P
a
rt
N
o
. 360178
Form
No.
F121203A
Page
9
of
1
2
BCDE
FDGGHI
FDGGH
JK L
MNOPQJRL
MNOPQJRL
N
OPQRSTQUUSRVWX
YZ[NY[
N
YZ[NY[
N
\
] ^QP_T`abSTcd eSP
YZ[NZ[
N
YZ[NZ[
N
Y
] ^QP_T_PaeSTcd eSP
YZ[N\f
N
YZ[\[N
N
g
VSQPab] TYhgiTjaWWd kTVWd cl
Yf[NYY
g
Yf[NYY
g
f
UcPSkcQjTYhmnNZTo TNTNhgT
m[gN[fN
Ng
m[gN[fN
Ng
Z
_aOOSPSb` aQWTYf`TQSPQ`d P
YZ[NNN
N
YZ[NNN
N
p
lSXTUq ^QPSTYhNZTo TYhNZToTNr\f
s\[N[m[
Y
s\[N[m[
Y
m
ktSSWTN[rfiTUSRaTjbrTkYhgiTlSXS_Tt^V
YZ[Nfp
\
YZ[Nfp
\
s
kQUtSPTfhNZTOSb_SP
mNp\[\[
g
mNp\[\[
g
N[
kQUtSPTWd clTfhNZT`kaU`S_T`d d `t
mNmN[[m
\
mNmN[[m
\
NN
UcPSkcQjTfhNZnNmToTNiT
m[gN[\m
\
m[gN[\m
\
N\
] ^QP_T_aOOSPSb`aQWTQS
YZ[NsZ
N
YZ[NsZ
N
NY
UcPSkTUSWOT` QjTNhgTo TYhgiT
fN[\[m
m
fN[\[m
m
Ng
u QclUtQO`TQSPQ`d PT
YZ[\fY
N
YZ[\fY
N
Nf
VSQPab] TNiTjaWWd kTVWd cl
mN[p[[
\
mN[p[[
\
NZ
b^`TWd clTYhmnNZ
mNZ[[[Y
Y[
mNZ[[[Y
Y[
Np
cd aWS_TjabTNhgiTnT\rfiTWd b]
YZ[\fp
g
YZ[\fp
g
Nm
j^WWSXTmiTo TNiTVd PSTkhTtd WS
YZ[\Yp
N
YZ[\Yp
N
Ns
Ujd clS`TNZ`o TNiTVd PS
YZ[\Z[
\
YZ[\Z[
\
\[
VSW`TgWTo TgYiTjd kSPTPQ`S_
YZ[N\[
N
YZ[N\[
N
\N
ctQabTvg[ToTsgTja`ctTd nPab] TwktSSWx
YZ[NNf
N
YZ[NNf
N
\\
ctQabTvg[ToTpZTja`ctTd nPab] Tw`abSx
YZ[NNg
N
YZ[NNg
N
\Y
j^WWSXTa_WSPTgrfi
f[[\p[
N
f[[\p[
N
\g
QPRTa_WSPTkQ
fN[Nss
N
fN[Nss
N
\f
VPQclS`TRd ^b`Ta_WSP
YZ[N\N
N
YZ[N\N
N
\Z
VSW`TOab] SPTOPd b`TQS
YZ[\Ns
N
YZ[\Ns
N
\p
UcPSkcQjTYhmnNZTo TNTNh\T
m[gN[f\
N
m[gN[f\
N
\m
Vd W`TUtd ^W_SPTNh\ToTN
f[[NNg
N
f[[NNg
N
\s
UjPd clS`Ta_WSPTNp`To TfhmiTVd PS
YZ[NNZ
\
YZ[NNZ
\
Y[
UjQcSPTUjPd clS` Ta_WSPT\rfi
YZ[N\Y
N
YZ[N\Y
N
YN
UcPSkTcQjTNh\TnTNYTo Tg
m[gNN[Z
N
m[gNN[Z
N
Y\
UjQcSPTUjPd clS` Ta_WSPTNrYi
