-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, FT7f/4qSlCnRJzFmwzfs6ED19BLPbBUWmEPBtC74J9Or9tEi/hWAogBGFYiDHksM unEWmMsf/5zmrbBlXUy+zA== 0001116679-07-002307.txt : 20070830 0001116679-07-002307.hdr.sgml : 20070830 20070830174407 ACCESSION NUMBER: 0001116679-07-002307 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20070828 FILED AS OF DATE: 20070830 DATE AS OF CHANGE: 20070830 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NAUTILUS, INC. CENTRAL INDEX KEY: 0001078207 STANDARD INDUSTRIAL CLASSIFICATION: [3949] IRS NUMBER: 943002667 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 16400 SE NAUTILUS DRIVE CITY: VANCOUVER STATE: WA ZIP: 98683 BUSINESS PHONE: 3606947722 MAIL ADDRESS: STREET 1: 16400 SE NAUTILUS DRIVE CITY: VANCOUVER STATE: WA ZIP: 98683 FORMER COMPANY: FORMER CONFORMED NAME: NAUTILUS GROUP INC DATE OF NAME CHANGE: 20020523 FORMER COMPANY: FORMER CONFORMED NAME: DIRECT FOCUS INC DATE OF NAME CHANGE: 19990202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sherborne Investors Management LP CENTRAL INDEX KEY: 0001406672 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31321 FILM NUMBER: 071092473 BUSINESS ADDRESS: STREET 1: 135 E. 57TH STREET STREET 2: 32ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: (212) 735-1000 MAIL ADDRESS: STREET 1: 135 E. 57TH STREET STREET 2: 32ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRAMSON EDWARD J CENTRAL INDEX KEY: 0001016268 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31321 FILM NUMBER: 071092476 BUSINESS ADDRESS: BUSINESS PHONE: 2129356144 MAIL ADDRESS: STREET 1: C/O BATTLE FOWLER LLP STREET 2: 135 EAST 57TH STREET 32ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nottingham Investors LLC CENTRAL INDEX KEY: 0001406669 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31321 FILM NUMBER: 071092477 BUSINESS ADDRESS: STREET 1: 135 E. 57TH STREET STREET 2: 32ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: (212) 735-1000 MAIL ADDRESS: STREET 1: 135 E. 57TH STREET STREET 2: 32ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sherborne Strategic Fund B, LLC CENTRAL INDEX KEY: 0001406670 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31321 FILM NUMBER: 071092478 BUSINESS ADDRESS: STREET 1: 135 E. 57TH STREET STREET 2: 32ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: (212) 735-1000 MAIL ADDRESS: STREET 1: 135 E. 57TH STREET STREET 2: 32ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sherborne Strategic Fund A, LLC CENTRAL INDEX KEY: 0001406674 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31321 FILM NUMBER: 071092479 BUSINESS ADDRESS: STREET 1: 135 E. 57TH STREET STREET 2: 32ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: (212) 735-1000 MAIL ADDRESS: STREET 1: 135 E. 57TH STREET STREET 2: 32ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sherborne Investors GP, LLC CENTRAL INDEX KEY: 0001373507 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31321 FILM NUMBER: 071092481 BUSINESS ADDRESS: STREET 1: 135 EAST 57TH STREET CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: (212) 735-1000 MAIL ADDRESS: STREET 1: 135 EAST 57TH STREET CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sherborne Investors LP CENTRAL INDEX KEY: 0001406888 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31321 FILM NUMBER: 071092474 BUSINESS ADDRESS: STREET 1: 135 E. 57TH STREET STREET 2: 32ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: (212) 