SEC Document


Option of Holder to Elect Purchase

If you want to elect to have this Security purchased by the Company pursuant to the Change of Control Offer section of this Security, check the box below:

 

If you want to elect to have only part of the Security purchased by the Company pursuant to the Change of Control Offer section of this Security, state the amount you elect to have purchased:

$                             

Date:

 

Your Signature:    
 

(Sign exactly as your name

appears on the face of this

Security)

Tax Identification No.:    

 

Signature Guarantee:2*    

 

2  Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee).

 

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