YZ[N\g
N
YZ[N\g
N
YY
UcPSkTcQjTNh\TnTNYTo T\rfi
m[gNN[[
N
m[gNN[[
N
Yg
V^RjSP
YZ[NYs
N
YZ[NYs
N
Yf
Vd W`TUtd ^W_SPTYhgToT\rf
YZ[NgZ
\
YZ[NgZ
\
YZ
b^`TWd clTfhmnNNT`tab
mNZN[gZ
\
mNZN[gZ
\
Yp
V^Utab] Tjaed `
YZ[NmY
g
YZ[NmY
g
Ym
Vd W`TcQPPaQ] STYhmnNZTo TNr\fi
m[\g[fs
g
m[\g[fs
g
Ys
tQb_WSTWaO`TPtTkQ
YZ[Ngm
N
YZ[Ngm
N
g[
tQb_WSTWaO`TWtTkQ
YZ[Ngs
N
YZ[Ngs
N
gN
WablTWaO`TWd kSP
YZ[NfN
\
YZ[NfN
\
g\
WablTWaO`T^jjSP
YZ[Nf[
\
YZ[Nf[
\
gY
kQUtSPTOWQ`TYhmTUQS
mNp\[[s
\g
mNp\[[s
\g
gg
UcPSkcQjTYhmTnNZTo N
m[gN[f[
N[
m[gN[f[
N[
gf
UjPab] TSy`SbUad b
YZ[Nfg
\
YZ[Nfg
\
gZ
Pd _TWaO `
YZ[NZZ
\
YZ[NZZ
\
gp
jabTPab] TNh\i
YZ[\\Y
g
YZ[\\Y
g
gm
tQb_WST^jSSPTQS
YZ[\N[
N
YZ[\N[
N
gs
OWQ`TkQUtSPTNh\
mNpN[[Z
g
mNpN[[Z
g
f[
b^`TWd clTfhNZnNm
mNZ[[[\
mY
mNZ[[[\
mY
fN
UcPSkcQjTfhNZnNmToT\TNhgi
m[gN[YY
\
m[gN[YY
\
f\
tQb_WSTWaO`
YZ[NZp
N
YZ[NZp
N
fY
Vd W`TUtd ^W_SPTYhmTyTN
YZ[Nf\
\
YZ[Nf\
\
fg
VQaWTcW^`ct
YZ[NZm
N
YZ[NZm
N
SDTUVBMCBK J
W CX
W CX
BCDE
FDGGHI
FDGGH
JKL
MNOPQJRL
MNOPQJRL
ff
cQVWSTcW^`ctTQUUX
YZ[NNs
N
YZ[NNs
N
fZ
cQVWST`tPd``WSTQUUX
YZ[\[\
N
YZ[\[\
N
fp
kSa]t`T
YZ[NZ\
N
YZ[NZ\
N
fm
kQUtSPTP^VVSPTfhmToTNrf
gY[\N[
\
gY[\N[
\
fs
Sb]abSTfrfTtj
YZ[N\Z
N
YZ[N\p
N
Z[
j^WWSXTSb]abS
YZ[NNp
N
YZ[NNp
N
ZN
UjPdclS`Tg\T`
YZ[N[Z
N
YZ[N[Z
N
Z\
UjQcSP
YZ[N[p
Y
YZ[N[p
Y
ZY
cQjTUcPSkTfhNZnNmToTNrpfiT
m[gN[YN
Y
m[gN[YN
Y
Zg
`abSTjWQ`S
YZ[N[N
N[
YZ[N[N
N[
Zf
`abS
YZ[N[[
Y[
YZ[N[[
Y[
ZZ
UjQcSP
YZ[N[f
Z
YZ[N[f
Z
Zp
UjQcSP
YZ[N[g
g
YZ[N[g
g
Zm
`XnkPQj
s[[g[p
Y
s[[g[p
Y
Zs
UjQcSP
mY[NNY
N
mY[NNY
N
p[
kQUtSPTWdclTphmiTab`SPbQW
Yf[Nfg
N
Yf[Nfg
N
pN
b^`TuQRTphmTnNgTw`z{|}~TN[[Trx
