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Get Form 8038-G Under Internal Revenue Code Section 149(e) DO NOT ...

0,000.) (Rev. May 1993) Department of the Treasury Internal Revenue Service Part I Reporting Authority OMB No. 1545-0720 If Amended Return, check here 1 Issuer s name 3 Number and street (or P.O. box if mail is not delivered to street address) 5 City, town, state, and ZIP code 6 Date of issue 7 Name of Issue 2 Issuer s employer identification number 8 CUSIP Number Room/suite 4 Report number G19 Part II - Type of Issue (check applicable box(es) and enter the issue p.

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