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\pard\intbl\plain \li400 \f3\fs60 Form 4
\par\pard\intbl\plain \li400 \f3\fs20 
\par\pard\intbl\plain \li400 \f3\fs34 COGNIZANT TECHNOLOGY SOLUTIONS CORP - CTSH
\par\pard\intbl\plain \li400 \f3\fs30 
\par\pard\intbl\plain \li400 \f3\fs26 Filed: October 09, 2012 (period: October 05, 2012)
\par\pard\intbl\plain \li400 \f3\fs30 
\par\pard\intbl\plain \li400 \f3\fs24 Statement of changes in beneficial ownership of securities\cell\row}
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\pard\intbl\plain \cell\row}
\par\pard\plain\fs16\f3\b\i\sl300\slmult1 The information contained herein may not be copied, adapted or distributed and is not warranted to be accurate, complete or timely. The user assumes all risks for any damages or losses arising from any use of this information, except to the extent such damages or losses cannot be limited or excluded by applicable law. Past financial performance is no guarantee of future results.
\par\pard
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\pard\intbl\plain \cf8\f3\fs60\qc Table of Contents\cell\row}
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\pard\intbl\plain \cf8\f3\fs14\ql 
\cell\row}
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{\*\bkmkstart filing_1}{\*\bkmkend filing_1}{\*\bkmkstart doc_1_1}{\*\bkmkend doc_1_1}
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\pard\plain\intbl\cf1\f52\fs16\qc FORM 4\cell\pard\plain\intbl\cf1\f51\fs16\b\qc UNITED STATES SECURITIES AND EXCHANGE COMMISSION
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f51\fs16\qc  Washington, D.C. 20549
\par\pard\plain\intbl\fs16
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f51\fs16\b\qc  STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
\par\pard\plain\intbl\fs16
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f51\fs16\qc  Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a)\plain\intbl\cf1\f51\fs16\qc  of the Public Utility Holding Company Act of 1935 or Section 30(h) of the\plain\intbl\cf1\f51\fs16\qc  Investment Company Act of 1940\cell
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\pard\plain\intbl\cf1\f51\fs13\ql OMB Number:\itap3\nestcell{\nonesttables \par }\pard\plain\intbl\cf1\f51\fs13\qr 3235-0287\itap3\nestcell{\nonesttables \par }{
{\trowd\cellx981\cellx1760\trrh217\nestrow{\nonesttables \par }}}}
{\trowd\cellx593\cellx1760\trrh389\itap3
\pard\plain\intbl\cf1\f51\fs13\ql Expires:\itap3\nestcell{\nonesttables \par }\pard\plain\intbl\cf1\f51\fs13\qr December 31,\plain\intbl\cf1\f51\fs13\qr  2014\itap3\nestcell{\nonesttables \par }{
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{\trowd\cellx1761\trrh217\itap3
\pard\plain\intbl\cf1\f51\fs13\ql Estimated average burden\itap3\nestcell{\nonesttables \par }{
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{\trowd\cellx981\cellx1760\trrh389\itap3
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{\trowd\cellx981\cellx1760\trrh389\nestrow{\nonesttables \par }}}}\itap2\nestcell{\nonesttables \par }{
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\pard\plain\intbl\cf1\f52\fs16\b\ql 1. Name and Address of Reporting Person\plain\intbl\cf1\f52\fs11\ql\super *
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\pard\plain\intbl\cf3\f52\fs16\ql C/O COGNIZANT TECHNOLOGY\plain\intbl\cf3\f52\fs16\ql  SOLUTIONS CORP.,\u160?500 FRANK W.\plain\intbl\cf3\f52\fs16\ql  BURR BLVD\itap2\nestcell{\nonesttables \par }{
{\trowd\cellx3580\trrh664\nestrow{\nonesttables \par }}}}
{\trowd\cellx3580\trrh45\itap2
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\pard\plain\intbl\cf3\f52\fs16\qc President\itap2\nestcell{\nonesttables \par }{
{\trowd\cellx2635\trrh251\nestrow{\nonesttables \par }}}}\cell\pard\plain\intbl\f0\fs16\ql \~\cell{
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx3780\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx7560\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx10395\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx10798\trrh251\row}}}
