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1. 1
2. Point 4
3. Form6166 IRS InternalRevenueService
4. 20150401 A 15 83 Point 5 1
5. 61 4 30 29 2
6. gt lt gt gt
7. No 17 No 6 No 17 20150401 A 15 ww No 17 e e 1
8. Pointis 2 1 2 E
9. Q7 A7 Q8 A8 Q5 A5 O5 A 5
10. 20150401 A 15 85 UL
11. 27 7 8 20150401 A 15 84
12. 859
13. No 14 20150401 A 15 ww No 16 e e No 6
14. 20150401 A 15 13 gt gt
15. No 6 No 7 No 8 20150401 A 15 34 ww No 10 e No 1 2
16. 20150401 A 15 45 20150401 A 15 60 8 5 60 8 5 44 3 15 42 4 10 44 3 15 44 3 20
17. gt gt 12 Oo 1
18. 20150401 A 15 66 EEE 20150401 A 15 2
19. gt 1 gt 20150401 A 15 11
20. 20150401 A 15 94
21. i e e EE e 20150401 A 15 3 6
22. Ponti5 1 6
23. 2
24. CH Oe 1 gt 2 gt
25. 22 12 27 20150401 A 15 69 20150401 A 15 65 60 8 5 18 42 14
26. No 1 1 25 No 1 1 No 2 No 5 No 1 2 No 1 2 1
27. 20150401 A 15 64 20150401 A 15 6 19 4 5 30 17 12 16 1216001 23 3 23 0323 1 gt 22 4 23 4 23 5 6
28. 48 1973 4 gt
29. 58 20150401 A 15 13 8 1 2 44 3 38 4 1 39 2 27 1 1 38 4 1 39 2 27 13 8 2
30. 20150401 A 15 lt gt 1 1 gt
31. 68 30 61 4 30 29 gt 22 12 27 25 11 3 60 41 22 12 31 65 61 4 1 22 12 1 3 22 12 1 gt 1
32. 49 20150401 A 15 60 8 2 5 12 1 3 15 9 18 47 4 39 4 9 47 2 29 60 14 5 60 55
33. gt 1 20150401 A 15 a 2 No No 7
34. 20150401 A 15 81 3 Pont5 20150401 A 15 62 2
35. 2 1 3 20150401 A 15 88 Point 10 20
36. Q amp A 20150401 A 15 96
37. 7 4 9 3 6 11 9 59 16 3 3 60 18 1 16 21 8 20150401 A 15 36 4 65 3 60 18 1 16 21 36 4
38. OOO 2 Oo
39. 4 5 1 1
40. mE BH sl V 2 V 20150401 A 15 gt gt
41. e No 1 No 4 65 No 10 11 e 3 1 2 No 12 No 1 No 2 No 3 No 4 No 10 No 11 No 12 20150401 A 15 MV No 6
42. 1350 62 5 15 7 3 14 79 1150 9 3 13 16 63 9 6 16 9 7 1 22 7 1 2 65 63 22 7 1
43. No 4 2 No 4 2 No 4 3 2 No 4 1 No 4 2 1 e No 1 e No 2 e No 3 20150401 A 15 29 ww No 5 e No 1 2
44. 1 3 20150401 A 15 86 POInt 8 21
45. 5 0 0 RT i TG
46. 2 3 1 2 3 2 6 4 65 5 20150401 A 15 i 2
47. 26 9 2 38 7 2 12 46 9 1 20 63 9 24 37 61 7 10 35 60 8 5 9 1 5 2 48
48. Q amp A _ gt 1
49. No 20 No 7 No 9 No 10 No 11 No 12 No 13 20150401 A 15 33 ww No 9 No 6 No 8
50. gt 2 gt 3 20150401 A 15 92 Q2
51. 1 82 220 302 60 36 6 40 10 53 36 4 40 10 55 44 12 47 2 27 220
52. A 2 Q 1 A 1 Q3 A3
53. No 8 No 9 No 13 No 14 20150401 A 15 32 ww No 8 e 1 60 1 No 9 No 11 No 12 No 10 13 No 13 No 20
54. 222 65 65 240 65 65 222 65 240 1
55. No 6 No 7 e No 15 20150401 A 15 ww No 15 e e
56. 20150401 A 15 3 4 D gt
57. e e 65 65 60 70 e No 9 e No 16 e 65 65
58. 2 1 2 6 65 30 2 5
59. gt Q4 A4 Q1 A 1 Q2 A2 20150401 A 15 93 As5
