TRANSACTION NUMBER ASSIGNED 

+---------------------+-----------------+-------------+---------------+
| **16 C.F.R. Part    |                 |             | Approved by   |
| 803 - Appendix**    |                 |             | OMB           |
|                     |                 |             |               |
| ##### NOTIFICA      |                 |             | 3084-0005     |
| TION AND REPORT FOR |                 |             |               |
| M FOR CERTAIN MERGE |                 |             | Expires       |
| RS AND ACQUISITIONS |                 |             | 05/31/2010    |
+---------------------+-----------------+-------------+---------------+
| THE INFORMATION     |                 |             |               |
| REQUIRED TO BE      |                 |             |               |
| SUPPLIED ON THESE   |                 |             |               |
| ANSWER SHEETS IS    |                 |             |               |
| SPECIFIED IN THE    |                 |             |               |
| INSTRUCTIONS        |                 |             |               |
|                     |                 |             |               |
| **** Attach the    |                 |             |               |
| Affidavit required  |                 |             |               |
| by § 803.5 to this  |                 |             |               |
| page.               |                 |             |               |
+---------------------+-----------------+-------------+---------------+
| FEE INFORMATION     |                 |             |               |
| TAXPAYER            |                 |             |               |
| IDENTIFICATION      |                 |             |               |
| NUMBER              |                 |             |               |
|                     |                 |             |               |
| or SOCIAL SECURITY  |                 |             |               |
| NUMBER of payer     |                 |             |               |
|                     |                 |             |               |
| AMOUNT PAID \$      |                 |             |               |
| (*acquiring person  |                 |             |               |
| (and payer if       |                 |             |               |
| different from      |                 |             |               |
| acquiring person))* |                 |             |               |
|                     |                 |             |               |
| In cases where your |                 |             |               |
| filing fee would be |                 |             |               |
| higher if CHECK     |                 |             |               |
| ATTACHED  MONEY    |                 |             |               |
| ORDER ATTACHED     |                 |             |               |
|                     |                 |             |               |
| based on            |                 |             |               |
| acquisition price   |                 |             |               |
| or where the        |                 |             |               |
| acquisition WIRE    |                 |             |               |
| TRANSFER           |                 |             |               |
| CONFIRMATION NO.    |                 |             |               |
| [\_]{.underline}    |                 |             |               |
|                     |                 |             |               |
| price is            |                 |             |               |
| undetermined to the |                 |             |               |
| extent that it may  |                 |             |               |
| FROM: NAME OF       |                 |             |               |
| INSTITUTION         |                 |             |               |
| [\_]{.underline}    |                 |             |               |
|                     |                 |             |               |
| straddle a filing   |                 |             |               |
| fee threshold,      |                 |             |               |
| attach an           |                 |             |               |
| explanation NAME OF |                 |             |               |
| PAYER (if different |                 |             |               |
| from PERSON FILING) |                 |             |               |
|                     |                 |             |               |
| of how you          |                 |             |               |
| determined the      |                 |             |               |
| appropriate fee     |                 |             |               |
|                     |                 |             |               |
| *(acquiring persons |                 |             |               |
| only).*             |                 |             |               |
|                     |                 |             |               |
| Attachment Number   |                 |             |               |
+---------------------+-----------------+-------------+---------------+
| IS THIS A           |                 |             |               |
| CORRECTIVE FILING?  |                 |             |               |
|  YES  NO          |                 |             |               |
+---------------------+-----------------+-------------+---------------+
| IS THIS ACQUISITION |                 |             |               |
| SUBJECT TO FOREIGN  |                 |             |               |
| FILING              |                 |             |               |
| REQUIREMENTS?  YES |                 |             |               |
|  NO\               |                 |             |               |
| If YES, list        |                 |             |               |
| jurisdictions:      |                 |             |               |
| *(voluntary)*       |                 |             |               |
+---------------------+-----------------+-------------+---------------+
| IS THIS ACQUISITION |                 | BANKRUPTCY? |               |
| A CASH TENDER       |                 |  YES  NO  |               |
| OFFER?  YES  NO   |                 |             |               |
+---------------------+-----------------+-------------+---------------+
| DO YOU REQUEST      |                 |             |               |
| EARLY TERMINATION   |                 |             |               |
| OF THE WAITING      |                 |             |               |
| PERIOD? *(Grants of |                 |             |               |
| early termination   |                 |             |               |
| are published in    |                 |             |               |
| the Federal         |                 |             |               |
| Register AND\       |                 |             |               |
| *  YES  NO *on    |                 |             |               |
| the FTC web site    |                 |             |               |
| www.ftc.gov)*       |                 |             |               |
+---------------------+-----------------+-------------+---------------+
| ## ITEM             |                 |             |               |
|  1 -- PERSON FILING |                 |             |               |
|                     |                 |             |               |
| 1(a) NAME and       |                 |             |               |
|                     |                 |             |               |
| > HEADQUARTERS      |                 |             |               |
| > ADDRESS\          |                 |             |               |
| > of PERSON FILING  |                 |             |               |
+---------------------+-----------------+-------------+---------------+
| 1(b) PERSON FILING  |                 |             |               |
| NOTIFICATION IS     |                 |             |               |
|                     |                 |             |               |
|  an acquiring      |                 |             |               |
| person  an         |                 |             |               |
| acquired person    |                 |             |               |
| both                |                 |             |               |
+---------------------+-----------------+-------------+---------------+
| 1(c) PUT AN \"X\"   |                 |             |               |
| IN THE APPROPRIATE  |                 |             |               |
| BOX TO DESCRIBE     |                 |             |               |
| PERSON FILING       |                 |             |               |
| NOTIFICATION        |                 |             |               |
|                     |                 |             |               |
|  Corporation      |                 |             |               |
| Unincorporated      |                 |             |               |
| Entity  Other      |                 |             |               |
| *(Specify):*        |                 |             |               |
+---------------------+-----------------+-------------+---------------+
| 1(d) DATA FURNISHED |                 |             |               |
| BY                  |                 |             |               |
|                     |                 |             |               |
|  calendar year    |                 |             |               |
| fiscal year         |                 |             |               |
| *(specify period )* |                 |             |               |
| (month/year) to     |                 |             |               |
| (month/year)        |                 |             |               |
+---------------------+-----------------+-------------+---------------+

