<SEC-DOCUMENT>0000827187-23-000054.txt : 20230629
<SEC-HEADER>0000827187-23-000054.hdr.sgml : 20230629
<ACCEPTANCE-DATETIME>20230629163230
ACCESSION NUMBER:		0000827187-23-000054
CONFORMED SUBMISSION TYPE:	NT 11-K
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20221231
FILED AS OF DATE:		20230629
DATE AS OF CHANGE:		20230629
EFFECTIVENESS DATE:		20230629

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			Sleep Number Corp
		CENTRAL INDEX KEY:			0000827187
		STANDARD INDUSTRIAL CLASSIFICATION:	HOUSEHOLD FURNITURE [2510]
		IRS NUMBER:				411597886
		STATE OF INCORPORATION:			MN
		FISCAL YEAR END:			1230

	FILING VALUES:
		FORM TYPE:		NT 11-K
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	000-25121
		FILM NUMBER:		231057851

	BUSINESS ADDRESS:	
		STREET 1:		1001 THIRD AVENUE SOUTH
		CITY:			MINNEAPOLIS
		STATE:			MN
		ZIP:			55404
		BUSINESS PHONE:		7635517000

	MAIL ADDRESS:	
		STREET 1:		1001 THIRD AVENUE SOUTH
		CITY:			MINNEAPOLIS
		STATE:			MN
		ZIP:			55404

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	SELECT COMFORT CORP
		DATE OF NAME CHANGE:	19980821
</SEC-HEADER>
<DOCUMENT>
<TYPE>NT 11-K
<SEQUENCE>1
<FILENAME>form12b-251.htm
<DESCRIPTION>NT 11-K
<TEXT>
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<title>Document</title></head><body><div id="i68016089269448e89dbef841d9b52792_1"></div><div style="min-height:36.72pt;width:100%"><div><font><br></font></div></div><div style="margin-top:8.95pt;padding-left:151.95pt;padding-right:151.95pt;text-align:center"><font style="color:#221f1f;font-family:'Avenir LT Pro 95 Black',sans-serif;font-size:10pt;font-weight:700;line-height:100%">UNITED STATES</font></div><div style="margin-top:0.5pt;padding-left:151.97pt;padding-right:151.97pt;text-align:center"><font style="color:#221f1f;font-family:'Avenir LT Pro 95 Black',sans-serif;font-size:10pt;font-weight:700;line-height:100%">SECURITIES AND EXCHANGE COMMISSION</font></div><div style="margin-top:0.5pt;padding-left:151.85pt;padding-right:151.85pt;text-align:center"><font style="color:#221f1f;font-family:'Avenir LT Pro 95 Black',sans-serif;font-size:10pt;font-weight:700;line-height:100%">Washington, D.C. 20549</font></div><div><font><br></font></div><div style="margin-top:0.5pt"><font><br></font></div><div style="text-align:center"><font style="color:#000000;font-family:'Avenir LT Pro 95 Black',sans-serif;font-size:14pt;font-weight:700;line-height:100%">FORM 12b-25</font></div><div style="margin-top:0.35pt"><font><br></font></div><div style="padding-left:151.97pt;padding-right:151.97pt;text-align:center"><font style="color:#221f1f;font-family:'Avenir LT Pro 95 Black',sans-serif;font-size:12pt;font-weight:700;line-height:100%">NOTIFICATION OF LATE FILING</font></div><div style="padding-right:150.9pt"><font><br></font></div><div><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:97.665%"><tr><td style="width:1.0%"></td><td style="width:11.326%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:2.610%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:10.586%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:2.610%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:9.994%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:2.450%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:9.550%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:2.610%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:11.326%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:2.314%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:11.326%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:2.166%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:11.332%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="margin-top:4.55pt"><font style="color:#221f1f;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-style:italic;font-weight:400;line-height:100%">(Check one)&#58;</font></div></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">&#9744;</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">Form 10-K</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">&#9744;</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">Form 20-F</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">&#9746;</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">Form 11-K</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">&#9744;</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">Form 10-Q</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">&#9744;</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">Form 10-D</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">&#9744;</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">Form N-CEN</font></td></tr><tr><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">&#9744;</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:11pt;font-weight:400;line-height:100%">Form N-CSR</font></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td></tr></table></div><div style="padding-left:153.05pt;padding-right:150.9pt"><font><br></font></div><div