60. I 7 2 36 6 40 10 43 20150401 A 15 60 8 5 11 60 8 5 11 36 4 1 20 60 57 1 1 gt 57 6
61. 20150401 A 15 1 1 tt 0 me 8 ml 7 1 ac PR lt 2
62. 20150401 A 15 60 12 1 3 22 9 14 23 1 14 23 1 27 40 9 27 42 12 15 28 42 12 15 42 12 18 42 12 18 44 8 1 20 44 8 14 61 8 1 36 61 8 1 3 7 1 59 3 7 1 10 10 1 10 10 1 42 12 2 21 11 21 12
63. 65 65 65 25 65 65 65 25 60 15 70
64. gt gt lt gt
65. No 1 No 3 No 4 No 7 20150401 A 15 4 ww No 3 e e e 25 2 5 No 1 1 No NO NT 4 3 4
66. V 3 V 20150401 A 15 15 6
67. ON 6 0 dh PEN 2 PE 3 a 29 PE WN PS 1 30 3 3 a me i J
68. 90 gl 20150401 A 15 91 3
69. 20150401 A 15 14 mm lt sname nec re
70. DOO 818 839 843 4 2
71. No 13 No 9 No 14 4 1 4 3 480
72. 11 6 61 1 11 6 1 56 20150401 A 15 11 6
73. 65 3 20150401 A 15 22 7 1 65 85 15 4 2 21 4 1 2 65 3 4 23 3 31 23 4 1 65 23 3 30
74. 6 No 4 No 5 No 5 No 8 No 13 20150401 A 15 ww No 11 No 1 2 27 9 10 27 10 1 30 9 30
75. SD 11 6 20150401 A 15 11 6 2
76. e lt gt lt gt 20150401 A 15 1 1 3
77. 20150401 A 15 gt gt
78. 3 4 5 gt 20 60 2 1 12 1
79. 918 943 952 2 2 ee 2 OR lt 4 1 13 1 2 20150401 A 15
80. 1 2 1 1 2 3 4 5 6 I 1 7 1 2 3 4 5 6 2 3 1 2 3 IV 2 4 V 4 3 1 2 3 gt gt gt
81. 36 4 1 60 8 5 7 18 1 36 4 1 61 4 1 65 3 3 36 4 1 71 20150401 A 15 60 8 5 7 1 60 8 5
82. 60 8 5 1 6 1 11 1 44 3 61 14 1 46 20150401 A 15 60 8 5 9 61 7 10 35
83. 13 8 2 61 4 1 34 1 1 1 47 47 61 4 1 1 44 3 59 20150401 A 15
84. 2 67 20150401 A 15 TRSForm6166 TIN Spouse sTIN
85. 20150401 A 15 87 PoOint 9 2 2 PointI6 EI
86. Ea No 13 No 9 22 1 No 65 6 7 8 16 7 3 10 2 13 16 9 14 15 1 1 2 No 1 RR 3 No NG OU LU 20150401 A 15 23 Cw
87. Point 7 1 lt 9 dN 1 9 Pointi5 20150401 A 15 79 3
88. ont 8 Pomt4 1 Point 5 20150401 A 15 75 2 1 Pointl6 Pointis lt 0 9 1 1
89. 20150401 A 15 1 36 3 60 8 5 4 65 1 2 6 60 18 1 61 4 1 36 3 60 8 5 4 36 36 1
90. 1 0 e No 2 No 3 e No 4 eNo 5 20150401 A 15 ww No 2 e 25 2 5 No 1 1 2 20 60 2 0 6 0
91. 8 5 8 8 1 1 60 43 2 42 43 3
92. 1 1 ES 20150401 A 15 12 gt 2
93. 2 No 12 e No 1 e No 5 e No 8 20150401 A 15 ww
94. 3 gt 4 gt 5 gt i 2012 01 11 OO ee 20150401 A 15 95 Q6 A6
95. 20150401 A 15 Cw e e 20150401 A 15 25 MV No 1 e e
96. 7 3 14 79 1150 9 3 13 16 63 9 6 16 9 7 1 22 7 1 2 65 63 22 7 1 2 9 6 16 9 7 1 22 7 1
97. 876 4 876 8 63 31 12 25 59 61 7 10 35
98. Point 5 lt 9 20150401 A 15 80 3 2 1
99. Pointl11 1 1 6 20150401 A 15 78 2 5
100. 60 51 2 9 12 72 20150401 A 15 65 3 60 18 1 16 21 65 65 3 26 3
101. 2 65 62 20150401 A 15 20 20 7 103 1 3 60 65 20
102. 22 7 1 65 85 15 4 2 21 4 1 2 65 3 4 23 3 31 23 4 1 65 23 3 30 1350 62 5 15