THIS FORM IS REQUIRED BY LAW and must be filed separately by each person
which, by reason of a merger, consolidation or acquisition, is subject
to §7A of the Clayton Act, 15 U.S.C. §18a, as added by Section 201 of
the Hart-Scott-Rodino Antitrust Improvements Act of 1976, Pub. L. No.
94-435, 90 Stat. 1390, and rules promulgated thereunder (hereinafter
referred to as \"the rules\" or by section number). The statute and
rules are set forth in the *Federal Register* at 43 FR 33450; the rules
may also be found at 16 CFR Parts 801-03. Failure to file this
**Notification and Report Form**, and to observe the required waiting
period before consummating the acquisition in accordance with the
applicable provisions of 15 U.S.C. §18a and the rules, subjects any
\"person,\" as defined in the rules, or any individuals responsible for
noncompliance, to liability for a penalty of not more than \$11,000 for
each day during which such person is in violation of 15 U.S.C. §18a.

Pursuant to the Hart-Scott-Rodino Act, information and documentary
material filed in or with this Form is confidential. It is exempt from
disclosure under the Freedom of Information Act, and may be made public
only in an administrative or judicial proceeding, or disclosed to
Congress or to a duly authorized committee or subcommittee of Congress.

**Filing** - Complete and return *two* copies (with one original
affidavit and certification and one set of documentary attachments) of
this Notification and Report Form to: Premerger Notification Office,
Bureau of Competition, Room 303, Federal Trade Commission,
600 Pennsylvania Avenue, N.W., Washington, D.C. 20580. *Three* copies
(with one set of documentary attachments) should be sent to: Director of
Operations and Merger Enforcement, Antitrust Division, Department of
Justice, 950 Pennsylvania Avenue N.W., Room #3335, Washington, D.C.
20530. (For FEDEX airbills to the Department of Justice do not use the
20530 zip code; use zip code 20004.)

DISCLOSURE NOTICE - Public reporting burden for this report is estimated
to vary from 8 to 160 hours per response, with an average of 39 hours
per response, including time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments
regarding the burden estimate or any other aspect of this report,
including suggestions for reducing this burden to:

Premerger Notification Office, H-303, Federal Trade Commission,\
Washington, DC 20580 and\
Office of Information and Regulatory Affairs, Office of Management and
Budget, Washington, DC 20503

Under the Paperwork Reduction Act, as amended, an agency may not conduct
or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB control number.
That number is 3084-0005, which also appears in the upper right-hand
corner of the first page of this form.

Privacy Act Statement\--Section 18a(a) of Title 15 of the U.S. Code
authorizes the collection of this information. Our authority to collect
Social Security numbers is 31 U.S.C. 7701. The primary use of
information submitted on this Form is to determine whether the reported
merger or acquisition may violate the antitrust laws. Taxpayer
information is collected, used, and may be shared with other agencies
and contractors for payment processing, debt collection and reporting
purposes. Furnishing the information on the Form is voluntary.
Consummation of an acquisition required to be reported by the statute
cited above without having provided this information may, however,
render a person liable to civil penalties up to \$11,000 per day. We
also may be unable to process the Form unless you provide all of the
requested information.

