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sd-10-EFTA01369091Dept. of Justice

EFTA Document EFTA01369091

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D. To be completed by Trusts. I hereby declare that: (if correct, mark X in the following boxes) D.I. O The trust is NOT and at the date of purchase of its Shares was not a "resident of Israel" for tax purposes as defined under Israeli law and provided in the instructions attached hereto, which means, among other things, that: • The trust is NOT registered in Israel, • The senior of the trust is NOT an Israeli resident, • The beneficiaries of the trust arc NOT Israeli residents, and •

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Dept. of Justice
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sd-10-EFTA01369091
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0
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