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APPENDIX 
Questionnaire 
(To be signed by an officer of the company) 
This questionnaire accompanies application of the. 
for the listing of....... . Cree 
+—Is the management control of the Company held by any other Company 
through either stock ownership, lease or contract?.................... 
2—Are there within your knowledge any syndicate or concentrated holdings 
of this security?........ Ce eee cen 
3—Is there any restraint on any portion of the security?.................. 
4—What dividends (if any), are in arrears on the preferred stocks either 
of the Company or of any of its subsidiaries?....... ieee. 
5—What dividends (if any) have been declared (and not paid) since the 
date of this application?............ eens 
6—What rights (if any) to subscribe to any present securities or new 
securities remain unsettled as of the date of this application?.......... 
7—Are the transfer books to be closed or a record of stockholders to be 
taken in the near future for any purpose? ......ccvvviviierinrnnrennns. 
3—Has there been any change in your Charter or By-Laws since previous 
filing with the Committee?...... caw 
9— Will you agree to publish quarterly statements of earnings showing net 
after all charges and taxes, and forward two copies to this Committee 
with a statement as to the manner and date of publication?............ 
iv—Will you agree that all annual financial statements of the Company 
published for the benefit of stockholders will be in substantially the 
same form as contained in the listing application and with no less 
detail? ....... . ees 
~If it is legal under your Charter will you agree to take a record of 
stockholders for dividends and meetings instead of closing your books? 
ee... 103.... 
—To avoid the congestion caused by the fact that numerous corporations 
have adopted the same date of record of stockholders for payment of 
dividends, will you agree to make your record date of stockholders for 
such purpose some date other than the 15th of March, June, September 
and December? ........% .. .. oo... eee. 
-3—When and by whom was the last audit of your books prepared?........ 
r4—WIill you make copies of the audits of your books available to the Com- 
mittee on request?........ . -. ris 8 
.—Have any other reports of a financial, accounting or engineering nature 
been made either on your behalf or on behalf of any banker or under- 
writing or banking. group within the past three years? If so, please 
indicate the character of these reports and state whether they will be 
made available for the inspection of this Committee upon request? 
10—Is there any litigation pending or threatened that would affect the Com- 
panv’s income from, title to, or possession of anv of its property? 
—Will you agree to maintain the office of your Transfer Agent and 
Registrar south of Chambers Street in order to facilitate business? 
oe