+-------+-------+------------------+---+---------------+-----------------+---+
| NAME  |       |                  |   |               | DATE            |   |
| OF    |       |                  |   |               |                 |   |
| P     |       |                  |   |               |                 |   |
| ERSON |       |                  |   |               |                 |   |
| F     |       |                  |   |               |                 |   |
| ILING |       |                  |   |               |                 |   |
| NO    |       |                  |   |               |                 |   |
| TIFIC |       |                  |   |               |                 |   |
| ATION |       |                  |   |               |                 |   |
+-------+-------+------------------+---+---------------+-----------------+---+
| 1(e)  |       |                  |   |               |                 |   |
| PUT   |       |                  |   |               |                 |   |
| AN X  |       |                  |   |               |                 |   |
| IN    |       |                  |   |               |                 |   |
| THE   |       |                  |   |               |                 |   |
| A     |       |                  |   |               |                 |   |
| PPROP |       |                  |   |               |                 |   |
| RIATE |       |                  |   |               |                 |   |
| BOX   |       |                  |   |               |                 |   |
| AND   |       |                  |   |               |                 |   |
| GIVE  |       |                  |   |               |                 |   |
| THE   |       |                  |   |               |                 |   |
| NAME  |       |                  |   |               |                 |   |
| AND   |       |                  |   |               |                 |   |
| AD    |       |                  |   |               |                 |   |
| DRESS |       |                  |   |               |                 |   |
| OF    |       |                  |   |               |                 |   |
| E     |       |                  |   |               |                 |   |
| NTITY |       |                  |   |               |                 |   |
| F     |       |                  |   |               |                 |   |
| ILING |       |                  |   |               |                 |   |
| NO    |       |                  |   |               |                 |   |
| TIFIC |       |                  |   |               |                 |   |
| ATION |       |                  |   |               |                 |   |
| (if   |       |                  |   |               |                 |   |
| other |       |                  |   |               |                 |   |
| than  |       |                  |   |               |                 |   |
| ult   |       |                  |   |               |                 |   |
| imate |       |                  |   |               |                 |   |
| p     |       |                  |   |               |                 |   |
| arent |       |                  |   |               |                 |   |
| en    |       |                  |   |               |                 |   |
| tity) |       |                  |   |               |                 |   |
+-------+-------+------------------+---+---------------+-----------------+---+
|  NA  |      |                  |   |  This report |                 |   |
|       | This  |                  |   | is being      |                 |   |
|       | r     |                  |   | filed on      |                 |   |
|       | eport |                  |   | behalf of the |                 |   |
|       | is    |                  |   | ultimate      |                 |   |
|       | being |                  |   | parent entity |                 |   |
|       | filed |                  |   | by another    |                 |   |
|       | on    |                  |   | entity within |                 |   |
|       | b     |                  |   | the same      |                 |   |
|       | ehalf |                  |   | person        |                 |   |
|       | of a  |                  |   | authorized by |                 |   |
|       | fo    |                  |   | it to file    |                 |   |
|       | reign |                  |   | pursuant to § |                 |   |
|       | p     |                  |   | 803.2(a).     |                 |   |
|       | erson |                  |   |               |                 |   |
|       | pur   |                  |   |               |                 |   |
|       | suant |                  |   |               |                 |   |
|       | to §  |                  |   |               |                 |   |
|       | 8     |                  |   |               |                 |   |
|       | 03.4. |                  |   |               |                 |   |
+-------+-------+------------------+---+---------------+-----------------+---+
| NAME  |       |                  | A |               |                 |   |
| OF    |       |                  | D |               |                 |   |
| E     |       |                  | D |               |                 |   |
| NTITY |       |                  | R |               |                 |   |
| F     |       |                  | E |               |                 |   |
| ILING |       |                  | S |               |                 |   |
| NO    |       |                  | S |               |                 |   |
| TIFIC |       |                  |   |               |                 |   |
| ATION |       |                  |   |               |                 |   |
+-------+-------+------------------+---+---------------+-----------------+---+
| 1(f)  |       |                  |   |               |                 |   |
| NAME  |       |                  |   |               |                 |   |
| AND   |       |                  |   |               |                 |   |
| AD    |       |                  |   |               |                 |   |
| DRESS |       |                  |   |               |                 |   |
| OF    |       |                  |   |               |                 |   |
| E     |       |                  |   |               |                 |   |
| NTITY |       |                  |   |               |                 |   |
| M     |       |                  |   |               |                 |   |
| AKING |       |                  |   |               |                 |   |
| A     |       |                  |   |               |                 |   |
| CQUIS |       |                  |   |               |                 |   |
| ITION |       |                  |   |               |                 |   |
| OR    |       |                  |   |               |                 |   |
| WHOSE |       |                  |   |               |                 |   |
| AS    |       |                  |   |               |                 |   |
| SETS, |       |                  |   |               |                 |   |
| V     |       |                  |   |               |                 |   |
| OTING |       |                  |   |               |                 |   |
| SECUR |       |                  |   |               |                 |   |
| ITIES |       |                  |   |               |                 |   |
| OR    |       |                  |   |               |                 |   |
| NON   |       |                  |   |               |                 |   |
| -CORP |       |                  |   |               |                 |   |
| ORATE |       |                  |   |               |                 |   |
| INTE  |       |                  |   |               |                 |   |
| RESTS |       |                  |   |               |                 |   |
| ARE   |       |                  |   |               |                 |   |
| BEING |       |                  |   |               |                 |   |
| ACQ   |       |                  |   |               |                 |   |
| UIRED |       |                  |   |               |                 |   |
| IF    |       |                  |   |               |                 |   |
| DIFF  |       |                  |   |               |                 |   |
| ERENT |       |                  |   |               |                 |   |
| FROM  |       |                  |   |               |                 |   |
| THE   |       |                  |   |               |                 |   |
| ULT   |       |                  |   |               |                 |   |
| IMATE |       |                  |   |               |                 |   |
| P     |       |                  |   |               |                 |   |
| ARENT |       |                  |   |               |                 |   |
| E     |       |                  |   |               |                 |   |
| NTITY |       |                  |   |               |                 |   |
| IDENT |       |                  |   |               |                 |   |
| IFIED |       |                  |   |               |                 |   |
| IN    |       |                  |   |               |                 |   |
| ITEM  |       |                  |   |               |                 |   |
| 1(a)  |       |                  |   |               |                 |   |
+-------+-------+------------------+---+---------------+-----------------+---+
| PE    |       |                  |   |               |                 |   |
| RCENT |       |                  |   |               |                 |   |
| OF    |       |                  |   |               |                 |   |
| V     |       |                  |   |               |                 |   |
| OTING |       |                  |   |               |                 |   |
| SECUR |       |                  |   |               |                 |   |
| ITIES |       |                  |   |               |                 |   |
| OR    |       |                  |   |               |                 |   |
| NON   |       |                  |   |               |                 |   |
| -CORP |       |                  |   |               |                 |   |
| ORATE |       |                  |   |               |                 |   |
| INTE  |       |                  |   |               |                 |   |
| RESTS |       |                  |   |               |                 |   |
| HELD  |       |                  |   |               |                 |   |
