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SCHEDULE 1

(A) The following are the locations of all offices and places of business:

(B) The following were officers or directors, as of

(Date)

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(D) It desires to be classified as engaged in exporting the following products, viz:

(Please limit to products now or about to be exported and supplement by letter when

others are taken on)

(E) Capital: (1) Authorized preferred, $---; par value, $---; issued, $---;

paid in, $--(2) Authorized common, $---; par value, $---; issued, $---;

paid in, $--

(F) The following briefly describes the methods and plan under which our business is done and states our relations with other associations, corporations, and individuals, with such other information as we deem should be in the export files of the Federal Trade Commission:

NOTES

1. The information required by this report is to be furnished to the Federal Trade Commission under "An act to promote export trade, and for other purposes," approved April 10, 1918 (the Export Trade Act), which provides in section 5 thereof as follows:

SEC. 5. That every association now engaged solely in export trade, within sixty days after the passage of this Act, and every association entered into hereafter which engages solely in export trade, within thirty days after its creation, shall file with the Federal Trade Commission a verified written statement setting forth the location of its offices or places of business and the names and addresses of all its officers and of all its stockholders or members, and if a corporation, a copy of its certificate or articles of corporation and by-laws, and if unincorporated, a copy of its articles or contract of association, and on the first day of January of each year thereafter it shall make a like statement of the location of its offices or places of business and the names and addresses of all its officers and of all its stockholders or members and of all amendments to and changes in its articles or certificate of incorporation or in its articles or contract of association. It shall also furnish to the commission such information as the commission may require as to its organization, business, conduct, practices, management, and relation to other associations, corporations, partnerships, and individuals. Any association which shall fail so to do shall not have the benefit of the provisions of section two and section three of this Act, and it shall also forfeit to the United States the sum of $100 for each and every day of the continuance of such failure, which forfeiture shall be payable into the Treasury of the United States, and shall be recoverable in a civil suit in the name of the United States brought in the district where the association has its principal office, or in any district in which it shall do business. It shall be the duty of the various district attorneys, under the direction of the Attorney General of the United States, to prosecute for the recovery of the forfeiture. The costs and expenses of such prosecution shall be paid out of the appropriation for the expenses of the courts of the United States.

2. The word “association” wherever used in the "export trade act” or in this report means “any corporation or combination, by contract or otherwise, of two or more persons, partnerships, or corporations."

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EXHIBIT 5

[Annual Report Form]

FEDERAL TRADE COMMISSION

WASHINGTON, D. C.

REPORT FROM EXPORT ASSOCIATIONS

DUE JANUARY 1, 194--, OF:

1. Name Address

(Here insert address of principal officer) 2. Statement.--This corporation or association was organized or entered into for the sole purpose of engaging in export trade and is now solely engaged in the export trade as defined in the Export Trade Act, approved April 10, 1918, viz: "Trade or commerce in goods, wares, or merchandise exported or in the course of being exported from the United States or any territory thereof, to any foreign nation.”

3. There is hereunto annexed and made a part hereof a schedule showing in paragraph “A” the location of its offices or places of business; in paragraph "B," the names and addresses of all its officers and directors; in paragraph "C,” the names and addresses of all its stockholders or members; in paragraph “D,” all amendments to and changes in its articles or certificate of incorporation, or articles or contract of association and bylaws, since its last report to the Federal Trade Commission.

4. There is also annexed (E) a brief statement describing its methods and plan under which it is doing business, a statement of its relations with other associations, corporations, and individuals, and such other information as this company or association deems should be in the export files of the Federal Trade Commission.

88:

By----
STATE OF
County of -

being first duly sworn, on oath deposes and says that he is an officer, to wit,

of the abovenamed corporation or association; that he has read the foregoing report and schedules annexed and that the same are in all respects true and correct.

(Verifying officer sign here)

Subscribed and sworn to before me this 19 -

day of

Notary Public.

F. T. C. 117.

SCHEDULE 1 (A) The following are the locations of all offices and places of business :

(B) The following were officers or directors, as of January 1, 194 :

Names

Office held

Addresses

(C) The following were stockholders or members, as of January 1, 194

:

Names

Addresses

Number of shares

(D) Since the last report to the Federal Trade Commission the articles of or certificate of incorporation, articles of association, and bylaws have been amended or changed as follows:

(E) The following briefly describes the methods and plan under which our business is done and states our relations with other associations, corporations, and individuals, with such other information as we deem should be in the export files of the Federal Trade Commission:

NOTES

1. The information required by this report is to be furnished to the Federal Trade Commission under "An act to promote export trade, and for other purposes," approved April 10, 1918 (the Export Trade Act), which provides in section 5 thereof as follows:

SEC. 5. That every association now engaged solely in export trade, within sixty days after the passage of this Act, and every association entered into hereafter which engages solely in export trade, within thirty days after its creation, shall file with the Federal Trade Commission a verified written statement setting forth the location of its offices or places of business and the names and addresses of all its officers and of all its stockholders or members, and if a corporation, a copy of its certificate or articles of incorporation and bylaws, and if unincorporated, a copy of its articles or contract of association, and on the first day of January of each year thereafter it shall make a like statement of the location of its offices or places of business and the names and addresses of all its officers and of all its stockholders or members and of all amendments to and changes in its articles or certificate of incorporation or in its articles or contract of association. It shall also furnish to the commission such information as the commission may require as to its organization, business, conduct, practices, management, and relation to other associations, corporations, partnerships, and individuals. Any association which shall fail so to do shall not have the benefit of the provisions of section two and section three of this Act, and it shall also forfeit to the United States the sum of $100 for each and every day of the continuance of such failure, which forfeiture shall be payable into the Treasury of the United States, and shall be recoverable in a civil suit in the name of the United States brought in the district where the association has its principal office, or in any district in which it shall do business. It shall be the duty of the various district attorneys, under the direction of the Attorney General of the United States, to prosecute for the recovery of the forfeiture. The costs and expenses of such prosecution shall be paid out of the appropriation for the expenses of the courts of the United States.

2. The word "association” wherever used in the “export trade act” or in this report means “any corporation or combination, by contract or otherwise, of two or more persons, partnerships, or corporations."

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