10B Schedule 10B-- Information to be included in statements

§ 240.10B-101

Schedule 10B—Information to be included in statements filed pursuant to
§ 240.10B-1(a) and amendments thereto filed pursuant to § 240.10B-1(c).
Securities and Exchange Commission, Washington, DC 20549 Schedule 10B Under the
Securities Exchange Act of 1934 (Amendment No. _) * (Name, Address, Email Address and
Telephone Number of Person Authorized To Receive Notices and Communications) (Date of
Event Which Requires Filing of This Statement or Any Amendment Thereto As Required by
Rule 10B-1(c))
(1) State the name of the reporting person (or names of reporting persons if making a joint filing
as a group). State if the reporting person is a member of a group. If the reporting person is a
member of a group and the members of the group are satisfying the group's Rule 10B-1(a)(1)
(§ 240.10B-1(a)(1)) filing obligation by making individual filings, identify all members of the
group.
(2) State the residency or place of organization of the reporting person(s).
(3) State the type of reporting person(s) (see instructions).
(4) For reporting persons that are legal entities, state the Legal Entity Identifier (LEI) of the
reporting person(s), if such person(s) has an LEI.
(5) State the notional amount of the applicable security-based swap position(s), as defined in
Rule 10B-1(b)(3) (§ 240.10B-1(b)(3)), of the reporting person(s), along with summary
information about the composition of the position as it relates to the direction ( i.e., long or short)
and the tenor/expiration of the underlying security-based swap transactions and the product ID
(17 CFR 242.900(bb)) of the security-based swap(s) included in the security-based swap
position, if applicable.
(6) In the case of a security-based swap position based on debt securities (including credit default
swaps), state the ownership of: (i) All debt securities underlying a security-based swap included
in the security-based swap position, including the Financial Instrument Global Identifier (FIGI)
of each underlying debt security, if applicable, and the LEI of the issuer of each underlying debt
security, if the issuer has an LEI; and (ii) all security-based swaps based on equity securities
issued by the same reference entity, including the FIGI of each underlying equity security, if
applicable. In addition to the FIGI, other unique security identifier(s) may be included at the
filer's option.
(7) In the case of a security-based swap position based on equity securities, state the ownership
of: (i) All equity securities underlying a security-based swap included in the security-based swap
position, including the FIGI of each underlying equity security, if applicable, and the LEI of the
issuer of each underlying equity security, if the issuer has an LEI; and (ii) all security-based
swaps based on debt securities issued by the same reference entity (including credit default

swaps), including the FIGI of each underlying debt security, if applicable. In addition to the
FIGI, other unique security identifier(s) may be included at the filer's option.
(8) State the ownership of any other instrument relating to the security-based swap position
and/or any underlying security or loan or group or index of securities or loans, or any security or
group or index of securities, the price, yield, value, or volatility of which, or of which any
interest therein, is the basis for a material term of a security-based swap included in the securitybased swap position, if not otherwise disclosed pursuant to Items 6 or 7 of this statement. For
any underlying security disclosed pursuant to this Item, disclose the FIGI of the security, if
applicable, and the LEI of the issuer of the security, if the issuer has an LEI. In addition to the
FIGI, other unique security identifier(s) may be included at the filer's option.
(9) To the extent that the reporting threshold amount, as defined in Rule 10B-1(b)(1) (§ 240.10B1(b)(1)), is based on the number of shares corresponding to a security-based swap position based
on equity securities, state the number of shares attributable to the security-based swap position,
along with the closing price used in the calculation and the date of such closing price.
Instructions to Schedule 10B
(1) Type of Reporting Person —Please classify each “reporting person” according to the
following breakdown and place the appropriate symbol (or symbols, i.e., if more than one is
applicable, insert all applicable symbols) on the form:

(2) Incorporation by Reference —Rule 10B-1(e) (§ 240.10B-1(e)) provides that if some or all of
the information required to be disclosed on Schedule 10B is publicly available on EDGAR at the
time the Schedule 10B is required to be filed, such information may be incorporated by reference
in answer, or partial answer, to any item of Schedule 10B. Include an express statement clearly
describing the specific location of the information you are incorporating by reference. You must
include an active hyperlink to information incorporated into Schedule 10B to the applicable link
to EDGAR). The information must not be incorporated by reference in any case where such
incorporation would render the disclosure incomplete, unclear, or confusing. For example,
disclosure must not be incorporated by reference from a second document if that second
document incorporates information pertinent to such disclosure by reference to a third document.
Signature. After reasonable inquiry and to the best of my knowledge and belief, I certify that the
information set forth in this statement is true, complete and correct.
Date
Signature
Name/Title
The original statement shall be signed by each person on whose behalf the statement is filed or
their authorized representative. If the statement is signed on behalf of a person by their
authorized representative (other than an executive officer or general partner of the reporting
person), evidence of the representative's authority to sign on behalf of such person shall be filed
with the statement, provided however, that a power of attorney for this purpose which is already
on file with the Commission may be incorporated by reference.
Attention—Intentional misstatements or omissions of fact constitute Federal criminal violations
(See 18 U.S.C. 1001).