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmrg\cellx3780\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx7560\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx10395\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx10596\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx10797\trrh772
\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\cf1\f52\fs16\ql 3. Date of Earliest Transaction\plain\intbl\cf1\f52\fs16\ql  (Month/Day/Year)
\par\pard\plain\intbl\fs16\plain\intbl\cf3\f52\fs16\ql  10/05/2012\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell{
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmrg\cellx3780\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx7560\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx10395\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx10596\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx10797\trrh772\row}}}
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx3780\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx7560\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx10395\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx10596\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx10797\trrh503
\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\cf1\f52\fs16\ql 4. If Amendment, Date of Original Filed\plain\intbl\cf1\f52\fs16\ql  (Month/Day/Year)
\par\pard\plain\intbl\fs16\cell\pard\plain\intbl\cf1\f52\fs16\ql 6. Individual or Joint/Group Filing\plain\intbl\cf1\f52\fs16\ql  (Check Applicable Line)
\par\pard\plain\intbl
{\trowd\cellx270\cellx2635\trrh458\itap2
\pard\plain\intbl\cf3\f52\fs16\ql X\itap2\nestcell{\nonesttables \par }\pard\plain\intbl\cf1\f52\fs16\ql Form filed by One Reporting\plain\intbl\cf1\f52\fs16\ql  Person\itap2\nestcell{\nonesttables \par }{
{\trowd\cellx270\cellx2635\trrh458\nestrow{\nonesttables \par }}}}
{\trowd\cellx270\cellx2635\trrh458\itap2
\pard\plain\intbl\f0\fs16\ql \~\itap2\nestcell{\nonesttables \par }\pard\plain\intbl\cf1\f52\fs16\ql Form filed by More than One\plain\intbl\cf1\f52\fs16\ql  Reporting Person\itap2\nestcell{\nonesttables \par }{
{\trowd\cellx270\cellx2635\trrh458\nestrow{\nonesttables \par }}}}\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell{
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx3780\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx7560\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx10395\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx10596\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx10797\trrh503\row}}}
\par\pard\plain
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9717\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx10082\trrh322
\pard\plain\intbl\cf1\f52\fs16\b\qc Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned\cell\pard\plain\intbl\f0\fs16\ql \~\cell{
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9717\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx10082\trrh322\row}}}
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx1049\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx2335\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx3621\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx4755\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx6338\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx7591\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx8652\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx9713\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx10078\trrh941
\pard\plain\intbl\cf1\f52\fs16\ql 1.Title of\plain\intbl\cf1\f52\fs16\ql  Security