735-1000 MAIL ADDRESS: STREET 1: 135 E. 57TH STREET STREET 2: 32ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sherborne Investors Management GP, LLC CENTRAL INDEX KEY: 0001406671 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31321 FILM NUMBER: 071092480 BUSINESS ADDRESS: STREET 1: 135 E. 57TH STREET STREET 2: 32ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: (212) 735-1000 MAIL ADDRESS: STREET 1: 135 E. 57TH STREET STREET 2: 32ND FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2007-08-28 0001078207 NAUTILUS, INC. NLS 0001373507 Sherborne Investors GP, LLC 135 EAST 57TH STREET NEW YORK NY 10022 0 0 1 0 0001406888 Sherborne Investors LP 135 EAST 57TH STREET NEW YORK NY 10022 0 0 1 0 0001406672 Sherborne Investors Management LP 135 EAST 57TH STREET NEW YORK NY 10022 0 0 1 0 0001406671 Sherborne Investors Management GP, LLC 135 EAST 57TH STREET NEW YORK NY 10022 0 0 1 0 0001406674 Sherborne Strategic Fund A, LLC 135 EAST 57TH STREET NEW YORK NY 10022 0 0 1 0 0001406670 Sherborne Strategic Fund B, LLC 135 EAST 57TH STREET NEW YORK NY 10022 0 0 1 0 0001406669 Nottingham Investors LLC 135 EAST 57TH STREET NEW YORK NY 10022 0 0 1 0 0001016268 BRAMSON EDWARD J 135 EAST 57TH STREET NEW YORK NY 10022 0 0 1 0 Common Stock 2007-08-28 4 P 0 163100 A 6787579 I See footnote Common Stock 2007-08-29 4 P 0 37100 A 6824679 I See footnote See Joint Filer Information on Exhibit 99.1 for information with respect to the nature of Sherborne Investors GP, LLC's indirect ownership, details of its purchases and the persons jointly filing this report. The Reporting Person disclaims beneficial ownership of these securities except to the extent of the Reporting Person's pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership for purposes of Section 16 or for any other purpose. Remarks: Exhibit List Exhibit 99.1 - Joint Filer Information /s/ Gerard L. Eastman, attorney in fact 2007-08-30 EX-99 2 ex99-1.txt EX. 99.1: JOINT FILER INFORMATION Exhibit 99.1 Form 4 Joint Filer Information Names of the Reporting Persons: o Sherborne Investors LP, a Delaware limited partnership and managing member of each of the Funds (as defined below) ("Managing Member"); o Sherborne Investors GP, LLC, a Delaware limited liability company and general partner of the Managing Member ("Sherborne Investors GP"); o Sherborne Investors Management LP, a Delaware limited partnership and investment manager to the Funds ("Sherborne Management"); o Sherborne Investors Management GP, LLC, a Delaware limited liability company and general partner of Sherborne Management ("Sherborne Management GP"); o Sherborne Strategic Fund A, LLC, a Delaware limited liability company ("Strategic Fund A"); o Sherborne Strategic Fund B, LLC, a Delaware limited liability company ("Strategic Fund B"); o Nottingham Investors LLC, a Delaware limited liability company ("Nottingham" and, together with Strategic Fund A and Strategic Fund B, the "Funds"); and o Edward J. Bramson, the managing member of Sherborne Investors GP and Sherborne Management GP ("Bramson"). Address for each of the Reporting 135 East 57th Street, New York, NY 10022 Persons: Date of Earliest Transaction August 28, 2007 Required to be Reported: Designated Filer for each of the Sherborne Investors GP, LLC Reporting Persons: Issuer & Ticker Symbol for each Nautilus, Inc.; NLS of the Reporting Persons: Title of Security for each of the Common Stock, no par value (the "Shares") Reporting Persons: Transaction Code for each of the P Reporting Persons: Securities Acquired(1): o Strategic Fund A directly acquired Shares as follows:
Amount of Securities Beneficially Owned Amount of Securities Following Reported Transaction Date Acquired Price Transactions ------------------------ --------------------- -------------- ------------------------ 8/28/2007 282.051 $ 8.490 566,476.271 8/28/2007 1,572.648 $ 8.500 568,048.919 8/28/2007 393.162 $ 8.530 568,442.081 8/28/2007 254.701 $ 8.540 568,696.782 8/28/2007 190.855 $ 8.550 568,887.636 8/28/2007 413.333 $ 8.560 569,300.969 8/28/2007 261.880 $ 8.630 569,562.849 8/28/2007 264.957 $ 8.680 569,827.806 8/28/2007 393.162 $ 8.700 570,220.968 8/28/2007 1,341.879 $ 8.690 571,562.847
8/28/2007 1,017.093 $ 8.730 572,579.940 8/28/2007 2,367.519 $ 8.750 574,947.459 8/28/2007 324.786 $ 8.740 575,272.245 8/28/2007 68.376 $ 8.742 575,340.621 8/28/2007 8.547 $ 8.745 575,349.168 8/28/2007 8.547 $ 8.725 575,357.715 8/28/2007 25.641 $ 8.735 575,383.356 8/28/2007 1,914.186 $ 8.720 577,297.542 8/28/2007 2,819.741 $ 8.710 580,117.283 8/28/2007 17.094 $ 8.715 580,134.377 8/29/2007 51.282 $ 8.610 580,185.659 8/29/2007 17.094 $ 8.620 580,202.753 8/29/2007 51.282 $ 8.640 580,254.035 8/29/2007 111.111 $ 8.650 580,365.146 8/29/2007 34.188 $ 8.655 580,399.334 8/29/2007 265.812 $ 8.660 580,665.146 8/29/2007 50.427 $ 8.670 580,715.573 8/29/2007 59.829 $ 8.680 580,775.402
8/29/2007 42.735 $ 8.690 580,818.137 8/29/2007 17.094 $ 8.700 580,835.231 8/29/2007 59.829 $ 8.710 580,895.060 8/29/2007 282.051 $ 8.720 581,177.111 8/29/2007 59.829 $ 8.730 581,236.940 8/29/2007 34.188 $ 8.750 581,271.128 8/29/2007 42.735 $ 8.780 581,313.863 8/29/2007 239.316 $ 8.790 581,553.179 8/29/2007 153.846 $ 8.800 581,707.025 8/29/2007 94.017 $ 8.810 581,801.042 8/29/2007 153.846 $ 8.820 581,954.888 8/29/2007 111.111 $ 8.830 582,065.999 8/29/2007 162.393 $ 8.840 582,228.392 8/29/2007 393.162 $ 8.850 582,621.554 8/29/2007 11.368 $ 8.980 582,632.922 8/29/2007 17.094 $ 8.985 582,650.016 8/29/2007 655.298 $ 8.990 583,305.314
o Strategic Fund B directly acquired Shares as follows:
Amount of Securities Beneficially Owned Amount of Securities Following Reported Transaction Date Acquired Price Transactions ------------------------ --------------------- -------------- ------------------------ 8/28/2007 423.077 $ 8.490 849,714.407 8/28/2007 2,358.972 $ 8.500 852,073.379 8/28/2007 589.743 $ 8.530 852,663.122 8/28/2007 382.051 $ 8.540 853,045.172 8/28/2007 286.282 $ 8.550 853,331.454 8/28/2007 619.999 $ 8.560 853,951.454 8/28/2007 392.820 $ 8.630 854,344.274 8/28/2007 397.436 $ 8.680 854,741.709 8/28/2007 589.743 $ 8.700 855,331.452 8/28/2007 2,012.819 $ 8.690 857,344.271 8/28/2007 1,525.640 $ 8.730 858,869.910 8/28/2007 3,551.279 $ 8.750 862,421.189 8/28/2007 487.179 $ 8.740 862,908.368 8/28/2007 102.564 $ 8.742 863,010.932 8/28/2007 12.821 $ 8.745 863,023.752
8/28/2007 12.821 $ 8.725 863,036.573 8/28/2007 38.462 $ 8.735 863,075.034 8/28/2007 2,871.279 $ 8.720 865,946.313 8/28/2007 4,229.611 $ 8.710 870,175.925 8/28/2007 25.641 $ 8.715 870,201.566 8/29/2007 76.923 $ 8.610 870,278.489 8/29/2007 25.641 $ 8.620 870,304.130 8/29/2007 76.923 $ 8.640 870,381.053 8/29/2007 166.667 $ 8.650 870,547.719 8/29/2007 51.282 $ 8.655 870,599.001 8/29/2007 398.718 $ 8.660 870,997.719 8/29/2007 75.641 $ 8.670 871,073.360 8/29/2007 89.744 $ 8.680 871,163.103 8/29/2007 64.103 $ 8.690 871,227.206 8/29/2007 25.641 $ 8.700 871,252.847 8/29/2007 89.744 $ 8.710 871,342.590 8/29/2007 423.077 $ 8.720 871,765.667 8/29/2007 89.744 $ 8.730 871,855.410