Yf[Nff
N
Yf[Nff
N
p\
VdW`TcQPPaQ]STfhNZTnNmToTNrpfi
m[\g[gY
Z[
m[\g[gY
Z[
pY
UtQO`T`abST_PaeS
YZ[N[\
N
YZ[N[\
N
pg
UcPSkTcQjTfhNZTnTNmToTNrfi
m[gN[Y[
g
m[gN[Y[
g
pf
kQUtSPTTOWQ`Tc^`TfhNZ
mNpN[[Y
NY
mNp[[Y
NY
pZ
kQUtSPTNhgTOWQ`Tc^`
mNpN[[\
\
mNpN[[\
\
pp
WQVSWTtd`TSb]abS
g[[\Zm
N
g[[\Zm
N
pm
WQVSWT_Qb]SPT]^QP_
s[[Y\p
\
s[[Y\p
\
ps
WQVSWTabU`P^c`adbUTQS
YZ[NsN
N
YZ[NsN
N
m[
b^`TWdclTNh\TnNY
mNZN[gg
\
mNZN[gg
\
mN
UjQcSP
YZ[N[s
N
YZ[N[s
N
m\
tQb_WSTWdkSPTkQ
YZ[\[s
\
YZ[\[s
\
mY
jabTRd^b`TVQP
YZ[NZN
\
YZ[NZN
\
mg
WQVSWTWaO`TtSPS
YZ[Nmp
g
YZ[Nmp
g
mf
WQVSWTkQPbab]TkSa]t`
YZ[Nmm
\
YZ[Nmm
\
mZ
OPQRSTPSQPTkQ
YZ[NgY
N
YZ[NgY
N
mp
b^`TOWQb]STNhgn\[
s[[gfY
g
s[[gfY
g
mm
Pa]TcQU`SPThQyWS Tb^`TTV^Utab]T
YZ[Nff
\
YZ[Nff
\
ms
VdW`TcQPPQa]STNhgn\[ToTNTYhg
m[\g[\f
N
m[\g[\f
N
s[
UjQcSPTkQUtSPTbXWdb
m[[N[s
m
m[[N[s
m
sN
`aPSTTktSSWTmiT
YZ[NfZ
\
YZ[NfZ
\
s\
VdW`TUtd^W_SPTYhmToTNh\i
mY[f\m
g
mY[f\m
g
sY
VdW`TUtd^W_SPTYhmToTYhgi
YZ[Nmg
\
YZ[Nmg
\
sg
VdW`TUtd^W_SPTYhmTyTNi
YZ[Nf\
\
YZ[Nf\
\
sf
VdW`TUtd^W_SPTYhmToT\i
YZ[NfY
\
YZ[NfY
\
sZ
kQUtSPTYhmT_aQTOrcr
mNpN[[g
\
mNpN[[g
\
sp
V^Utab]TUtd^W_SPTbXWdbTYhmTa_
YZ[Npf
m
YZ[Npf
m
sm
b^`TWdclTNhgoT\[
mNZ[[[N
\
mNZ[[[N
\
ss
UcPSkTcQjTNhgTnT\[To\i
m[gN[N[
N
m[gN[N[
N
N[[
tQPbSUUTkaPSTQS
YZ[Nss
N
n
n
N[N
VPQclS`TRd^b`TUka`ct
gY[NgN
N
n
n
N[\
Uka`ctTdbndOO
f[[\mN
N
n
n
N[Y
b^`TnTjQWTYhm
YZ[\Nm
\
YZ[\Nm
\
N[g
]PajTWSeSP
f[[NmN
g
f[[NmN
g
N[f
b^`TWdclTfhNZTnNmT`tab
mNZN[gN
\
mNZN[gN
\
N[Z
kQUtSPTNr[Z\iTa_TyTNrpfTd_
mNp\[\N
N
mNp\[\N
N
N[p
dnPab]TYiTcQU`SP
YZ[\mN
\
YZ[\mN
\
N[m
ctQabTRQU`SPTWabl
YZ[\[f
\
YZ[\[f
\
SDTUVBMCBKJ
WCX
WCX