| BY    |       |                  |   |               |                 |   |
| EACH  |       |                  |   |               |                 |   |
| E     |       |                  |   |               |                 |   |
| NTITY |       |                  |   |               |                 |   |
| IDENT |       |                  |   |               |                 |   |
| IFIED |       |                  |   |               |                 |   |
| IN    |       |                  |   |               |                 |   |
| ITEM  |       |                  |   |               |                 |   |
| 1(a)  |       |                  |   |               |                 |   |
+-------+-------+------------------+---+---------------+-----------------+---+
| 1(g)  |       |                  |   |               |                 |   |
| IDEN  |       |                  |   |               |                 |   |
| TIFIC |       |                  |   |               |                 |   |
| ATION |       |                  |   |               |                 |   |
| OF    |       |                  |   |               |                 |   |
| P     |       |                  |   |               |                 |   |
| ERSON |       |                  |   |               |                 |   |
| TO    |       |                  |   |               |                 |   |
| CO    |       |                  |   |               |                 |   |
| NTACT |       |                  |   |               |                 |   |
| REGA  |       |                  |   |               |                 |   |
| RDING |       |                  |   |               |                 |   |
| THIS  |       |                  |   |               |                 |   |
| R     |       |                  |   |               |                 |   |
| EPORT |       |                  |   |               |                 |   |
+-------+-------+------------------+---+---------------+-----------------+---+
| NAME  |       |                  |   |               |                 |   |
| OF    |       |                  |   |               |                 |   |
| CO    |       |                  |   |               |                 |   |
| NTACT |       |                  |   |               |                 |   |
| P     |       |                  |   |               |                 |   |
| ERSON |       |                  |   |               |                 |   |
|       |       |                  |   |               |                 |   |
| TITLE |       |                  |   |               |                 |   |
|       |       |                  |   |               |                 |   |
| FIRM  |       |                  |   |               |                 |   |
| NAME  |       |                  |   |               |                 |   |
|       |       |                  |   |               |                 |   |
| BUS   |       |                  |   |               |                 |   |
| INESS |       |                  |   |               |                 |   |
| AD    |       |                  |   |               |                 |   |
| DRESS |       |                  |   |               |                 |   |
|       |       |                  |   |               |                 |   |
| TELE  |       |                  |   |               |                 |   |
| PHONE |       |                  |   |               |                 |   |
| N     |       |                  |   |               |                 |   |
| UMBER |       |                  |   |               |                 |   |
|       |       |                  |   |               |                 |   |
| FAX   |       |                  |   |               |                 |   |
| N     |       |                  |   |               |                 |   |
| UMBER |       |                  |   |               |                 |   |
|       |       |                  |   |               |                 |   |
| E     |       |                  |   |               |                 |   |
| -MAIL |       |                  |   |               |                 |   |
| AD    |       |                  |   |               |                 |   |
| DRESS |       |                  |   |               |                 |   |
+-------+-------+------------------+---+---------------+-----------------+---+
| \(h\) |       |                  |   |               |                 |   |
| IDEN  |       |                  |   |               |                 |   |
| TIFIC |       |                  |   |               |                 |   |
| ATION |       |                  |   |               |                 |   |
| OF AN |       |                  |   |               |                 |   |
| INDIV |       |                  |   |               |                 |   |
| IDUAL |       |                  |   |               |                 |   |
| LO    |       |                  |   |               |                 |   |
| CATED |       |                  |   |               |                 |   |
| IN    |       |                  |   |               |                 |   |
| THE   |       |                  |   |               |                 |   |
| U     |       |                  |   |               |                 |   |
| NITED |       |                  |   |               |                 |   |
| S     |       |                  |   |               |                 |   |
| TATES |       |                  |   |               |                 |   |
| DESIG |       |                  |   |               |                 |   |
| NATED |       |                  |   |               |                 |   |
| FOR   |       |                  |   |               |                 |   |
| THE   |       |                  |   |               |                 |   |
| LI    |       |                  |   |               |                 |   |
| MITED |       |                  |   |               |                 |   |
| PU    |       |                  |   |               |                 |   |
| RPOSE |       |                  |   |               |                 |   |
| OF    |       |                  |   |               |                 |   |
| RECE  |       |                  |   |               |                 |   |
| IVING |       |                  |   |               |                 |   |
| N     |       |                  |   |               |                 |   |
| OTICE |       |                  |   |               |                 |   |
| OF    |       |                  |   |               |                 |   |
| ISS   |       |                  |   |               |                 |   |
| UANCE |       |                  |   |               |                 |   |
| OF A  |       |                  |   |               |                 |   |
| RE    |       |                  |   |               |                 |   |
| QUEST |       |                  |   |               |                 |   |
| FOR   |       |                  |   |               |                 |   |
| ADDIT |       |                  |   |               |                 |   |
| IONAL |       |                  |   |               |                 |   |
| I     |       |                  |   |               |                 |   |
| NFORM |       |                  |   |               |                 |   |
| ATION |       |                  |   |               |                 |   |
| OR    |       |                  |   |               |                 |   |
| DOCUM |       |                  |   |               |                 |   |
| ENTS. |       |                  |   |               |                 |   |
| (See  |       |                  |   |               |                 |   |
| §     |       |                  |   |               |                 |   |
| 803   |       |                  |   |               |                 |   |
| .20(b |       |                  |   |               |                 |   |
| )(2)( |       |                  |   |               |                 |   |
| iii)) |       |                  |   |               |                 |   |
+-------+-------+------------------+---+---------------+-----------------+---+
| NAME  |       |                  |   |               |                 |   |
| OF    |       |                  |   |               |                 |   |
| CO    |       |                  |   |               |                 |   |
| NTACT |       |                  |   |               |                 |   |
| P     |       |                  |   |               |                 |   |
| ERSON |       |                  |   |               |                 |   |
|       |       |                  |   |               |                 |   |
| TITLE |       |                  |   |               |                 |   |
|       |       |                  |   |               |                 |   |
| FIRM  |       |                  |   |               |                 |   |
| NAME  |       |                  |   |               |                 |   |
|       |       |                  |   |               |                 |   |
| BUS   |       |                  |   |               |                 |   |
| INESS |       |                  |   |               |                 |   |
| AD    |       |                  |   |               |                 |   |
| DRESS |       |                  |   |               |                 |   |
|       |       |                  |   |               |                 |   |
| TELE  |       |                  |   |               |                 |   |
| PHONE |       |                  |   |               |                 |   |
| N     |       |                  |   |               |                 |   |
| UMBER |       |                  |   |               |                 |   |
|       |       |                  |   |               |                 |   |
| FAX   |       |                  |   |               |                 |   |
| N     |       |                  |   |               |                 |   |
| UMBER |       |                  |   |               |                 |   |
|       |       |                  |   |               |                 |   |
| E     |       |                  |   |               |                 |   |
| -MAIL |       |                  |   |               |                 |   |
| AD    |       |                  |   |               |                 |   |
| DRESS |       |                  |   |               |                 |   |
+-------+-------+------------------+---+---------------+-----------------+---+