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs16\ql  (Instr. 3)\cell\pard\plain\intbl\cf1\f52\fs16\ql 2.\plain\intbl\cf1\f52\fs16\ql  Transaction\plain\intbl\cf1\f52\fs16\ql  Date\plain\intbl\cf1\f52\fs16\ql  (Month/Day/Year)\cell\pard\plain\intbl\cf1\f52\fs16\ql 2A. Deemed\plain\intbl\cf1\f52\fs16\ql  Execution\plain\intbl\cf1\f52\fs16\ql  Date, if any\plain\intbl\cf1\f52\fs16\ql  (Month/Day/Year)\cell\pard\plain\intbl\cf1\f52\fs16\ql 3.\plain\intbl\cf1\f52\fs16\ql  Transaction\plain\intbl\cf1\f52\fs16\ql  Code
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs16\ql  (Instr. 8)\cell\pard\plain\intbl\cf1\f52\fs16\ql 4. Securities\plain\intbl\cf1\f52\fs16\ql  Acquired (A) or\plain\intbl\cf1\f52\fs16\ql  Disposed of (D)
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs16\ql  (Instr. 3, 4 and 5)\cell\pard\plain\intbl\cf1\f52\fs16\ql 5. Amount of\plain\intbl\cf1\f52\fs16\ql  Securities\plain\intbl\cf1\f52\fs16\ql  Beneficially\plain\intbl\cf1\f52\fs16\ql  Owned\plain\intbl\cf1\f52\fs16\ql  Following\plain\intbl\cf1\f52\fs16\ql  Reported\plain\intbl\cf1\f52\fs16\ql  Transaction(s)
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs16\ql  (Instr. 3 and\plain\intbl\cf1\f52\fs16\ql  4)\cell\pard\plain\intbl\cf1\f52\fs16\ql 6.\plain\intbl\cf1\f52\fs16\ql  Ownership\plain\intbl\cf1\f52\fs16\ql  Form:\plain\intbl\cf1\f52\fs16\ql  Direct (D)\plain\intbl\cf1\f52\fs16\ql  or Indirect\plain\intbl\cf1\f52\fs16\ql  (I)
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs16\ql  (Instr. 4)\cell\pard\plain\intbl\cf1\f52\fs16\ql 7. Nature\plain\intbl\cf1\f52\fs16\ql  of Indirect\plain\intbl\cf1\f52\fs16\ql  Beneficial\plain\intbl\cf1\f52\fs16\ql  Ownership
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs16\ql  (Instr. 4)\cell\pard\plain\intbl\f0\fs16\ql \~\cell{
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx1049\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx2335\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx3621\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx4755\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx6338\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx7591\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx8652\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx9713\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx10078\trrh941\row}}}
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx1049\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx2335\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx3621\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalb\cellx4139\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalb\cellx4755\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalb\cellx5408\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalb\cellx5811\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalb\cellx6338\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx7591\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx8652\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx9713\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9834\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9955\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx10076\trrh784
\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\cf1\f52\fs18\qc Code\cell\pard\plain\intbl\cf1\f52\fs18\qc V\cell\pard\plain\intbl\cf1\f52\fs18\qc Amount\cell\pard\plain\intbl\cf1\f52\fs18\qc (A)\plain\intbl\cf1\f52\fs18\qc  or\plain\intbl\cf1\f52\fs18\qc  (D)\cell\pard\plain\intbl\cf1\f52\fs18\qc Price\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell{
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx1049\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx2335\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx3621\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalb\cellx4139\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalb\cellx4755\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalb\cellx5408\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalb\cellx5811\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalb\cellx6338\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx7591\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx8652\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvmrg\cellx9713\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9834\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9955\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx10076\trrh784\row}}}
