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Printable Form Instructions 8283 San Jose California: What You Should Know

EIN: 07-253928. (Form(s) 990-PF, PF-10, etc. filed on or before October 1, 2011.) 2. EIN (10-Q), EIN (FAR). X ×. 3. Name of recipient organization. 4. Address of recipient organization. 5. Name of each director and officer. 6. Date of inception. 7. Number of directors and officers. 8. Directors and officers as of October 1, 2011. 9. Number of shares held by each director or officer, multiplied by the fair market value of each share (based on the closing price of our common stock as determined by The NASDAQ Stock Market LLC under Regulation S at the end of the most recent fiscal quarter). X × 10. Shareholder's name. 11. Stock ownership. 12. Amount of compensation held by director, officers, and affiliates. 13. Number of shares held by director and executive officer. 14. Date the compensation was granted. 15. Amount of bonus granted to officers. (if it was in excess of 1,000 or, in such event, the value was over 1,000 per day or such other amount) 16. Number of hours worked. 17. Hours of service per year. 18. Number of full or part-time hours worked by director. X 19. Amount of benefits received by director. X 20. Determination by the director or executive officer that he or she has engaged in good faith charitable services. X X21. Identification of the charitable program (i.e. art program, music program, etc.) to benefit which compensation was paid on compensation. 22. Payment or grant date. (i.e. August 9, 2012, or any subsequent date) 23. Amount of compensation paid. A) Total compensation received from all sources during the year. B) The value of any gifts or gifts in kind or cash; plus C) The value of benefits received. 24. Compensation, compensation that was paid during the preceding year. (Deductions may not be taken for the value of gifts received during the preceding year.) 25. Number of employees. X Printable Forms: Form 990-PF, Form 990-EZ, etc.

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