Extract to table

SIGNATURES Both the taxpayer and the Internal Revenue Service must sign this form

(EIN 22-3741856), hereby consents and agrees to the extension of the period of limitations for assessment as described above

Internal Revenue Service Signature For the Commissioner of Internal Revenue: COMMISSIONER OF INTERNAL REVENUE By: ________ Printed Name: Gerald Meskill Title: Supervisory Revenue Agent, Team Manager Large Business & International Division Northeast Transfer Pricing Practice Date: ________ IRS Office: Large Business & International Division, Internal Revenue Service INSTRUCTIONS AND NOTICES Making This Consent Both the taxpayer and the Internal Revenue Service must sign this form

If the taxpayer is a corporation, the consent must be signed by an authorized officer of the corporation

DISTRIBUTION OF EXECUTED COPIES Upon execution by both parties, copies of this Form 872 shall be distributed as follows: 1