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Name:

Filing Date Range:

Trade Date Range:

Title:

Officer

CEO

CFO

COO

COB

Pres

GC

Dir

10% Own

Other

Transaction Type:

P - Purchase

S - Sale

A - Grant

D - Issuer

G - Gift

F - Taxes

M - Option Ex

X - Option Ex

C - Cnv Deri

W - Inherited

Exclude 10b5-1:

IQ:

First Action

Trend Reversal

Insider Re-initiation

Company Re-initiation

Transaction Value:

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$

Share Price:

$

$

Share Quantity:

Change in Ownership:

%

%

Shares Owned:

Market Cap:

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