ITEM 2

+--------------+----------+------+---+----+---------------+------------+
| 2(a) LIST    |          |      | L |    |               |            |
| NAMES OF     |          |      | I |    |               |            |
| ULTIMATE     |          |      | S |    |               |            |
| PARENT       |          |      | T |    |               |            |
| ENTITIES OF  |          |      | N |    |               |            |
| ALL          |          |      | A |    |               |            |
| ACQUIRING    |          |      | M |    |               |            |
| PERSONS      |          |      | E |    |               |            |
|              |          |      | S |    |               |            |
|              |          |      | O |    |               |            |
|              |          |      | F |    |               |            |
|              |          |      | U |    |               |            |
|              |          |      | L |    |               |            |
|              |          |      | T |    |               |            |
|              |          |      | I |    |               |            |
|              |          |      | M |    |               |            |
|              |          |      | A |    |               |            |
|              |          |      | T |    |               |            |
|              |          |      | E |    |               |            |
|              |          |      | P |    |               |            |
|              |          |      | A |    |               |            |
|              |          |      | R |    |               |            |
|              |          |      | E |    |               |            |
|              |          |      | N |    |               |            |
|              |          |      | T |    |               |            |
|              |          |      | E |    |               |            |
|              |          |      | N |    |               |            |
|              |          |      | T |    |               |            |
|              |          |      | I |    |               |            |
|              |          |      | T |    |               |            |
|              |          |      | I |    |               |            |
|              |          |      | E |    |               |            |
|              |          |      | S |    |               |            |
|              |          |      | O |    |               |            |
|              |          |      | F |    |               |            |
|              |          |      | A |    |               |            |
|              |          |      | L |    |               |            |
|              |          |      | L |    |               |            |
|              |          |      | A |    |               |            |
|              |          |      | C |    |               |            |
|              |          |      | Q |    |               |            |
|              |          |      | U |    |               |            |
|              |          |      | I |    |               |            |
|              |          |      | R |    |               |            |
|              |          |      | E |    |               |            |
|              |          |      | D |    |               |            |
|              |          |      | P |    |               |            |
|              |          |      | E |    |               |            |
|              |          |      | R |    |               |            |
|              |          |      | S |    |               |            |
|              |          |      | O |    |               |            |
|              |          |      | N |    |               |            |
|              |          |      | S |    |               |            |
+--------------+----------+------+---+----+---------------+------------+
| 2(b) THIS    |          |      |   | >  |               |            |
| ACQUISITION  |          |      |   |   |               |            |
| IS *(put an  |          |      |   | >  |               |            |
| X in all the |          |      |   |  a |               |            |
| boxes that   |          |      |   | >  |               |            |
| apply)*      |          |      |   |  c |               |            |
|              |          |      |   | on |               |            |
| >  an       |          |      |   | so |               |            |
| >            |          |      |   | li |               |            |
|  acquisition |          |      |   | da |               |            |
| > of assets  |          |      |   | ti |               |            |
| >            |          |      |   | on |               |            |
| >  a merger |          |      |   | >  |               |            |
| > (see §     |          |      |   | (s |               |            |
| > 801.2)     |          |      |   | ee |               |            |
| >            |          |      |   | >  |               |            |
| >  an       |          |      |   |  § |               |            |
| >            |          |      |   | >  |               |            |
|  acquisition |          |      |   | 80 |               |            |
| > subject to |          |      |   | 1. |               |            |
| > § 801.2(e) |          |      |   | 2) |               |            |
| >            |          |      |   | >  |               |            |
| >  a        |          |      |   | >  |               |            |
| > formation  |          |      |   |   |               |            |
| > of a joint |          |      |   | >  |               |            |
| > venture or |          |      |   | an |               |            |
| > other      |          |      |   | >  |               |            |
| >            |          |      |   |  a |               |            |
|  corporation |          |      |   | cq |               |            |
| > or         |          |      |   | ui |               |            |
| > un         |          |      |   | si |               |            |
| incorporated |          |      |   | ti |               |            |
| > entity     |          |      |   | on |               |            |
| > (see §     |          |      |   | >  |               |            |
| > 801.40 or  |          |      |   | of |               |            |
| > § 801.50)  |          |      |   | >  |               |            |
| >            |          |      |   | vo |               |            |
| >  an       |          |      |   | ti |               |            |
| >            |          |      |   | ng |               |            |
|  acquisition |          |      |   | >  |               |            |
| > subject to |          |      |   | se |               |            |
| > § 801.30   |          |      |   | cu |               |            |
| > (*specify  |          |      |   | ri |               |            |
| > type*)     |          |      |   | ti |               |            |
| >            |          |      |   | es |               |            |
| >  other    |          |      |   | >  |               |            |
| >            |          |      |   | >  |               |            |
|  (*specify*) |          |      |   |   |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   |  a |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   |  s |               |            |
|              |          |      |   | ec |               |            |
|              |          |      |   | on |               |            |
|              |          |      |   | da |               |            |
|              |          |      |   | ry |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   |  a |               |            |
|              |          |      |   | cq |               |            |
|              |          |      |   | ui |               |            |
|              |          |      |   | si |               |            |
|              |          |      |   | ti |               |            |
|              |          |      |   | on |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   |   |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   | an |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   |  a |               |            |
|              |          |      |   | cq |               |            |
|              |          |      |   | ui |               |            |
|              |          |      |   | si |               |            |
|              |          |      |   | ti |               |            |
|              |          |      |   | on |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   |  s |               |            |
|              |          |      |   | ub |               |            |
|              |          |      |   | je |               |            |
|              |          |      |   | ct |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   | to |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   |  § |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   | 80 |               |            |
|              |          |      |   | 1. |               |            |
|              |          |      |   | 31 |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   |   |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   |  a |               |            |
|              |          |      |   | cq |               |            |
|              |          |      |   | ui |               |            |
|              |          |      |   | si |               |            |
|              |          |      |   | ti |               |            |
|              |          |      |   | on |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   | of |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   |  n |               |            |
|              |          |      |   | on |               |            |
|              |          |      |   | -c |               |            |
|              |          |      |   | or |               |            |
|              |          |      |   | po |               |            |
|              |          |      |   | ra |               |            |
|              |          |      |   | te |               |            |
|              |          |      |   | >  |               |            |
|              |          |      |   |  i |               |            |
|              |          |      |   | nt |               |            |
|              |          |      |   | er |               |            |
|              |          |      |   | es |               |            |
|              |          |      |   | ts |               |            |
+--------------+----------+------+---+----+---------------+------------+
| 2(c)         |          |      |   |    |               |            |
| INDICATE THE |          |      |   |    |               |            |
| HIGHEST      |          |      |   |    |               |            |
| NOTIFICATION |          |      |   |    |               |            |
| THRESHOLD IN |          |      |   |    |               |            |
| § 801.1(h)   |          |      |   |    |               |            |
| FOR WHICH    |          |      |   |    |               |            |
| THIS FORM IS |          |      |   |    |               |            |
| BEING FILED  |          |      |   |    |               |            |
| *(acquiring  |          |      |   |    |               |            |
| person only  |          |      |   |    |               |            |
| in an\       |          |      |   |    |               |            |
| acquisition  |          |      |   |    |               |            |
| of [voting   |          |      |   |    |               |            |
| s            |          |      |   |    |               |            |
| ecurities]{. |          |      |   |    |               |            |
| underline})* |          |      |   |    |               |            |
|              |          |      |   |    |               |            |
|  \$50       |          |      |   |    |               |            |
| million     |          |      |   |    |               |            |
| \$100        |          |      |   |    |               |            |
| million     |          |      |   |    |               |            |
| \$500        |          |      |   |    |               |            |
| million     |          |      |   |    |               |            |
| 25% (see     |          |      |   |    |               |            |
| I            |          |      |   |    |               |            |
| nstructions) |          |      |   |    |               |            |
|  50%        |          |      |   |    |               |            |
|              |          |      |   |    |               |            |
| (as          |          |      |   |    |               |            |
| adjusted)    |          |      |   |    |               |            |
| (as          |          |      |   |    |               |            |
| adjusted)    |          |      |   |    |               |            |
| (as          |          |      |   |    |               |            |
| adjusted)    |          |      |   |    |               |            |
| (as          |          |      |   |    |               |            |
| adjusted)    |          |      |   |    |               |            |
+--------------+----------+------+---+----+---------------+------------+
| 2(d)(i)      | \(ii\)   | \(i  |   |    | \(iv\) VALUE  | \(v\)      |
| VALUE OF     | PE       | ii\) |   |    | OF            | AGGREGATE  |
| VOTING       | RCENTAGE | V    |   |    | NONCORPORATE  | TOTAL      |
| SECURITIES   | OF       | ALUE |   |    | INTERESTS TO  | VALUE      |
| TO BE HELD   | VOTING   | OF   |   |    | BE HELD AS A  |            |
| AS A RESULT  | SE       | AS   |   |    | RESULT OF THE | \$         |
| OF THE       | CURITIES | SETS |   |    | ACQUISITION   |            |
| ACQUISITION  |          | TO   |   |    |               |            |
|              | \%       | BE   |   |    | \$            |            |
| > \$         |          | HELD |   |    |               |            |
|              |          | AS A |   |    |               |            |
|              |          | RE   |   |    |               |            |
|              |          | SULT |   |    |               |            |
|              |          | OF   |   |    |               |            |
|              |          | THE  |   |    |               |            |
|              |          | ACQ  |   |    |               |            |
|              |          | UISI |   |    |               |            |
|              |          | TION |   |    |               |            |
|              |          |      |   |    |               |            |
|              |          | \$   |   |    |               |            |
+--------------+----------+------+---+----+---------------+------------+

