Country: *
United States
United Arab Emirates
Afghanistan
Antigua and Barbuda
Anguilla
Albania
Armenia
Netherlands Antilles
Angola
Antarctica
Argentina
American Samoa
Austria
Australia
Aruba
Azerbaijan
Bosnia and Herzegovina
Barbados
Bangladesh
Belgium
Burkina Faso
Bulgaria
Bahrain
Burundi
Benin
Bermuda
Brunei Darussalam
Bolivia
Brazil
The Bahamas
Bhutan
Bouvet Island
Botswana
Belarus
Belize
Canada
Cocos Keeling Islands
Congo Democratic Republic of the
Central African Republic
Congo Republic of the
Switzerland
Cote dIvoire
Cook Islands
Chile
Cameroon
China
Colombia
Costa Rica
Cuba
Cape Verde
Christmas Island
Cyprus
Czech Republic
Germany
Djibouti
Denmark
Dominica
Dominican Republic
Algeria
Ecuador
Estonia
Egypt
Western Sahara
Eritrea
Spain
Ethiopia
Finland
Fiji
Falkland Islands Islas Malvinas
Micronesia Federated States of
Faroe Islands
France
France Metropolitan
Gabon
Grenada
Georgia
French Guiana
Guernsey
Ghana
Gibraltar
Greenland
The Gambia
Guinea
Guadeloupe
Equatorial Guinea
Greece
South Georgia and the South Sandwich Islands
Guatemala
Guam
Guinea-Bissau
Guyana
Hong Kong SAR
Heard Island and McDonald Islands
Honduras
Croatia
Haiti
Hungary
Indonesia
Ireland
Israel
Man Isle of
India
British Indian Ocean Territory
Iraq
Iran
Iceland
Italy
Jersey
Jamaica
Jordan
Japan
Kenya
Kyrgyzstan
Cambodia
Kiribati
Comoros
Saint Kitts and Nevis
Korea North
Korea South
Kuwait
Cayman Islands
Kazakhstan
Laos
Lebanon
Saint Lucia
Liechtenstein
Sri Lanka
Liberia
Lesotho
Lithuania
Luxembourg
Latvia
Libya
Morocco
Monaco
Moldova
Madagascar
Marshall Islands
Macedonia The Former Yugoslav Republic of
Mali
Burma
Mongolia
Macao
Northern Mariana Islands
Martinique
Mauritania
Montserrat
Malta
Mauritius
Maldives
Malawi
Mexico
Malaysia
Mozambique
Namibia
New Caledonia
Niger
Norfolk Island
Nigeria
Nicaragua
Netherlands
Norway
Nepal
Nauru
Niue
New Zealand
Oman
Panama
Peru
French Polynesia
Papua New Guinea
Philippines
Pakistan
Poland
Saint Pierre and Miquelon
Pitcairn Islands
Palestinian Territory Occupied
Portugal
Palau
Paraguay
Qatar
Reunion
Romania
Russia
Rwanda
Saudi Arabia
Solomon Islands
Seychelles
Sudan
Sweden
Singapore
Saint Helena
Slovenia
Svalbard
Slovakia
Sierra Leone
San Marino
Senegal
Somalia
Suriname
Sao Tome and Principe
El Salvador
Syria
Swaziland
Turks and Caicos Islands
Chad
French Southern and Antarctic Lands
Togo
Thailand
Tajikistan
Tokelau
Turkmenistan
Tunisia
Tonga
East Timor
Turkey
Trinidad and Tobago
Tuvalu
Taiwan
Tanzania
Ukraine
Uganda
United Kingdom
United States Minor Outlying Islands
Andorra
Uruguay
Uzbekistan
Holy See Vatican City
Saint Vincent and the Grenadines
Venezuela
British Virgin Islands
Virgin Islands
Vietnam
Vanuatu
Wallis and Futuna
Samoa
Yemen
Mayotte
Yugoslavia
South Africa
Zambia
Zimbabwe
Puerto Rico
* Are you a current or former employee of the company?
Yes No
The Plaintiff Certifies that: 1. Plaintiff has reviewed the complaint and authorized its filing. 2. Plaintiff did not acquire the security that is the subject of this action at the direction of plaintiff's counsel or in order to participate in this private action or any other litigation under the federal securities laws. 3. Plaintiff is willing to serve as a representative party on behalf of a class, including providing testimony at deposition and trial, if necessary. 4. Plaintiff represents and warrants that he/she/it is fully authorized to enter into and execute this certification. 5. Plaintiff will not accept any payment for serving as a representative party on behalf of the class beyond the Plaintiff's pro rata share of any recovery, except such reasonable costs and expenses (including lost wages) directly relating to the representation of the class as ordered or approved by the court. 6. Plaintiff has made no transaction(s) during the Class Period in the debt or equity securities that are the subject of this action except those set forth below:
7. I have not served as a representative party on behalf of a class under the federal security laws during the last three years, except if detailed below.
I declare under penalty of perjury, under the laws of the United States, that the information entered is accurate