style="padding-right:150.9pt"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:82.061%"><tr><td style="width:1.0%"></td><td style="width:13.688%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:22.315%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:15.097%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:44.500%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:11pt;font-weight:400;line-height:100%">For Period Ended&#58;</font></td><td colspan="6" style="border-bottom:0.5pt solid #000;padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:11pt;font-weight:400;line-height:100%">December 31, 2022</font></td></tr><tr><td colspan="3" style="padding:0 1pt"></td><td colspan="9" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:11pt;font-weight:400;line-height:100%">&#9744;   Transition Report on Form 10-K</font></td></tr><tr><td colspan="3" style="padding:0 1pt"></td><td colspan="9" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:11pt;font-weight:400;line-height:100%">&#9744;   Transition Report on Form 20-F</font></td></tr><tr><td colspan="3" style="padding:0 1pt"></td><td colspan="9" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:11pt;font-weight:400;line-height:100%">&#9744;   Transition Report on Form 11-K</font></td></tr><tr><td colspan="3" style="padding:0 1pt"></td><td colspan="9" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:11pt;font-weight:400;line-height:100%">&#9744;   Transition report on Form 10-Q</font></td></tr><tr><td colspan="3" style="padding:0 1pt"></td><td colspan="6" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:11pt;font-weight:400;line-height:100%">For the Transition Period Ended&#58;</font></td><td colspan="3" style="border-bottom:0.5pt solid #000;padding:0 1pt"></td></tr></table></div><div style="padding-right:150.9pt"><font><br></font></div><div><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:99.976%"><tr><td style="width:1.0%"></td><td style="width:98.900%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="border-bottom:1pt solid #000;border-left:1pt solid #000;border-right:1pt solid #000;border-top:1pt solid #000;padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="text-align:center"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:11pt;font-weight:400;line-height:100%">Read Instruction (on back page) Before Preparing Form. Please Print or Type.</font></div><div style="text-align:center"><font style="color:#000000;font-family:'Avenir LT Pro 95 Black',sans-serif;font-size:11pt;font-weight:700;line-height:100%">Nothing in this form shall be construed to imply that the Commission has verified any</font></div><div style="text-align:center"><font style="color:#000000;font-family:'Avenir LT Pro 95 Black',sans-serif;font-size:11pt;font-weight:700;line-height:100%">information contained herein.</font></div></td></tr></table></div><div style="margin-top:0.15pt"><font><br></font></div><div style="margin-top:0.3pt"><font><br></font></div><div style="margin-top:4.55pt"><font style="color:#221f1f;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">If the noti&#64257;cation relates to a portion of the &#64257;ling checked above, identify the Item(s) to which the noti&#64257;cation relates&#58;</font></div><div style="margin-top:0.4pt"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:99.976%"><tr><td style="width:1.0%"></td><td style="width:98.900%"></td><td style="width:0.1%"></td></tr><tr style="height:15pt"><td colspan="3" style="border-bottom:0.5pt solid #000;padding:0 1pt"></td></tr></table></div><div style="margin-top:9.75pt"><font style="color:#221f1f;font-family:'Avenir LT Pro 95 Black',sans-serif;font-size:12pt;font-weight:700;line-height:100%">PART I &#8212; REGISTRANT INFORMATION</font></div><div style="padding-left:0.08pt"><font><br></font></div><div style="padding-left:0.08pt"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:99.976%"><tr><td style="width:1.0%"></td><td style="width:62.483%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:35.317%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Sleep Number Corp</font></td><td colspan="3" style="padding:0 1pt"></td></tr><tr><td colspan="3" style="border-top:0.5pt solid #000;padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Full Name of Registrant</font></td><td colspan="3" style="border-top:0.5pt solid #000;padding:0 1pt"></td></tr><tr style="height:15pt"><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td></tr><tr><td colspan="3" style="border-top:0.5pt solid #000;padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Former Name if Applicable</font></td><td colspan="3" style="border-top:0.5pt solid #000;padding:0 1pt"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">1001 Third Avenue South</font></td><td colspan="3" style="padding:0 1pt"></td></tr><tr><td colspan="3" style="border-top:0.5pt solid #000;padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Address of principal Executive Office (Street and Number)</font></td><td colspan="3" style="border-top:0.5pt