Delaware
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20-4606266
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(State or Other Jurisdiction of Incorporation or Organization)
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(I.R.S. Employer Identification No.)
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Douglas V. Reynolds
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Benjamin Azoff, Esq.
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President and Chief Executive Officer
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Brendan Saxon, Esq.
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Energy Services of America Corporation
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Luse Gorman, PC
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75 West 3rd Avenue
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5335 Wisconsin Ave., N.W., Suite 780
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Huntington, West Virginia 25701
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Washington, DC 20015-2035
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(304) 522-3868
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(202) 274-2000
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(Name, Address and Telephone
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Number of Agent for Service)
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Large accelerated filer ☐
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Accelerated filer ☐
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Non-accelerated filer ⌧
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Smaller reporting company⌧
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Emerging growth company ☐
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Regulation S-K
Exhibit Number
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Document
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107 | Calculation of Filing Fee Tables |
ENERGY SERVICES OF AMERICA CORPORATION
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By:
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/s/ Douglas V. Reynolds |
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Douglas V. Reynolds
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President and Chief Executive Officer
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(Duly Authorized Representative)
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Signatures
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Title
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Date
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/s/ Douglas V. Reynolds |
President, Chief Executive Officer
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March 30, 2022
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Douglas V. Reynolds
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and Director
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(Principal Executive Officer)
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/s/ Charles P. Crimmel |
Chief Financial Officer
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March 30, 2022
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Charles P. Crimmel
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(Principal Financial and Accounting Officer)
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/s/ Marshall T. Reynolds |
Chairman of the Board
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March 30, 2022
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Marshall T. Reynolds
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/s/ Jack Reynolds |
Director
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March 30, 2022
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Jack Reynolds
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Signatures
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Title
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Date
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/s/ Joseph L. Williams |
Director
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March 30, 2022
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Joseph L. Williams
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/s/ Daniel J. Mannes |
Director
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March 30, 2022
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Daniel J. Mannes
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/s/ Frank S. Lucente |
Director
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March 30, 2022
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Frank S. Lucente
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/s/ Brian Pratt |
Director
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March 30, 2022
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Brian Pratt
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/s/ Samuel G. Kapourales |
Director
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March 30, 2022
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Samuel G. Kapourales
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/s/ Charles Abraham |
Director
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March 30, 2022
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Charles Abraham
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Re: |
Energy Services of America Corporation 2022 Equity Incentive Plan
Registration Statement on Form S-8
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Very truly yours,
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/s/ Luse Gorman, PC |
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LUSE GORMAN, PC
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1.
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Name of Participant:___________________________________
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2.
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Date of Grant:___________________________________
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3.
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Total number of shares of Company common stock, $0.0001 par value per share, covered by the Restricted Stock
Award:____________
(subject to adjustment pursuant to Section 9 hereof). |
4.
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Vesting Schedule. Except as otherwise provided in this Agreement, this Restricted Stock Award first
becomes earned in accordance with the vesting schedule specified herein.
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Date
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Number of Shares Vesting
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5.
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Grant of Restricted Stock Award.
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6. |
Terms and Conditions.
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6.1 |
The Participant will have the right to vote the shares of Restricted Stock awarded hereunder on matters which require shareholder vote.
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6.2 |
Any cash dividends or distributions declared with respect to shares of Stock subject to the Restricted Stock Award will be subject to the same vesting conditions applicable to the Restricted Stock Award and will,
if vested, be delivered or paid at the same time as the restrictions on the Restricted Stock Award lapse.
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7.
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Delivery of Shares.
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8.
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Change in Control.
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8.1 |
In the event of an Involuntary Termination at or following a Change in Control, all Restricted Stock Awards held by the Participant will become fully vested.
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8.2 |
A “Change in Control” will be deemed to have occurred as provided in Section 4.2 of the Plan.
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9.
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Adjustment Provisions.
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10.
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Effect of Termination of Service on Restricted Stock
Award.
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(i)
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Death. In the event of the Participant’s Termination of Service by reason of the Participant’s death, all Restricted Stock will vest as to all shares
subject to an outstanding Award, whether or not immediately vested, at the date of Termination of Service.
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(ii)
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Disability. In the event of the Participant’s Termination of Service by reason of Disability, all Restricted Stock will
vest as to all shares subject to an outstanding Award, whether or not immediately vested, at the date of Termination of Service.
