NUMBER
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SHARES
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Dated:
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Secretary
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[Corporate Seal]
Delaware
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Chief Financial Officer
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TEN COM
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—
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as tenants in common
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UNIF GIFT MIN ACT
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—
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Custodian
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(Cust)
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(Minor)
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TEN ENT
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—
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as tenants by the entireties
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under Uniform Gifts to Minors Act
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(State)
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JT TEN
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—
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as joint tenants with right of survivorship and not as tenants in common
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Dated:
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Shareholder
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NOTICE: THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT
ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.
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Signature(s) Guaranteed:
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By
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