Report of Organizational Actions  
Form  8937                                                                                                             OMB No. 1545-2224
(December 2011)                                Affecting Basis of Securities
Department of the Treasury                             ▶ See separate instructions.
Internal Revenue Service 
Part I  Reporting Issuer
1   Issuer's name                                                                           2   Issuer's employer identification number (EIN)

3   Name of contact for additional information 4   Telephone No. of contact                 5  Email address of contact

6   Number and street (or P.O. box if mail is not delivered to street address) of contact   7 City, town, or post office, state, and Zip code of contact 

8   Date of action                                 9   Classification and description       

10   CUSIP number           11   Serial number(s)      12   Ticker symbol                   13   Account number(s)

Part II Organizational Action Attach additional statements if needed. See back of form for additional questions.
14    Describe the organizational action and, if applicable, the date of the action or the date against which shareholders' ownership is measured for 
      the action ▶

15    Describe the quantitative effect of the organizational action on the basis of the security in the hands of a U.S. taxpayer as an adjustment per 
      share or as a percentage of old basis ▶

16    Describe the calculation of the change in basis and the data that supports the calculation, such as the market values of securities and the  
      valuation dates ▶

For Paperwork Reduction Act Notice, see the separate Instructions.                        Cat. No. 37752P              Form 8937 (12-2011)

Form 8937 (Rev. 12-2011)                                                                                                                                      Page 2 
Part II Organizational Action (continued)

17 List the applicable Internal Revenue Code section(s) and subsection(s) upon which the tax treatment is based ▶ 

18 Can any resulting loss be recognized? ▶

19 Provide any other information necessary to implement the adjustment, such as the reportable tax year ▶

     Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge  and 
     belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign 
Here Signature ▶                                               Date ▶

     Print your name ▶                                         Title ▶
         Print/Type preparer’s name       Preparer's signature Date
Paid                                                                                                             Check         if PTIN
                                                                                                                 self-employed
Preparer 
Use Only Firm’s name      ▶                                                                                      Firm's EIN  ▶
         Firm's address  ▶                                                                                       Phone no.
Send Form 8937 (including accompanying statements) to: Department of the Treasury, Internal Revenue Service, Ogden, UT 84201-0054