  ---------------------------------------------------- ------------------
  NAME OF PERSON FILING NOTIFICATION                   DATE

  ---------------------------------------------------- ------------------

+-----------------------------------------------------------------------+
| 2(e) If aggregate total value in 2(d)(v) is based in whole or in part |
| on a fair market valuation pursuant to § 801.10(c)(3), identify the   |
| person or persons responsible for making the valuation *(acquiring    |
| persons only)*.                                                       |
+-----------------------------------------------------------------------+
| **ITEM 3**                                                            |
|                                                                       |
| 3(a) DESCRIPTION OF ACQUISITION                                       |
+-----------------------------------------------------------------------+

  ---------------------------------------------------- ------------------
  NAME OF PERSON FILING NOTIFICATION                   DATE

  ---------------------------------------------------- ------------------

+-----------------------------------------------------------------------+
| 3(b)(i) ASSETS TO BE ACQUIRED (to be completed only for asset         |
| acquisitions)                                                         |
+-----------------------------------------------------------------------+
| 3(b)(ii) ASSETS HELD BY ACQUIRING PERSON                              |
+-----------------------------------------------------------------------+
| 3(b)(iii) ASSETS HELD BY UNINCORPORATED ENTITIES                      |
+-----------------------------------------------------------------------+
| 3(c) VOTING SECURITIES TO BE ACQUIRED                                 |
+-----------------------------------------------------------------------+
| > 3(c)(i) LIST AND DESCRIPTION OF VOTING SECURITIES AND LIST OF       |
| > NON-VOTING SECURITIES:                                              |
+-----------------------------------------------------------------------+
| > 3(c)(ii) TOTAL NUMBER OF SHARES OF EACH CLASS OF SECURITY:          |
+-----------------------------------------------------------------------+
| > 3(c)(iii) TOTAL NUMBER OF SHARES OF EACH CLASS OF SECURITY BEING    |
| > ACQUIRED:                                                           |
+-----------------------------------------------------------------------+

  ---------------------------------------------------- ------------------
  NAME OF PERSON FILING NOTIFICATION                   DATE

  ---------------------------------------------------- ------------------

+-----------------------------------------------------------------------+
| > 3(c)(iv) IDENTITY OF PERSONS ACQUIRING SECURITIES:                  |
+-----------------------------------------------------------------------+
| > 3(c)(v) DOLLAR VALUE OF SECURITIES IN EACH CLASS BEING ACQUIRED:    |
+-----------------------------------------------------------------------+
| > 3(c)(vi) TOTAL NUMBER OF EACH CLASS OF SECURITIES TO BE HELD AS A   |
| > RESULT OF THE ACQUISITION:                                          |
+-----------------------------------------------------------------------+
| 3(d) SUBMIT A COPY OF THE MOST RECENT VERSION OF CONTRACT OR          |
| AGREEMENT (or letter of intent to merge or acquire)                   |
|                                                                       |
| DO NOT ATTACH THIS DOCUMENT TO THIS PAGE ATTACHMENT OR REFERENCE      |
| NUMBER OF CONTRACT OR AGREEMENT \_\_\_\_\_\_\_\_\_\_\_\_\_\_          |
+-----------------------------------------------------------------------+

  ------------------------------------------------- ------------ ------------------
  NAME OF PERSON FILING NOTIFICATION                             DATE

                                                                 

  **ITEM 4** PERSONS FILING NOTIFICATION MAY                     
  PROVIDE BELOW AN OPTIONAL INDEX OF DOCUMENTS                   
  REQUIRED TO BE SUBMITTED BY ITEM 4 (See Item by                
  Item instructions). THESE DOCUMENTS SHOULD NOT BE              
  ATTACHED TO THIS PAGE.                                         