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx1049\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx2335\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx3621\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx4139\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx4755\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx5408\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx5811\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx6338\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx7591\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx8652\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9713\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9834\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9955\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx10076\trrh734
\pard\plain\intbl\cf3\f52\fs16\ql Class A\plain\intbl\cf3\f52\fs16\ql  Common\plain\intbl\cf3\f52\fs16\ql  Stock\cell\pard\plain\intbl\cf3\f52\fs16\qc 10/05/2012\cell\pard\plain\intbl\cf3\f52\fs16\qc \u160?\cell\pard\plain\intbl\cf3\f52\fs16\qc S\cell\pard\plain\intbl\cf3\f52\fs16\qc \u160?\cell\pard\plain\intbl\cf3\f52\fs16\qc 30,000\cell\pard\plain\intbl\cf3\f52\fs16\qc D\plain\intbl\cf11\f52\fs11\qc\super (1)\cell\pard\plain\intbl\cf3\f52\fs16\qc $\plain\intbl\cf3\f52\fs16\qc  72\cell\pard\plain\intbl\cf3\f52\fs16\qc 42,180\cell\pard\plain\intbl\cf3\f52\fs16\qc D\cell\pard\plain\intbl\cf3\f52\fs16\ql \u160?\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell{
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx1049\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx2335\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx3621\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx4139\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx4755\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx5408\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx5811\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx6338\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx7591\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx8652\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9713\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9834\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9955\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx10076\trrh734\row}}}
\page
\par\pard\plain
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9910\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx10495\trrh539
\pard\plain\intbl\cf1\f52\fs16\b\qc Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs16\b\qc  (\plain\intbl\cf1\f52\fs16\b\i\qc  e.g.\plain\intbl\cf1\f52\fs16\b\qc  , puts, calls, warrants, options, convertible securities)\cell\pard\plain\intbl\f0\fs16\ql \~\cell{
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\clvertalc\cellx9910\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx10495\trrh539\row}}}
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx643\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx1347\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx2334\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx3321\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx4187\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx4975\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx6158\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx7069\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx7712\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx8549\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx9226\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx9903\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx10488\trrh2206
