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UNITED STATES
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SECURITIES AND EXCHANGE COMMISSION
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Washington, D.C. 20549
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☐
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Rule 13d-1(b)
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☐
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Rule 13d-1(c)
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☑
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Rule 13d-1(d)
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CUSIP No. 46266A109
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1.
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Names of Reporting Persons
Roger E. Susi |
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2.
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Check the Appropriate Box if a Member of a Group (See Instructions)
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(a)
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☐
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(b)
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☐
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3.
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SEC Use Only
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4.
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Citizenship or Place of Organization
United States of America |
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Number of
Shares Beneficially Owned by Each Reporting Person With |
5.
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Sole Voting Power
1,075,000 (1) |
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6.
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Shared Voting Power
4,725,000 (2) |
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7.
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Sole Dispositive Power
1,075,000 (1) |
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8.
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Shared Dispositive Power
4,725,000 (2) |
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9.
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Aggregate Amount Beneficially Owned by Each Reporting Person
5,800,000 (1) |
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10.
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Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) ☐
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11.
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Percent of Class Represented by Amount in Row (9)
52.0% (3) |
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12.
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Type of Reporting Person (See Instructions)
IN |
(1)
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Consists of 1,075,000 shares held by the Roger E. Susi Revocable Trust, of which Roger Susi is the settlor and trustee.
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(2)
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Consists of 2,362,500 shares held by the Matthew Susi 2008 Dynasty Trust and 2,362,500 shares held by the Phillip Susi 2008 Dynasty Trust. Roger Susi is the settlor for each of the trusts, which are irrevocable, but for which Roger Susi holds rights as the settlor to substitute the assets of the trust in certain circumstances. J. Richard Susi, the brother of Roger Susi, is the trustee for each of the trusts.
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(3)
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Based upon 11,158,125 shares outstanding as of December 11, 2015, as reported on the Prospectus Supplement filed on December 18, 2015.
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CUSIP No. 46266A109
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1.
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Names of Reporting Persons
Roger E. Susi Revocable Trust |
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2.
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Check the Appropriate Box if a Member of a Group (See Instructions)
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(a)
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☐
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(b)
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☐
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3.
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SEC Use Only
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4.
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Citizenship or Place of Organization
United States of America |
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Number of
Shares Beneficially Owned by Each Reporting Person With |
5.
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Sole Voting Power
1,075,000 |
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6.
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Shared Voting Power
-0- |
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7.
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Sole Dispositive Power
1,075,000 |
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8.
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Shared Dispositive Power
-0- |
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9.
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Aggregate Amount Beneficially Owned by Each Reporting Person
1,075,000 |
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10.
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Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) ☐
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11.
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Percent of Class Represented by Amount in Row (9)
9.6% (1) |
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12.
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Type of Reporting Person (See Instructions)
OO |
(1)
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Based upon 11,158,125 shares outstanding as of December 11, 2015, as reported on the Prospectus Supplement filed on December 18, 2015.
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CUSIP No. 46266A109
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1.
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Names of Reporting Persons
Matthew Susi 2008 Dynasty Trust |
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2.
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Check the Appropriate Box if a Member of a Group (See Instructions)
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(a)
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☐
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(b)
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☐
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3.
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SEC Use Only
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4.
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Citizenship or Place of Organization
United States of America |
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Number of
Shares Beneficially Owned by Each Reporting Person With |
5.
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Sole Voting Power
2,362,500 |
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6.
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Shared Voting Power
-0- |
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7.
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Sole Dispositive Power
2,362,500 |
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8.
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Shared Dispositive Power
-0- |
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9.
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Aggregate Amount Beneficially Owned by Each Reporting Person
2,362,500 |
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10.
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Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) ☐
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11.
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Percent of Class Represented by Amount in Row (9)
21.2% (1) |
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12.
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Type of Reporting Person (See Instructions)
OO |
(1)
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Based upon 11,158,125 shares outstanding as of December 11, 2015, as reported on the Prospectus Supplement filed on December 18, 2015.
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CUSIP No. 46266A109
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1.
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Names of Reporting Persons
Phillip Susi 2008 Dynasty Trust |
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2.
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Check the Appropriate Box if a Member of a Group (See Instructions)
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(a)
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☐
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(b)
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☐
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3.
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SEC Use Only
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4.
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Citizenship or Place of Organization
United States of America |
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Number of
Shares Beneficially Owned by Each Reporting Person With |
5.
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Sole Voting Power
2,362,500 |
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6.
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Shared Voting Power
-0- |
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7.
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Sole Dispositive Power
2,362,500 |
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8.
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Shared Dispositive Power
-0- |
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9.
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Aggregate Amount Beneficially Owned by Each Reporting Person
2,362,500 |
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10.
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Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) ☐
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11.
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Percent of Class Represented by Amount in Row (9)
21.2% (1) |
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12.
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Type of Reporting Person (See Instructions)
OO |
(1)
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Based upon 11,158,125 shares outstanding as of December 11, 2015, as reported on the Prospectus Supplement filed on December 18, 2015.
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CUSIP No. 46266A109
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Item 1.
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(a)
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Name of Issuer
Iradimed Corporation |
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(b)
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Address of Issuer’s Principal Executive Offices
1025 Willa Springs Dr. Winter Springs, Florida 32708
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Item 2.
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(a)
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Name of Person Filing
(i) Roger E. Susi (ii) Roger E. Susi Revocable Trust
(iii) Matthew Susi 2008 Dynasty Trust
(iv) Phillip Susi 2008 Dynasty Trust
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(b)
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Address of Principal Business Office or, if none, Residence
(i), (ii), (iii), (iv): 1025 Willa Springs Dr. Winter Springs, Florida 32708
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(c)
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Citizenship
United States of America |
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(d)
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Title of Class of Securities
Common Stock, par value $0.0001 per share |
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(e)
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CUSIP Number
46266A109 |
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Item 3.
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If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
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(a)
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Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o);
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(b)
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Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c);
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(c)
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Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c);
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(d)
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Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8);
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(e)
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An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);
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(f)
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An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);
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(g)
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A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);
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(h)
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A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
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(i)
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A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
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(j)
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A non-U.S. institution in accordance with § 240.13d–1(b)(1)(ii)(J);
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(k)
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Group, in accordance with § 240.13d–1(b)(1)(ii)(K). If filing as a non-U.S. institution in accordance with § 240.13d–1(b)(1)(ii)(J), please specify the type of institution:____________________________
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Item 4.
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Ownership
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The information in items 1 through 11 on the cover pages (pages 2 through 5) on Schedule 13G is hereby incorporated by reference.
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Item 5.
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Ownership of Five Percent or Less of a Class
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If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following ☐.
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Not Applicable.
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Item 6.
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Ownership of More than Five Percent on Behalf of Another Person
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Not Applicable.
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Item 7.
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Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person
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Not Applicable.
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Item 8.
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Identification and Classification of Members of the Group
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Not Applicable.
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Item 9.
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Notice of Dissolution of Group
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Not Applicable.
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Item 10.
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Certifications
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Not applicable.
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