| 1. |
Title of Security (Instr. 3) |
2. |
Transaction Date (MM/DD/YYYY) |
2a. |
Deemed Execution Date, if
any. (MM/DD/YYYY) |
3. |
Transaction Code (Instr.
8) |
4. |
Securities Acquired (A)
or Disposed of (D) (Instr. 3, 4 and 5) |
5. |
Amount of
Securities Beneficially Owned Following Reported Transactions(s) (Instr.
3 and 4) |
6. |
Ownership Form: Direct
(D) or Indirect (I) (Instr. 4) |
7. |
Nature
of Indirect Beneficial Ownership (Instr.
4) |