103. 14 1 61 20150401 A 15 60 14 21 5 65 65 24 12 65
104. e No 10 1 No 13 e No 10 2 65 65 1
105. 20150401 A 15 5 gt gt gt gt gt
106. 14 61 14 3 2 36 4 1 61 4 1 65 36 4 1 61 4 1 65 65 61 4 1 65 2 65 1
107. 60 20150401 A 15 60 14 16 21 3 65 10 6 8 65 12 1 22 11 30 23 1 11 3 65 60 18 2
108. 7 8 1 1 Point 4 1
109. 1 FAX FAX FAX 20150401 A 15 16 1
110. 1 1 20150401 A 15 1 gt gt 20150401 A 15 26 60 8 5 60 13 1 2 220 53
111. 29 4 2 30 4 1 30 4 2 31 4 1 FiS 40 22 4 1 35 22 4 2 23 4 1 15 24 4 2 25 4 1 19 25 4 2 26 4 1 RY 1 29 4 15 12 2 61 3 31 11 3 27 4 1 3 4 201504
112. 2 Point 7 1 20150401 A 15 76 2 2 Point 9 10 Point 6
113. 20 230 65 3 106 36 4 3 42 2 61 3 3 61 4 1 7 2 7 21 8 7 3 7 4 9 3 6 11 9 59 3
114. No 7 NO 13 NO 9 No7 No 7 20150401 A 15 gt lt gt e
115. 2 4 2 4 65 65 1 36 3 12 288 65 2 36 4 1 36 264 65 1 65
116. No 13 1 e 1 65 25 4 60 65 e No 9 e No 8 e No 13 20150401 A 15 ww No 14
117. 60 20 12 18 199 37 45 12 1 42 12 5 45 12 4 45 12 21 46 6 29 21 1 1 60 12 1 3 3 61 22 2 4 204 36 21 6 1 51
118. 61 22 2 4 21 12 1 52 20150401 A 15 8 5 8 1 1 NT T 60 gt NTT 40 6 6 12 31 20 64 8 1 1 21
119. 15 4 1 61 3 31 61 3 31 6 4 1 20150401 A 15 18 3 25 as N 2 4 1 21 24 3 4 2 4 4 1 4 4 2 5 4 1 0 a 27 4 1 27 4 2 28 4 1 20 2s 4 2 29 4 1 24
120. 2 65 57 20150401 A 15 12 17 1 12 44 3 4 131 1 132 2 12 17 1 gt 9 8 14 423 320 6 8 14 11 8 13 65 14 9 26 12 17 1
121. 20150401 A 15 60 8 5 14 gt 55 6 1 55 6 2 55 6 2 56 4 1 55 6 1 56 4 1 61 3 55 6
122. e e Oo e 27 60 70 1 No 15 65
123. point5 3 Point10 lt A ON 6 20150401 A 15 2 4 onti10 Point 11 1 1 pointl Point 5
124. 1 No 9 e No 16 20150401 A 15 3 ww No 7 27 27 780 100 780 100 480 480 21 4 3 1 2 1 21 3 3 1 21 4 2 1
125. 1 No 1 No 2 No 4 No 7 20150401 A 15 28 ww No 4 No 1 2 e e 25 2 5 No 1 1 No 4 1
126. 1960 35 3 2 1988 63 11 26 35 3 2 48 4 1 48 4 1 63 11 26 47 20150401 A 15 16 2 5 61 7 10 35 1
127. 5 65 6 No 11 No 5 No 8 20150401 A 15 ww No 12 e e 3 1 2 3 1
128. 1 1 60 8 5 5 60 12 1 3 57 50 20150401 A 15 60 8 2 12 1 3 61 9 24 1 13
129. 2 9 6 16 9 7 1 22 7 1 54 20150401 A 15 60 60 62 2 11 4 1
130. 30 57 9 22 59 11 16 60 2 4 61 6 11 61 9 3 61 9 15 61 10 14 44 7 2 8 60 8 5 lt gt 69 38 3 20 A 38 4 1 39 3 31 B C
131. 20150401 A 15 89 Point 10 25
132. 23 3 6 23 3 23 0323 1 13 2 28 7
133. 01 A 15 i 4 300 Ew 300 300 300 300 300 Fm 65 65 5 20150401 A 15 20 5 20150401 A 15 No 9 No 13 21 6 20150401 A 15 No 10
134. 1 9 13 9 21 20 60 51 2 9 12 61 4 1 60 8 5 9 20 60 36 4 1 61 4 1 61 4 1 5 1 3 7 1 61 4 20 65
135. 60 18 1 16 21 14 74 2 1

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