solid #000;padding:0 1pt"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Minneapolis, MN  55404</font></td><td colspan="3" style="padding:0 1pt"></td></tr><tr><td colspan="3" style="border-top:0.5pt solid #000;padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">City, State and Zip Code</font></td><td colspan="3" style="border-top:0.5pt solid #000;padding:0 1pt"></td></tr></table></div><div><font><br></font></div><div style="margin-top:9.7pt"><font style="color:#221f1f;font-family:'Avenir LT Pro 95 Black',sans-serif;font-size:12pt;font-weight:700;line-height:100%">PART II &#8212; RULES 12b-25(b) AND (c)</font></div><div style="margin-top:10.75pt"><font style="color:#221f1f;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:120%">If the subject report could not be &#64257;led without unreasonable effort or expense and the registrant seeks relief pursuant to Rule 12b-25(b), the following should be completed. (Check box if appropriate)</font></div><div style="height:36pt;position:relative;width:100%"><div style="bottom:0;position:absolute;width:100%"><div><font><br></font></div></div></div><hr style="page-break-after:always"><div style="min-height:36.72pt;width:100%"><div><font><br></font></div></div><div><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:99.976%"><tr><td style="width:1.0%"></td><td style="width:5.691%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:2.801%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:88.208%"></td><td style="width:0.1%"></td></tr><tr style="height:26pt"><td colspan="3" rowspan="3" style="padding:2px 1pt;text-align:center;vertical-align:middle"><font style="color:#000000;font-family:'Calibri',sans-serif;font-size:16pt;font-weight:400;line-height:100%">&#9746;</font></td><td colspan="3" style="border-left:1pt solid #000;padding:2px 1pt;text-align:right;vertical-align:top"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(a)</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="margin-top:7.3pt"><font style="color:#221f1f;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:119%">The reason described in reasonable detail in Part III of this form could not be eliminated without unreasonable effort or expense&#59;</font></div></td></tr><tr style="height:62pt"><td colspan="3" style="border-left:1pt solid #000;padding:2px 1pt;text-align:right;vertical-align:top"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(b)</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="margin-top:0.2pt"><font style="color:#221f1f;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:120%">The subject annual report, semi-annual report, transition report on Form 10-K, Form 20-F, Form 11-K, Form N-CEN or Form N-CSR, or portion thereof, will be &#64257;led on or before the &#64257;fteenth calendar day following the prescribed due date&#59; or the subject quarterly report or transition report on Form 10-Q or subject distribution report on Form 10-D, or portion thereof, will be &#64257;led on or before the &#64257;fth calendar day following the prescribed due date&#59; and</font></div></td></tr><tr style="height:24pt"><td colspan="3" style="border-left:1pt solid #000;padding:2px 1pt;text-align:right;vertical-align:top"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(c)</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="margin-top:0.25pt"><font style="color:#221f1f;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">The accountant&#8217;s statement or other exhibit required by Rule 12b-25(c) has been attached if applicable.</font></div></td></tr></table></div><div style="margin-top:7.3pt;padding-left:36pt;text-indent:-14.4pt"><font><br></font></div><div style="width:100.000%"><div style="display:inline-block;vertical-align:top;width:48.108%"><div><font><br></font></div></div><div style="display:inline-block;max-width:3.783%;min-width:2.783%;vertical-align:top"></div><div style="display:inline-block;vertical-align:top;width:48.109%"></div></div><div style="margin-top:5.4pt"><font style="color:#221f1f;font-family:'Avenir LT Pro 95 Black',sans-serif;font-size:12pt;font-weight:700;line-height:100%">PART III &#8212; NARRATIVE</font></div><div style="padding-left:0.08pt"><font><br></font></div><div><font style="color:#221f1f;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:119%">State below in reasonable detail why Forms 10-K, 20-F, 11-K, 10-Q, 10-D, N-CEN, N-CSR, or the transition report or portion thereof, could not be &#64257;led within the prescribed time period.</font></div><div><font><br></font></div><div><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Sleep Number Corp (the &#34;Company&#34;) is in the process of finalizing a Form S-8 for the Sleep Number Corporation Profit Sharing and 401(k) Plan (the &#34;Plan&#34;). The Company seeks an extension to file the Plan's Form 11-K for the period ended December 31, 2022 in order to first finalize and file the related Form S-8. The Company expects to file the Form 11-K within the extension period provided by Rule 12b-25.