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UHVXOW E\ WKH QXPEHU RI PRQWKV LQ WKH &RUSRUDWLRQ¶V WD[ \HDU Stock Percentage
7D[SD\HUV PXVW DFFRXQW IRU SHUFHQW RI WKH VWRFN ,I LW LV QRW Column E Column F Column G
DFFRXQWHG IRU SURFHVVLQJ RI WKH UHWXUQ PD\ EH GHOD\HG
+XVEDQG 100% 70%
40%
Column F: (QWHU WKH SHUFHQWDJH RI RXWVWDQGLQJ VWRFN HDFK (active) (all shareholders) (husband/wife/son)
VKDUHKROGHU RZQV LQFOXGLQJ DWWULEXWLRQ RI RZQHUVKLS IURP IDPLO\ Wife 100% 100%
10%
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20%
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30%
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NOTE: ,I D VKDUHKROGHU RZQHG VWRFN IRU OHVV WKDQ WKH HQWLUH
WD[ \HDU RI WKH FRUSRUDWLRQ RU DQ R൶FHU VHUYHG DV DQ R൶FHU
OHVV WKDQ WKH HQWLUH WD[ \HDU UHSRUW RQO\ WKH VDODULHV ZDJHV
DQG GLUHFWRU IHHV DWWULEXWDEOH ZKLOH VHUYLQJ DV DQ R൶FHU
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ATTRIBUTION EXAMPLE:
Larry David Stone +XVEDQG RI %HWW\ 6WRQH )DWKHU RI 0DU\ 6WRQH 6WHSIDWKHU RI 7DPPLH 5RFN 6WHS *UDQGIDWKHU RI .DWK\ 5RFN
Betty Ann Stone Daughter of Bob Pebble, Wife of Larry Stone, Mother of Tammie Rock, Stepmother of Mary Stone, Grandmother of Kathy Rock
Mary Elizabeth Stone Daughter of Larry Stone, Stepdaughter of Betty Stone
Tammie Marie Rock Daughter of Betty Stone, Stepdaughter of Larry Stone, Spouse of Steve Rock, Mother of Kathy Rock, Granddaughter of
Bob Pebble
Steve Carl Rock Spouse of Tammie Rock, Father of Kathy Rock, Brother of Mike Rock
Kathy Evelyn Rock Daughter of Tammie and Steve Rock, Granddaughter of Betty Stone, Step Granddaughter of Larry Stone
Mike Joseph Rock Brother of Steve Rock
Bob Kenneth Pebble Father of Betty Stone, Grandfather of Tammie Rock
Terry Robert Marble Friend
3DUW 6KDUHKROGHUV DQG RႈFHUV See instructions Part 2: List of family members and their corresponding relationships
1. AB2. OP Q R S T
Name of shareholder (including corporation, trust, partnership, Check (X) if
Member or family member who is a shareholder through attribution) or Member No Attributable
Number RႈFHU /DVW )LUVW 0LGGOH Number Spouse Parent Child Grandchild Relationship
1 Stone, Larry David 12 3
2 Stone, Betty Ann 21846
3 Stone, Mary Elizabeth 31
4 Rock, Tammie Marie 4526
5 Rock, Steve Carl 54 6
6 Rock, Kathy Evelyn 64-5
7 Rock, Mike Joseph 7 X
8 Pebble, Bob Kenneth 824
9 Marble, Terry Robert 9 X
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