8/29/2007 51.282 $ 8.750 871,906.692 8/29/2007 64.103 $ 8.780 871,970.795 8/29/2007 358.974 $ 8.790 872,329.769 8/29/2007 230.769 $ 8.800 872,560.538 8/29/2007 141.026 $ 8.810 872,701.563 8/29/2007 230.769 $ 8.820 872,932.332 8/29/2007 166.667 $ 8.830 873,098.999 8/29/2007 243.590 $ 8.840 873,342.588 8/29/2007 589.743 $ 8.850 873,932.331 8/29/2007 17.051 $ 8.980 873,949.382 8/29/2007 25.641 $ 8.985 873,975.023 8/29/2007 982.948 $ 8.990 874,957.971
o Nottingham directly acquired Shares as follows:
Amount of Securities Beneficially Owned Amount of Securities Following Reported Transaction Date Acquired Price Transactions ------------------------ --------------------- -------------- ------------------------ 8/28/2007 2,594.873 $ 8.490 5,211,588.323 8/28/2007 14,468.380 $ 8.500 5,226,056.703
8/28/2007 3,617.095 $ 8.530 5,229,673.798 8/28/2007 2,343.249 $ 8.540 5,232,017.046 8/28/2007 1,755.864 $ 8.550 5,233,772.910 8/28/2007 3,802.668 $ 8.560 5,237,575.577 8/28/2007 2,409.300 $ 8.630 5,239,984.877 8/28/2007 2,437.608 $ 8.680 5,242,422.485 8/28/2007 3,617.095 $ 8.700 5,246,039.580 8/28/2007 12,345.303 $ 8.690 5,258,384.882 8/28/2007 9,357.268 $ 8.730 5,267,742.150 8/28/2007 21,781.203 $ 8.750 5,289,523.352 8/28/2007 2,988.035 $ 8.740 5,292,511.387 8/28/2007 629.060 $ 8.742 5,293,140.447 8/28/2007 78.633 $ 8.745 5,293,219.080 8/28/2007 78.633 $ 8.725 5,293,297.712 8/28/2007 235.898 $ 8.735 5,293,533.610 8/28/2007 17,610.535 $ 8.720 5,311,144.144 8/28/2007 25,941.648 $ 8.710 5,337,085.793 8/28/2007 157.264 $ 8.715 5,337,243.057
8/29/2007 471.795 $ 8.610 5,337,714.852 8/29/2007 157.265 $ 8.620 5,337,872.117 8/29/2007 471.795 $ 8.640 5,338,343.912 8/29/2007 1,022.223 $ 8.650 5,339,366.134 8/29/2007 314.530 $ 8.655 5,339,680.664 8/29/2007 2,445.471 $ 8.660 5,342,126.135 8/29/2007 463.932 $ 8.670 5,342,590.067 8/29/2007 550.428 $ 8.680 5,343,140.494 8/29/2007 393.163 $ 8.690 5,343,533.657 8/29/2007 157.265 $ 8.700 5,343,690.922 8/29/2007 550.428 $ 8.710 5,344,241.349 8/29/2007 2,594.873 $ 8.720 5,346,836.222 8/29/2007 550.428 $ 8.730 5,347,386.649 8/29/2007 314.530 $ 8.750 5,347,701.179 8/29/2007 393.163 $ 8.780 5,348,094.342 8/29/2007 2,201.710 $ 8.790 5,350,296.052 8/29/2007 1,415.385 $ 8.800 5,351,711.437 8/29/2007 864.958 $ 8.810 5,352,576.394
8/29/2007 1,415.385 $ 8.820 5,353,991.779 8/29/2007 1,022.223 $ 8.830 5,355,014.002 8/29/2007 1,494.018 $ 8.840 5,356,508.019 8/29/2007 3,617.095 $ 8.850 5,360,125.114 8/29/2007 104.581 $ 8.980 5,360,229.695 8/29/2007 157.265 $ 8.985 5,360,386.960 8/29/2007 6,028.753 $ 8.990 5,366,415.713
o Each of (i) the Managing Member, as the managing member of the Funds, (ii) Sherborne Investors GP, as the general partner of the Managing Member and (iii) Bramson, as the managing member of Sherborne Investors GP, indirectly acquired the Shares that were directly acquired by the Funds as follows:
Amount of Securities Beneficially Owned Amount of Securities Following Reported Transaction Date Acquired Price Transactions ------------------------ --------------------- -------------- ------------------------ 8/28/2007 3,300 $ 8.490 6,627,779.000 8/28/2007 18,400 $ 8.500 6,646,179.000 8/28/2007 4,600 $ 8.530 6,650,779.000 8/28/2007 2,980 $ 8.540 6,653,759.000 8/28/2007 2,233 $ 8.550 6,655,992.000
