SCHEDULE K-1 FORM RECEIPIENTS

#1 Name:		#2 Name:			

SS#		SS#			

PERCENTAGE OF CORP/PARTNERSHIP		
PERCENTAGE OF CORP/PARTNERSHIP			

ADDRESS		
ADDRESS			
CITY 		CITY 			
STATE		STATE			
ZIP		ZIP			
					
#3 Name:		#4 Name:			

SS#		SS#			

PERCENTAGE OF CORP/PARTNERSHIP		
PERCENTAGE OF CORP/PARTNERSHIP			

ADDRESS		
ADDRESS			
CITY 		CITY 			
STATE		STATE			
ZIP		ZIP