                                                                 

  4(a) DOCUMENTS FILED WITH THE UNITED STATES       ATTACHMENT   
  SECURITIES AND EXCHANGE COMMISSION                OR REFERENCE 
                                                    NUMBER       

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

  4(b) ANNUAL REPORTS, ANNUAL AUDIT REPORTS, AND    ATTACHMENT   
  REGULARLY PREPARED BALANCE SHEETS                 OR REFERENCE 
                                                    NUMBER       

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

  4(c) STUDIES, SURVEYS, ANALYSES, AND REPORTS      ATTACHMENT   
                                                    OR REFERENCE 
                                                    NUMBER       

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 

                                                                 
  ------------------------------------------------- ------------ ------------------

  ----------------------------------------------------- -----------------
  NAME OF PERSON FILING NOTIFICATION                    DATE

  ----------------------------------------------------- -----------------

+--------------+------------------------------------+-----------------+
| **ITEM 5**   |                                    |                 |
| (See         |                                    |                 |
| \"           |                                    |                 |
| References\" |                                    |                 |
| listed in    |                                    |                 |
| the General  |                                    |                 |
| Instructions |                                    |                 |
| to the Form. |                                    |                 |
| Refer to the |                                    |                 |
| *North       |                                    |                 |
| American     |                                    |                 |
| Industry     |                                    |                 |
| Cla          |                                    |                 |
| ssification\ |                                    |                 |
| S            |                                    |                 |
| ystem-United |                                    |                 |
| States,      |                                    |                 |
| 2002* (*2002 |                                    |                 |
| NAICS        |                                    |                 |
| Manual*) for |                                    |                 |
| the 6-digit  |                                    |                 |
| (NAICS)      |                                    |                 |
| industry     |                                    |                 |
| codes. Refer |                                    |                 |
| to the *2002 |                                    |                 |
| Numerical    |                                    |                 |
| List of      |                                    |                 |
| Manufactured |                                    |                 |
| and Mineral  |                                    |                 |
| Products*    |                                    |                 |
| (            |                                    |                 |
| EC02M31R-NL) |                                    |                 |
| for the      |                                    |                 |
| 7-digit      |                                    |                 |
| product      |                                    |                 |
| class codes  |                                    |                 |
| and the      |                                    |                 |
| 10-digit     |                                    |                 |
| product      |                                    |                 |
| codes.       |                                    |                 |
| Report       |                                    |                 |
| revenues for |                                    |                 |
| the 7-digit  |                                    |                 |
| product      |                                    |                 |
| class codes  |                                    |                 |
| and 10-digit |                                    |                 |
| product      |                                    |                 |
| codes using  |                                    |                 |
| the codes in |                                    |                 |
| the columns  |                                    |                 |
| labeled      |                                    |                 |
| \"Product    |                                    |                 |
| code.\" For  |                                    |                 |
| further      |                                    |                 |
| information  |                                    |                 |
| on           |                                    |                 |
| NAICS-based  |                                    |                 |
| codes visit  |                                    |                 |
| the          |                                    |                 |
| ww           |                                    |                 |
| w.census.gov |                                    |                 |
| web site.)   |                                    |                 |
+--------------+------------------------------------+-----------------+
| 5(a) DOLLAR  |                                    |                 |
| REVENUES BY  |                                    |                 |
| INDUSTRY     |                                    |                 |
+--------------+------------------------------------+-----------------+
| 6-DIGIT      | DESCRIPTION                        | 2002 TOTAL      |
|              |                                    |                 |
| INDUSTRY     |                                    | DOLLAR REVENUES |
| CODE         |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+

  ---------------------------------------------------- ------------------
  NAME OF PERSON FILING NOTIFICATION                   DATE

  ---------------------------------------------------- ------------------

+--------------+------------------------------------+-----------------+
| ITEM 5(b)(i) |                                    |                 |
| DOLLAR       |                                    |                 |
| REVENUES BY  |                                    |                 |
| MANUFACTURED |                                    |                 |
| PRODUCTS     |                                    |                 |
+--------------+------------------------------------+-----------------+
| 10-DIGIT     | DESCRIPTION                        | 2002 TOTAL      |
|              |                                    |                 |
| PRODUCT CODE |                                    | DOLLAR REVENUES |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+

  ---------------------------------------------------- ------------------
  NAME OF PERSON FILING NOTIFICATION                   DATE

  ---------------------------------------------------- ------------------

+--------------------------------------+---+---+----+-----------------+---+
| ITEM 5(b)(ii) PRODUCTS ADDED OR      |   |   |    |                 |   |
| DELETED                              |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
| DESCRIPTION (10-DIGIT PRODUCT CODE)  | A | D | YE | TOTAL DOLLAR    |   |
|                                      | D | E | AR |                 |   |
|                                      | D | L |    | REVENUES        |   |
|                                      |   | E | OF |                 |   |
|                                      |   | T |    |                 |   |
|                                      |   | E | CH |                 |   |
|                                      |   |   | AN |                 |   |
|                                      |   |   | GE |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+
|                                      |   |   |    |                 |   |
+--------------------------------------+---+---+----+-----------------+---+

+--------------+------------------------------------+-----------------+
| ITEM         |                                    |                 |
| 5(b)(iii)    |                                    |                 |
| DOLLAR       |                                    |                 |
| REVENUES BY  |                                    |                 |
| MANUFACTURED |                                    |                 |
| PRODUCT      |                                    |                 |
| CLASS        |                                    |                 |
+--------------+------------------------------------+-----------------+
| 7-DIGIT      | DESCRIPTION                        | YEAR            |
|              |                                    |                 |
| PRODUCT      |                                    | I\_\_\_\_\_     |
| CLASS        |                                    | \_\_\_\_\_\_\_I |
|              |                                    |                 |
|              |                                    | TOTAL DOLLAR    |
|              |                                    | REVENUES        |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              | (Item 5(b)(iii) continued on page  |                 |
|              | 10)                                |                 |
+--------------+------------------------------------+-----------------+

