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efta-efta00295836DOJ Data Set 9Other

DS9 Document EFTA00295836

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DOJ Data Set 9
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efta-efta00295836
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
4), CT-6 (8/10) Lowey& Menefeelion mint" 68-0776891 0 Legename of corporation Maple, Inc. DBA or trade rune teeny) New York Slate Department of Taxation and Finance Election by a Federal S Corporation to be Treated As a New York S Corporation l ids elation is to be Saul* *rite tot war tagivilig rentInkity) 1224/11 Mark en X in the box federal erection is pending Tel one amber For elitese only Kiang none lx infiew? /Myr Jewil n1,110 rstd a Kellerhals Ferguson LLP Mater am street or PO box St. Thomas State ZIP WO, VI 00802 Stare of incorpwation Date of incorPoretion VI 11/22/11 Date began business in New York State 12/24/11 Monts of shams issued and outstanding 10,000 DOS recolied lbe federal erection to test the osporaeon as an S PorporaSan is ellectis for the tax year beginner 1122/2011 Indicate the month and day your tax year ends Shareholders' unanimous consent and individual affirmation: By signing below each shareholder of the above corporation elects o include all amounts required by Tax Law, Article 22, section 860, in computing his or her New York taxable income and certifies that the personal information given below is to the best of his or her knowledge and belief true, correct, and complete. See Instructions if a continuation sheet or a separate consent statement is needed. A Name and address of each shareholder Oliciude DP code) B Social security numbs or employer klenlif Callon number Stock C ?Wiled D Shareholder's signature (see indrUaions) For this election to be valid. all shareholders must signify consent by signing below. Number of shares Date acquired AutE. triiiimas, Bost,' I Trustee Red l-foo • . er.ste B-3 II:I v 10.000 11/22/11 Total nurnbet 01 OhibiettOklete 1 1 Herber shireadded Stowe naveadierild New Ilark at. Certification: I certify that this election and any attachments are to the best of my knowledge and belief true, correct, and complete. Authorized person Signature of authorized POP3C01. Of kcal tilt E-mail address of authorized person Dote Paid preparer use °WY (see inset) rirm's name eneur irsononnaywo Fora EN Pnaparee's MTN or SSN SigrThasure of incandual preform tie anon Addrons fly Slats ZIP code I E-mall address of :tarot preproirq thw electron reWrois NYTPRIN Dote Sae instructions for whore to file. EFTA00295836

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