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(iii)
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Retirement. In the event of the Participant’s Termination of Service by reason of the Participant’s Retirement, any Restricted Stock award that has
not vested as of the date of Termination of Service will expire and be forfeited. “Retirement” shall have the meaning set forth in Article 8 of the Plan.
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(iv)
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Termination for Cause. If the Participant’s Service has been terminated for Cause, all Restricted Stock
granted to a Participant that has not vested will expire and be forfeited.
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(iv)
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Other Termination. If a Participant terminates Service for any reason other than due to death, Disability,
Involuntary Termination at or following a Change in Control or for Cause, all shares of Restricted Stock awarded to the Participant which have not vested as of the date of Termination of Service will expire and be forfeited.
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11.
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Miscellaneous.
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11.1 |
No Restricted Stock Award will confer upon the Participant any rights as a stockholder of the Company prior to the date on which the individual fulfills all conditions for receipt of such rights.
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11.2 |
This Agreement may not be amended or otherwise modified unless evidenced in writing and signed by the Company and the Participant.
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11.3 |
Restricted Stock Awards are not transferable prior to the time such Awards vest in the Participant.
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11.4 |
This Restricted Stock Award will be governed by and construed in accordance with the laws of the State of West Virginia.
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11.5 |
This Restricted Stock Award is subject to all laws, regulations and orders of any governmental authority which may be applicable thereto and, notwithstanding any of the provisions hereof, the Company will not be
obligated to issue any shares of stock hereunder if the issuance of such shares would constitute a violation of any such law, regulation or order or any provision thereof.
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1. |
Name of Participant: _________________________
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2. |
Date of Grant: _________________________
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3.
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Total number of shares of Company
common stock, $0.0001 par value per share, that may be acquired pursuant to this Option:___________
(subject to adjustment pursuant to Section 9 hereof). |
•
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This Award is intended to be an Incentive Stock Option. The Option will be an Incentive Stock Option to the maximum extent permitted under the tax
laws, which means that up to $100,000 of Options that vest in any one calendar year will be Incentive Stock Options (based on the exercise price of
the Option).
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•
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Please note that for purposes of determining the maximum number of Options that can vest in any one calendar year as Incentive Stock Options, the
Options granted to you pursuant to this Agreement that vest in a calendar year will be aggregated with any earlier Option grant you received that vest in the same calendar year. If you vest in the maximum number of Incentive Stock Options
in which you are permitted to vest for a calendar year under a prior Option Award, any Options that you receive under this Agreement that vest in the same calendar year will be considered Non-Qualified Stock Options.
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4. |
Exercise price per share: $ _______
(subject to adjustment pursuant to Section 9 below)
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5. |
Expiration Date of Option: _________, 20 . Notwithstanding anything in this Agreement to the contrary, no part of this Option may be exercised at any time on or after the expiration date.
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6. |
Vesting Schedule. Unless sooner vested in accordance with the
terms of the Plan and this Agreement, the Option granted hereunder will vest (i.e., become exercisable) in accordance with the following schedule:
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7. |
Exercise Procedure and Delivery of Notice of Exercise of Option.
This Option may be exercised in whole or in part by the Participant’s delivery to the Company of written notice (the “Notice of Exercise of Option”
attached hereto as Exhibit A or as otherwise acceptable to the Company) setting forth the number of shares with respect to which this Option is to be exercised, together with payment by cash or other means acceptable to the Committee, in
accordance with Section 2.2(b) of the Plan.
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8. |
Delivery of Shares. Delivery of shares of Stock upon the
exercise of this Option will comply with all applicable laws (including the requirements of the Securities Act) and the applicable requirements of any securities exchange or similar entity.
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9. |
Adjustment Provisions.
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10. |
Accelerated Vesting and Exercisability Period.
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(i)
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Death. In the event of the Participant’s
Termination of Service by reason of death, any unvested portion of the Option subject to this Agreement will vest and any unexercised portion of the Option may thereafter be exercised by the Participant’s legal representative or
beneficiaries for a period of one (1) year from the Participant’s death; provided, that in order to obtain Incentive Stock Option treatment for Options exercised by heirs or devisees of the Participant, the Participant’s death must have
occurred while employed or within three (3) months following Termination of Service.
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(ii)
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Disability. In the event of the
Participant’s Termination of Service by reason of the Participant’s Disability, any unvested portion of this Option will vest and any unexercised portion of the Option may thereafter be exercised by the Participant or the Participant’s
legal representative for a period of one (1) year following the Termination of Service due to Disability.
