[TO BE COMPLETED ON OFFEROR’S LETTERHEAD]

New York State Department of State, Bureau of Fiscal Management. One Commerce Plaza, 11th Floor, Suite 1110. 99 Washington Avenue, Albany, NY. 12231. Applications received after the deadline will be returned to the applicant. New York State Department of State. One Commerce Plaza, 99 Washington Avenue, Suite 1015, Albany NY 12231 ................
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