EFTA Document EFTA01480642

Full Legal Corporate Name: Darren K. Indyke PLLC 0 Primary Corporate Address (No P.O. Box address. Must be a physiCal address.) Name: Darren K. Indyke PLLC Attention: Address Line 1: 457 Madison Ave. Address Line 2: City: New York State: NY Province: Postal/Zip Code: 10022 Country: UNITED STATES Tax ID C : 300503849 Remember to collect W-8's or other applicable tax forms for each jurisdiction. Business Phone: O- State of Domicile: Where is the Company Incorporated' Wha