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(iii)
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Change in Control. In the event of the
Participant’s Involuntary Termination of Service at or following a Change in Control, any unvested portion of the Option will vest and any unexercised portion of the Option may be exercised by the
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(iv)
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Retirement. In the event of the
Participant’s Termination of Service by reason of the Participant’s Retirement, vested Options may be exercised for a period of one (1) year from the date of Termination of Service; provided that no Option shall be eligible for treatment as
an Incentive Stock Option if the Option is exercised more than three (3) months following Termination of Service due to Retirement. Options that have not vested will expire and be forfeited on the date of Termination of Service by reason of
Retirement. “Retirement” shall have the meaning set forth in Article 8 of the Plan.
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(v)
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Termination for Cause. In the event of the Participant’s Termination of Service for Cause, all Options subject to this Agreement that have not been exercised
will immediately expire and be forfeited.
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(vi)
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Other Termination. In the event of the Participant’s Termination from Service for any reason other than due to death, Disability, Involuntary Termination at or following a
Change in Control or for Cause, this Option may thereafter be exercised, only to the extent it was exercisable at the time of the termination and only for a period of three (3) months following the termination.
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11. |
Miscellaneous.
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11.1 |
No Option will confer upon the Participant any rights as a stockholder of the Company prior to the date on which the individual fulfills all conditions for receipt of
such rights.
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11.2 |
This Agreement may not be amended or otherwise modified unless evidenced in writing and signed by the Company and the Participant.
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11.3 |
Except as otherwise provided by the Committee, Incentive Stock Options under the Plan are not transferable except (1) as designated by the Participant by will or by the
laws of descent and distribution, (2) to a trust established by the Participant, or (3) between spouses incident to a divorce or pursuant to a domestic relations order, provided, however, that in the case of a transfer described under (3),
the Option will not qualify as an Incentive Stock Option as of the day of the transfer.
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11.4 |
Under current tax laws, an Option that is exercised as an Incentive Stock Option is not subject to ordinary income taxes so long as it is held for the requisite holding
period, e.g., two (2) years from the date of grant of the Option and one (1) year from the date of exercise, whichever is later.
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11.5 |
This Agreement will be governed by and construed in accordance with the laws of the State of West Virginia.
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11.6 |
The granting of this Option does not confer upon the Participant any right to be retained in the service of the Company or any subsidiary.
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11.7 |
This Option is subject to forfeiture in accordance with the provisions of Section 7.16 of the Plan or as otherwise adopted by the Company.
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Cash or personal, certified or cashier’s check in the sum of $_______, in full/partial payment of the purchase price.
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Stock of the Company with a fair market value of $______ in full/partial payment of the purchase price.*
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My check in the sum of $_______ and stock of the Company with a fair market
value of $______, in full/partial payment of the purchase price.*
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A net settlement of the Option, using a portion of the shares obtained on exercise in payment of the exercise price of the Option (and, if applicable, any minimum
required tax withholding).
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Selling ______ shares from my Option shares through a broker in full/partial payment of the purchase price.
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1. |
Name of Participant: _________________________
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2. | Date of Grant: __________, 20 . |
3.
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Total number of shares of Company
common stock, $0.0001 par value per share, that may be acquired pursuant to this Option:__________
(subject to adjustment pursuant to Section 9 hereof). |
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This is a Non-Qualified Stock Option.
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4. |
Exercise price per share: $ _______
(subject to adjustment pursuant to Section 9 below) |
5. |
Expiration Date of Option: _________, 20 . Notwithstanding anything in this Agreement to the contrary, no part of this Option may be exercised at any time on or after the expiration date.
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6. |
Vesting Schedule. Unless sooner vested in accordance with the
terms of the Plan and this Agreement, the Option granted hereunder will vest (i.e., become exercisable) in accordance with the following schedule:
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7. |
Exercise Procedure and Delivery of Notice of Exercise of Option.
This Option may be exercised in whole or in part by the Participant’s delivery to the Company of written notice (the “Notice of Exercise of Option”
attached hereto as Exhibit A or as otherwise acceptable to the Company) setting forth the number of shares with respect to which this Option is to be exercised, together with payment by cash or other means acceptable to the Committee, in
accordance with Section 2.2(b) of the Plan.
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8. |
Delivery of Shares. Delivery of shares of Stock upon the
exercise of this Option will comply with all applicable laws (including the requirements of the Securities Act) and the applicable requirements of any securities exchange or similar entity.
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9. |
Adjustment Provisions.
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10. |
Accelerated Vesting and Exercisability Period.