\pard\plain\intbl\cf1\f52\fs14\ql 1.\plain\intbl\cf1\f52\fs14\ql  Title\plain\intbl\cf1\f52\fs14\ql  of\plain\intbl\cf1\f52\fs14\ql  Derivative\plain\intbl\cf1\f52\fs14\ql  Security
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs14\ql  (Instr.\plain\intbl\cf1\f52\fs14\ql  3)\cell\pard\plain\intbl\cf1\f52\fs14\ql 2.\plain\intbl\cf1\f52\fs14\ql  Conversion\plain\intbl\cf1\f52\fs14\ql  or\plain\intbl\cf1\f52\fs14\ql  Exercise\plain\intbl\cf1\f52\fs14\ql  Price\plain\intbl\cf1\f52\fs14\ql  of\plain\intbl\cf1\f52\fs14\ql  Derivative\plain\intbl\cf1\f52\fs14\ql  Security\cell\pard\plain\intbl\cf1\f52\fs14\ql 3.\plain\intbl\cf1\f52\fs14\ql  Transaction\plain\intbl\cf1\f52\fs14\ql  Date\plain\intbl\cf1\f52\fs14\ql  (Month/Day/Year)\cell\pard\plain\intbl\cf1\f52\fs14\ql 3A.\plain\intbl\cf1\f52\fs14\ql  Deemed\plain\intbl\cf1\f52\fs14\ql  Execution\plain\intbl\cf1\f52\fs14\ql  Date, if\plain\intbl\cf1\f52\fs14\ql  any\plain\intbl\cf1\f52\fs14\ql  (Month/Day/Year)\cell\pard\plain\intbl\cf1\f52\fs14\ql 4.\plain\intbl\cf1\f52\fs14\ql  Transaction\plain\intbl\cf1\f52\fs14\ql  Code
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs14\ql  (Instr. 8)\cell\pard\plain\intbl\cf1\f52\fs14\ql 5.\plain\intbl\cf1\f52\fs14\ql  Number\plain\intbl\cf1\f52\fs14\ql  of\plain\intbl\cf1\f52\fs14\ql  Derivative\plain\intbl\cf1\f52\fs14\ql  Securities\plain\intbl\cf1\f52\fs14\ql  Acquired\plain\intbl\cf1\f52\fs14\ql  (A) or\plain\intbl\cf1\f52\fs14\ql  Disposed\plain\intbl\cf1\f52\fs14\ql  of (D)
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs14\ql  (Instr. 3,\plain\intbl\cf1\f52\fs14\ql  4, and\plain\intbl\cf1\f52\fs14\ql  5)\cell\pard\plain\intbl\cf1\f52\fs14\ql 6. Date\plain\intbl\cf1\f52\fs14\ql  Exercisable\plain\intbl\cf1\f52\fs14\ql  and Expiration\plain\intbl\cf1\f52\fs14\ql  Date
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs14\ql  (Month/Day/Year)\cell\pard\plain\intbl\cf1\f52\fs14\ql 7. Title\plain\intbl\cf1\f52\fs14\ql  and\plain\intbl\cf1\f52\fs14\ql  Amount of\plain\intbl\cf1\f52\fs14\ql  Underlying\plain\intbl\cf1\f52\fs14\ql  Securities
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs14\ql  (Instr. 3\plain\intbl\cf1\f52\fs14\ql  and 4)\cell\pard\plain\intbl\cf1\f52\fs14\ql 8.\plain\intbl\cf1\f52\fs14\ql  Price\plain\intbl\cf1\f52\fs14\ql  of\plain\intbl\cf1\f52\fs14\ql  Derivative\plain\intbl\cf1\f52\fs14\ql  Security
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs14\ql  (Instr.\plain\intbl\cf1\f52\fs14\ql  5)\cell\pard\plain\intbl\cf1\f52\fs14\ql 9.\plain\intbl\cf1\f52\fs14\ql  Number\plain\intbl\cf1\f52\fs14\ql  of\plain\intbl\cf1\f52\fs14\ql  Derivative\plain\intbl\cf1\f52\fs14\ql  Securities\plain\intbl\cf1\f52\fs14\ql  Beneficially\plain\intbl\cf1\f52\fs14\ql  Owned\plain\intbl\cf1\f52\fs14\ql  Following\plain\intbl\cf1\f52\fs14\ql  Reported\plain\intbl\cf1\f52\fs14\ql  Transaction(s)
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs14\ql  (Instr. 4)\cell\pard\plain\intbl\cf1\f52\fs14\ql 10.\plain\intbl\cf1\f52\fs14\ql  Ownership\plain\intbl\cf1\f52\fs14\ql  Form\plain\intbl\cf1\f52\fs14\ql  of\plain\intbl\cf1\f52\fs14\ql  Derivative\plain\intbl\cf1\f52\fs14\ql  Security:\plain\intbl\cf1\f52\fs14\ql  Direct\plain\intbl\cf1\f52\fs14\ql  (D) or\plain\intbl\cf1\f52\fs14\ql  Indirect\plain\intbl\cf1\f52\fs14\ql  (I)
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs14\ql  (Instr.\plain\intbl\cf1\f52\fs14\ql  4)\cell\pard\plain\intbl\cf1\f52\fs14\ql 11.\plain\intbl\cf1\f52\fs14\ql  Nature\plain\intbl\cf1\f52\fs14\ql  of\plain\intbl\cf1\f52\fs14\ql  Indirect\plain\intbl\cf1\f52\fs14\ql  Beneficial\plain\intbl\cf1\f52\fs14\ql  Ownership
\par\pard\plain\intbl\fs16\plain\intbl\cf1\f52\fs14\ql  (Instr.\plain\intbl\cf1\f52\fs14\ql  4)\cell\pard\plain\intbl\f0\fs16\ql \~\cell{