+--------------+------------------------------------+-----------------+
| NAME OF      |                                    | DATE            |
| PERSON       |                                    |                 |
| FILING       |                                    |                 |
| NOTIFICATION |                                    |                 |
+--------------+------------------------------------+-----------------+
| ITEM         |                                    |                 |
| 5(b)(iii)    |                                    |                 |
| DOLLAR       |                                    |                 |
| REVENUES BY  |                                    |                 |
| MANUFACTURED |                                    |                 |
| PRODUCT      |                                    |                 |
| CLASS -      |                                    |                 |
| CONTINUED    |                                    |                 |
+--------------+------------------------------------+-----------------+
| 7-DIGIT      | DESCRIPTION                        | YEAR            |
|              |                                    |                 |
| PRODUCT      |                                    | I\_\_\_\_\_     |
| CLASS        |                                    | \_\_\_\_\_\_\_I |
|              |                                    |                 |
|              |                                    | TOTAL DOLLAR    |
|              |                                    | REVENUES        |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
| ITEM 5(c)    |                                    |                 |
| DOLLAR       |                                    |                 |
| REVENUES BY  |                                    |                 |
| NON-M        |                                    |                 |
| ANUFACTURING |                                    |                 |
| INDUSTRY     |                                    |                 |
+--------------+------------------------------------+-----------------+
| 6-DIGIT      | DESCRIPTION                        | YEAR            |
|              |                                    |                 |
| INDUSTRY     |                                    | I\_\_\_\_\_     |
| CODE         |                                    | \_\_\_\_\_\_\_I |
|              |                                    |                 |
|              |                                    | TOTAL DOLLAR    |
|              |                                    | REVENUES        |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+
|              |                                    |                 |
+--------------+------------------------------------+-----------------+

  ---------------------------------------------------- ------------------
  NAME OF PERSON FILING NOTIFICATION                   DATE

  ---------------------------------------------------- ------------------

+-----------------------------------------------------------------------+
| 5(d) COMPLETE ONLY IF ACQUISITION IS IN THE FORMATION OF A JOINT      |
| VENTURE CORPORATION OR UNINCORPORATED ENTITY.                         |
+-----------------------------------------------------------------------+
| > 5(d)(i) NAME AND ADDRESS OF THE JOINT VENTURE CORPORATION OR        |
| > UNINCORPORATED ENTITY                                               |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| > 5(d)(ii)                                                            |
| >                                                                     |
| > \(A\) CONTRIBUTIONS THAT EACH PERSON FORMING THE JOINT VENTURE      |
| > CORPORATION OR UNINCORPORATED ENTITY\                               |
| > HAS AGREED TO MAKE                                                  |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| > \(B\) DESCRIPTION OF ANY CONTRACTS OR AGREEMENTS                    |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| > \(C\) DESCRIPTION OF ANY CREDIT GUARANTEES OR OBLIGATIONS           |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| > \(D\) DESCRIPTION OF CONSIDERATION WHICH EACH PERSON FORMING THE    |
| > JOINT VENTURE CORPORATION OR\                                       |
| > UNINCORPORATED ENTITY WILL RECEIVE                                  |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| > 5(d)(iii) DESCRIPTION OF THE BUSINESS IN WHICH THE JOINT VENTURE    |
| > CORPORATION OR UNINCORPORATED ENTITY WILL ENGAGE                    |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| > 5(d)(iv) SOURCE OF DOLLAR REVENUES BY 6-DIGIT INDUSTRY CODE         |
| > (non-manufacturing) AND BY 7-DIGIT PRODUCT CLASS (manufacturing)    |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+

  ---------------------------------------------------- ------------------
  NAME OF PERSON FILING NOTIFICATION                   DATE

  ---------------------------------------------------- ------------------

+-----------------------------------------------------------------------+
| **ITEM 6**                                                            |
|                                                                       |
| > 6(a) ENTITIES WITHIN PERSON FILING NOTIFICATION                     |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| > 6(b) SHAREHOLDERS OF PERSON FILING NOTIFICATION                     |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+

  ---------------------------------------------------- ------------------
  NAME OF PERSON FILING NOTIFICATION                   DATE

  ---------------------------------------------------- ------------------

+-----------------------------------------------------------------------+
| > 6(c) HOLDINGS OF PERSON FILING NOTIFICATION                         |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| **ITEM 7** DOLLAR REVENUES                                            |
|                                                                       |
| > 7(a) 6-DIGIT NAICS CODE AND DESCRIPTION                             |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+
| > 7(b) NAME OF EACH PERSON WHICH ALSO DERIVED DOLLAR REVENUES         |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+

  ---------------------------------------------------- ------------------
  NAME OF PERSON FILING NOTIFICATION                   DATE

  ---------------------------------------------------- ------------------

+-----------------------------------------------------------------------+
| > 7(c) GEOGRAPHIC MARKET INFORMATION                                  |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+

  -----------------------------------------------------------------------
  **ITEM 8** PRIOR ACQUISITIONS (to be completed by acquiring person
  only)

  -----------------------------------------------------------------------

  ---------------------------------------------------- ------------------
  NAME OF PERSON FILING NOTIFICATION                   DATE

  ---------------------------------------------------- ------------------

+----------------------------------------------+-----------------------+
| ### CERTIFICATION                            |                       |
+----------------------------------------------+-----------------------+
| > This **NOTIFICATION AND REPORT FORM,**     |                       |
| > together with any and all appendices and   |                       |
| > attachments thereto, was prepared and      |                       |
| > assembled under my supervision in          |                       |
| > accordance with instructions issued by the |                       |
| > Federal Trade Commission. Subject to the   |                       |
| > recognition that, where so indicated,      |                       |
| > reasonable estimates have been made        |                       |
| > because books and records do not provide   |                       |
| > the required data, the information is, to  |                       |
| > the best of my knowledge, true, correct,   |                       |
| > and complete in accordance with the        |                       |
| > statute and rules.                         |                       |
+----------------------------------------------+-----------------------+
| NAME (Please print or type)                  | TITLE                 |
+----------------------------------------------+-----------------------+
| SIGNATURE                                    | DATE                  |
+----------------------------------------------+-----------------------+

Subscribed and sworn to before me at the

> City of \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, State of
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> this \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_day of
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, the year
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Signature
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> My Commission expires
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\[SEAL\]