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(i)
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Death. In the event of the Participant’s
Termination of Service by reason of death, any unvested portion of the Option subject to this Agreement will vest and any unexercised portion of the Option may thereafter be exercised by the Participant’s legal representative or
beneficiaries for a period of one (1) year from the Participant’s death.
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(ii)
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Disability. In the event of the
Participant’s Termination of Service by reason of the Participant’s Disability, any unvested portion of this Option will vest and any unexercised portion of the Option may thereafter be exercised by the Participant or the Participant’s
legal representative for a period of one (1) year following the Termination of Service due to Disability.
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(iii)
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Change in Control. In the event of the
Participant’s Involuntary Termination at or following a Change in Control, any unvested portion of the Option will vest and any unexercised portion of the Option may be exercised by the Participant or the Participant’s legal representative
for a period of one (1) year following the Participant’s Involuntary Termination.
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(iv)
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Retirement. In the event of the
Participant’s Termination of Service by reason of the Participant’s Retirement, vested Options may be exercised for a period of one (1) year from the date of Termination of Service. Options that have not vested will expire and be forfeited
on the date of Termination of Service by reason of Retirement. “Retirement” shall have the meaning set forth in Article 8 of the Plan.
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(v)
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Termination for Cause. In the event of the Participant’s Termination of Service for Cause, all Options subject to this Agreement that have not been exercised
will immediately expire and be forfeited.
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(vi) |
Other Termination. In the event of the Participant’s Termination from Service for any reason other than due to death, Disability, Involuntary Termination at or
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11. |
Miscellaneous.
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11.1 |
No Option will confer upon the Participant any rights as a stockholder of the Company prior to the date on which the individual fulfills all conditions for receipt of
such rights.
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11.2 |
This Agreement may not be amended or otherwise modified unless evidenced in writing and signed by the Company and the Participant.
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11.3 |
At the discretion of the Committee, a Non-Qualified Option granted under the Plan may be transferable by the Participant, provided, however, that transfers will be
limited to Immediate Family Members of Participants, trusts and partnerships established for the primary benefit of such family members or to charitable organizations, and provided, further, that the transfers are not made for consideration
to the Participant.
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11.4 |
This Agreement will be governed by and construed in accordance with the laws of the State of West Virginia.
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11.5 |
This Option will be subject to any required federal, state and local tax withholding, which may be effected in the manner or manners permitted by the Company.
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11.6 |
The granting of this Option does not confer upon the Participant any right to be retained in the service of the Company or any subsidiary.
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11.7 |
This Option is subject to forfeiture in accordance with the provisions of Section 7.16 of the Plan or as otherwise adopted by the Company.
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Cash or personal, certified or cashier’s check in the sum of $_______, in full/partial payment of the purchase price.
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Stock of the Company with a fair market value of $______ in full/partial payment of the purchase price.*
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My check in the sum of $_______ and stock of the Company with a fair market
value of $______, in full/partial payment of the purchase price.*
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A net settlement of the Option, using a portion of the shares obtained on exercise in payment of the exercise price of the Option (and, if applicable, any minimum
required tax withholding).
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Selling ______ shares from my Option shares through a broker in full/partial payment of the purchase price.
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Security Type
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Security Class Title
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Fee Calculation Rule
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Amount Registered(1)
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Proposed Maximum Aggregate Offering Price Per Share(2)
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Maximum Aggregate Offering Price(2)
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Fee Rate
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Amount of Registration Fee
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Equity
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Common stock, $0.0001 par value per share
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Rules 457(c) and 457(h)
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1,500,000
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$2.90
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$4,350,000.00
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0.0000927
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$403.25
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Total Offering Amounts
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$403.25
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Total Fees Previously Paid
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Total Fee Offsets
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Net Fee Due
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$403.25
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(1) |
Together with an indeterminate number of additional shares that may be necessary to adjust the number of shares reserved for issuance pursuant to the Energy Services of America Corporation 2022 Equity Incentive Plan as a result of a stock
split, stock dividend or similar adjustment of the outstanding common stock of Energy Services of America Corporation pursuant to 17 C.F.R. Section 230.416(a) under the Securities Act of 1933, as amended (the “Securities Act”).
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(2) |
Estimated solely for the purpose of calculating the registration fee pursuant to paragraphs (c) and (h)(1) of Rule 457 under the Securities Act. Based on the average of the high and low prices of the Company’s common stock as reported on
the Nasdaq Capital Market on March 29, 2022, which date is within five business days prior to the filing of this Registration Statement.
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