Lists time period represented, State of incorporation, former name, address and fiscal year if changed since last report, whether the registrant filed any 1934 Act reports during the past 12 months and has been subject to such filing requirements for the past 90 days, whether the registrant has filed all documents and reports required under the Securities Exchange Act of 1934 subsequent to the distribution of securities, and the number of shares outstanding of each of the company's classes of common stock as of the last practicable date (date is commonly the filing date, NOT the time period covered in the document).
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