{\trowd\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx643\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx1347\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx2334\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx3321\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx4187\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx4975\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx6158\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx7069\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx7712\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx8549\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx9226\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clvmgf\cellx9903\clbrdrt\brdrs\brdrcf1\clbrdrl\brdrs\brdrcf1\clbrdrr\brdrs\brdrcf1\clbrdrb\brdrs\brdrcf1\cellx10488\trrh2206\row}}}
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\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\cf1\f52\fs12\qc Code\cell\pard\plain\intbl\cf1\f52\fs12\qc V\cell\pard\plain\intbl\cf1\f52\fs12\qc (A)\cell\pard\plain\intbl\cf1\f52\fs12\qc (D)\cell\pard\plain\intbl\cf1\f52\fs12\qc Date\plain\intbl\cf1\f52\fs12\qc  Exercisable\cell\pard\plain\intbl\cf1\f52\fs12\qc Expiration\plain\intbl\cf1\f52\fs12\qc  Date\cell\pard\plain\intbl\cf1\f52\fs12\qc Title\cell\pard\plain\intbl\cf1\f52\fs12\qc Amount\plain\intbl\cf1\f52\fs12\qc  or\plain\intbl\cf1\f52\fs12\qc  Number\plain\intbl\cf1\f52\fs12\qc  of\plain\intbl\cf1\f52\fs12\qc  Shares\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\f0\fs16\ql \~\cell{
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\pard\plain
{\trowd\clvertalc\cellx10800\trrh251
\pard\plain\intbl\cf1\f52\fs16\b\ql Explanation of Responses:\cell{
{\trowd\clvertalc\cellx10800\trrh251\row}}}
{\trowd\clvertalc\cellx10800\trrh251
\pard\plain\intbl\cf11\f52\fs16\ql 1. Such shares were sold pursuant to a Rule 10b5-1 Sales Plan.\cell{
{\trowd\clvertalc\cellx10800\trrh251\row}}}
\pard\plain
{\trowd\clvertalc\cellx6480\clvertalc\cellx8640\clvertalc\cellx10800\trrh664
\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\cf3\f52\fs16\ul\ql /s/ Steven Schwartz, on\plain\intbl\cf3\f52\fs16\ul\ql  behalf of Gordon Coburn,\plain\intbl\cf3\f52\fs16\ul\ql  by Power of Attorney\cell\pard\plain\intbl\cf3\f52\fs16\ul\ql 10/09/2012\cell{
{\trowd\clvertalc\cellx6480\clvertalc\cellx8640\clvertalc\cellx10800\trrh664\row}}}
{\trowd\clvertalc\cellx6480\clvertalc\cellx8640\clvertalc\cellx10800\trrh458
\pard\plain\intbl\f0\fs16\ql \~\cell\pard\plain\intbl\cf1\f52\fs16\ql ** Signature of Reporting\plain\intbl\cf1\f52\fs16\ql  Person\cell\pard\plain\intbl\cf1\f52\fs16\ql Date\cell{
{\trowd\clvertalc\cellx6480\clvertalc\cellx8640\clvertalc\cellx10800\trrh458\row}}}
{\trowd\clvertalc\cellx10800\trrh251
\pard\plain\intbl\cf1\f52\fs16\ql Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.\cell{
{\trowd\clvertalc\cellx10800\trrh251\row}}}
{\trowd\clvertalc\cellx10800\trrh251
\pard\plain\intbl\cf1\f52\fs16\ql * If the form is filed by more than one reporting person,\plain\intbl\cf1\f52\fs16\i\ql  see\plain\intbl\cf1\f52\fs16\ql  Instruction 4(b)(v).\cell{
{\trowd\clvertalc\cellx10800\trrh251\row}}}
{\trowd\clvertalc\cellx10800\trrh251
\pard\plain\intbl\cf1\f52\fs16\ql ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations\plain\intbl\cf1\f52\fs16\i\ql  See\plain\intbl\cf1\f52\fs16\ql  18 U.S.C. 1001 and 15 U.S.C. 78ff(a).\cell{
{\trowd\clvertalc\cellx10800\trrh251\row}}}
{\trowd\clvertalc\cellx10800\trrh251
\pard\plain\intbl\cf1\f52\fs16\ql Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,\plain\intbl\cf1\f52\fs16\i\ql  see\plain\intbl\cf1\f52\fs16\ql  Instruction 6 for procedure.\cell{
{\trowd\clvertalc\cellx10800\trrh251\row}}}
{\trowd\clvertalc\cellx10800\trrh458
\pard\plain\intbl\cf1\f52\fs16\b\ql Persons who respond to the collection of information contained in this form are not required to respond unless the form displays\plain\intbl\cf1\f52\fs16\b\ql  a currently valid OMB Number.\cell{
{\trowd\clvertalc\cellx10800\trrh458\row}}}}