “TST apayiyaze advaspury pouoissajosd 2 Aq pasodasd syerap 2g uoyd adcaspury x x x x x “sio] Suncaso isnf asne9q NG gns sou 20) a1qeoydue ion FUSHRTIOD “spreiop 7p ued 5 a x x in) aio aa eo acasy ae pe 4 eer eae | Pun Yoo MON <WIST “gt x x x Be “pesodoud + N Sf peos Mau uaya Kuo aIqeay dy TWIT soumeu isons pasodosg TT ce x x x “OF way 29g -TUSMO T u zs “sayijoxd pute suotizes-ssoso Sutaed pun proy ‘TSH, ( x > ae fee Sa See x x x x x x ing Jo uoHIanssuoD Sutaqoat Pans Jour JOJ pasinbas ON, ¢/ if fa] “suoneaafa soy 1ssty pasodoud 10 Su Jo s12tu109 “124309 f a4 x x x x x Jano aauEqunIsip [fos Jo} pasmnbay. TUSATTO -ueje fostuoD watutpag pure uoIsorg 0g Touty ‘Axeuy on uvid ag | uorstaipqns, “ 28 5 2 seein uonduasag — saquiny way e z S 4 & = und as uworstatpqng aa) uoneoyddy sour, uejg idaouoD sz | S| & 2 g 6 ~ uonvayddy soley “IVNOISSEIOUd (ASNT AGSUIC MAN Ad GA TWAS GNY GANOIS: “ddUVdIUd AT LSNW SINAWADION TIY

WUT LSTADAHOALSTAIITH WUT dd VIZ SPLEMV ¥ 8 ast $O/0E/8 *GASIATY “IVNOISSIAOUd GASNADT ATSUIL MIN AW GITVAS ANY GINSIS ‘CIUVATU Jd LSA SLNIWADIO TTY wo 2 sos pasodorg 3 -sfeaouddn Ksowjndar saxo 02 192fqns payuesd aq Acut peaoud “ACO puw uejd idsou0s-uoreardde-oad soy papnyaut 9q 01 aAct Jou Op siUeUADD JO 5 “SDDURUIP 28usQ Isa, aounyyduos soy stusuatbop [ORSy pu sue «K 4 x “pp way ag “SUNOS “SuoIsualuIp pur svase ssosS9 pum ssaxBur [Io pur “sAeataaup ‘saaup ‘sina quna “yipras ajsie “dks pur azis ‘soords Suimoys urd Sunyseg <TH “Os x x x “pp wor 29g STUSAUIOS id sdeou09 3p Ssa]) susoted nous veunsapad puc seman, A “Gt Pe x x “pateais wowiasve a[Sunuy 14s asne39q suonesydde soutur 403 uoaa Asoss209y :TOSUHUISS ‘sojSueun ‘8F feury | Gouruyasg uorstatpans, uonduassg 19qumyy Woy] woneoyddy sou | ug dau ldvota WAIVER REQUESTED INCOMPLETE COMPLETE ‘uontoyddy s0fepy “IVNOISSA4ONd CASNIIIT AASUAL MAN AT CITVIS ANY GINOIS ‘daUVdINd AT_ISAW SINTWAION TY,