</font></div><div style="margin-top:0.05pt"><font><br></font></div><div><font style="color:#221f1f;font-family:'Avenir LT Pro 95 Black',sans-serif;font-size:12pt;font-weight:700;line-height:100%">PART IV &#8212; OTHER INFORMATION</font></div><div style="padding-left:0.08pt"><font><br></font></div><div style="margin-top:6.9pt"><font style="color:#221f1f;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(1)&#160;&#160;&#160;&#160;Name and telephone number of person to contact in regard to this noti&#64257;cation</font></div><div><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:99.976%"><tr><td style="width:1.0%"></td><td style="width:18.842%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:28.379%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:2.545%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:13.350%"></td><td style="width:0.1%"></td><td style="width:0.1%"></td><td style="width:1.389%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:30.695%"></td><td style="width:0.1%"></td></tr><tr><td colspan="6" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Samuel Hellfeld</font></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">763</font></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:2px 1pt;text-align:center;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">551-7000</font></td></tr><tr><td colspan="3" style="border-top:0.5pt solid #000;padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(Name)</font></td><td colspan="3" style="border-top:0.5pt solid #000;padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="border-top:0.5pt solid #000;padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(Area Code)</font></td><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="border-top:0.5pt solid #000;padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(Telephone Number)</font></td></tr></table></div><div><font><br></font></div><div style="margin-top:0.3pt"><table style="border-collapse:collapse;display:inline-table;margin-bottom:5pt;vertical-align:text-bottom;width:99.398%"><tr><td style="width:1.0%"></td><td style="width:3.115%"></td><td style="width:0.1%"></td><td style="width:1.0%"></td><td style="width:94.685%"></td><td style="width:0.1%"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:top"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(2)</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:top"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Have all other periodic reports required under Section 13 or 15(d) of the Securities Exchange Act of 1934 or Section 30 of the Investment Company Act of 1940 during the preceding 12 months or for such shorter period that the registrant was required to &#64257;le such report(s) been &#64257;led&#63; If answer is no, identify report(s).&#160;&#160;&#160;&#160;<br>Yes &#9746;   No &#9744;</font></td></tr><tr style="height:15pt"><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td></tr><tr style="height:11pt"><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="border-top:0.5pt solid #000;padding:0 1pt"></td></tr><tr><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:top"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">(3)</font></td><td colspan="3" style="padding:2px 1pt;text-align:left;vertical-align:bottom"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:100%">Is it anticipated that any signi&#64257;cant change in results of operations from the corresponding period for the last &#64257;scal year will be re&#64258;ected by the earnings statements to be included in the subject report or portion thereof&#63;    Yes &#9744;  No &#9746;</font></td></tr><tr style="height:15pt"><td colspan="3" style="padding:0 1pt"></td><td colspan="3" style="padding:0 1pt"></td></tr><tr><td colspan="3" style="border-bottom:1pt solid #000;padding:0 1pt"></td><td colspan="3" style="border-bottom:1pt solid #000;padding:2px 1pt;text-align:left;vertical-align:bottom"><div style="margin-top:0.5pt"><font style="color:#000000;font-family:'Avenir LT Pro 45 Book',sans-serif;font-size:10pt;font-weight:400;line-height:118%">If so, attach an explanation of the anticipated change, both narratively and quantitatively, and, if appropriate, state the reasons why a reasonable estimate of the results cannot be made.</font></div><div style="margin-top:0.35pt"><font><br></font></div></td></tr></table></div><div style="margin-top:6.75pt;padding-right:17.6pt"><font><br></font></div><div style="width:100.000%"><div style="display:inline-block;vertical-align:top;width:48.108%"><div style="padding-left:10.8pt;padding-right:104.45pt"><font><br></font></div></div><div style="display:inline-block;max-width:3.783%;min-width:2.783%;vertical-align:top"></div><div style="display:inline-block;vertical-align:top;width:48.109%"></div></div><div style="height:36pt;position:relative;width:100%"><div style="bottom:0;position:absolute;width:100%"><div><font><br></font></div></div></div></body></html>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