8/28/2007 4,836 $ 8.560 6,660,828.000 8/28/2007 3,064 $ 8.630 6,663,892.000 8/28/2007 3,100 $ 8.680 6,666,992.000 8/28/2007 4,600 $ 8.700 6,671,592.000 8/28/2007 15,700 $ 8.690 6,687,292.000 8/28/2007 11,900 $ 8.730 6,699,192.000 8/28/2007 27,700 $ 8.750 6,726,892.000 8/28/2007 3,800 $ 8.740 6,730,692.000 8/28/2007 800 $ 8.742 6,731,492.000 8/28/2007 100 $ 8.745 6,731,592.000 8/28/2007 100 $ 8.725 6,731,692.000 8/28/2007 300 $ 8.735 6,731,992.000 8/28/2007 22,396 $ 8.720 6,754,388.000 8/28/2007 32,991 $ 8.710 6,787,379.000 8/28/2007 200 $ 8.715 6,787,579.000 8/29/2007 600 $ 8.610 6,788,179.000 8/29/2007 200 $ 8.620 6,788,379.000 8/29/2007 600 $ 8.640 6,788,979.000
8/29/2007 1,300 $ 8.650 6,790,279.000 8/29/2007 400 $ 8.655 6,790,679.000 8/29/2007 3,110 $ 8.660 6,793,789.000 8/29/2007 590 $ 8.670 6,794,379.000 8/29/2007 700 $ 8.680 6,795,079.000 8/29/2007 500 $ 8.690 6,795,579.000 8/29/2007 200 $ 8.700 6,795,779.000 8/29/2007 700 $ 8.710 6,796,479.000 8/29/2007 3,300 $ 8.720 6,799,779.000 8/29/2007 700 $ 8.730 6,800,479.000 8/29/2007 400 $ 8.750 6,800,879.000 8/29/2007 500 $ 8.780 6,801,379.000 8/29/2007 2,800 $ 8.790 6,804,179.000 8/29/2007 1,800 $ 8.800 6,805,979.000 8/29/2007 1,100 $ 8.810 6,807,079.000 8/29/2007 1,800 $ 8.820 6,808,879.000 8/29/2007 1,300 $ 8.830 6,810,179.000 8/29/2007 1,900 $ 8.840 6,812,079.000
8/29/2007 4,600 $ 8.850 6,816,679.000 8/29/2007 133 $ 8.980 6,816,812.000 8/29/2007 200 $ 8.985 6,817,012.000 8/29/2007 7,667 $ 8.990 6,824,679.000
o Sherborne Management, as the investment manager to the Funds that only receives an asset-based fee, beneficially owns 0 Shares. o Sherborne Management GP, as the general partner of Sherborne Management, beneficially owns 0 Shares. - ----------------- (1) Each of the Reporting Persons disclaims beneficial ownership of these securities except to the extent of the Reporting Person's pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership for purposes of Section 16 or for any other purpose. Sherborne Investors LP /s/ Gerard L. Eastman, Attorney-in-Fact August 30, 2007 ----------------------------------------------- ------------------------------ **Signature of Reporting Person Date Sherborne Investors Management LP /s/ Gerard L. Eastman, Attorney-in-Fact August 30, 2007 ----------------------------------------------- ------------------------------ **Signature of Reporting Person Date Sherborne Investors Management GP, LLC /s/ Gerard L. Eastman, Attorney-in-Fact August 30, 2007 ----------------------------------------------- ------------------------------ **Signature of Reporting Person Date Sherborne Strategic Fund A, LLC /s/ Gerard L. Eastman, Attorney-in-Fact August 30, 2007 ----------------------------------------------- ------------------------------ **Signature of Reporting Person Date Sherborne Strategic Fund B, LLC /s/ Gerard L. Eastman, Attorney-in-Fact August 30, 2007 ----------------------------------------------- ------------------------------ **Signature of Reporting Person Date Nottingham Investors LLC /s/ Gerard L. Eastman, Attorney-in-Fact August 30, 2007 ----------------------------------------------- ------------------------------ **Signature of Reporting Person Date Edward J. Bramson /s/ Gerard L. Eastman, Attorney-in-Fact August 30, 2007 ----------------------------------------------- ------------------------------ **Signature of Reporting Person Date
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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