Form 0920-1175 PA/PHA Impact Followup

01234567658
5641535
 6 3
 4658
1 253
5641535
 3
 43653 
  ! "

#$%&#'()'*+$,-

./0*1234%-*5&66&7*83
#$%&#'()'

:

39

; <=
11> ?=
:

:
/4,*@AB4236$*./0*+)-6$*C@*#$46)D$'*4EF*G8#-H$#*$I)'$E%$*&G
)234%-J
KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKK
L8M2)--$'*)E*N$4#*C*K*OC
P4%QR#&8E'*1EG-)&ES*
@+H),*),*4E*$B4236$*'$,%#)3-)&E*4M&8-*./0*C*3866$'*G#&2*-H$
+$,-*T$%&#'*N$4#*CKOC*.#&R#42*0%%&236),H2$E-,*U*.8M6)%
/$46-H*0%-)&E,*GV@
KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKK
:
0I4)64M6$*AI)'$E%$*
.6$4,$*'$,%#)M$*-H$*$I)'$E%$*-H4-*%8##$E-6F*$B),-,*G&#*-H$
&8-%&2$*&G*-H$*4%-)&EY'$%),)&EV
:
:
.6$4,$*836&4'*$I)'$E%$*k6$*)G*4I4)64M6$V
:

W39
X1

Z[! >1429 4365658
\]^_^`abcadeeafbghij

123453789
32
93
3
34
42423
99373549
359
98342349
4229
38
389935

"45#$47231"%&23'#834234
8383
3
39
74

(3
)348*+*
#&554
3472335879
491"%'7223893
&35,398)348*+*18984%97253
5-12
"342%9
598#

!

. !
./0

123567289
1

52
2
892

 8!2"#"
53327289
392 1
9

8
3$!2"#"%28
89
383&

12

38'5

2
2
6

2332
733
82.3'

()*+
(,-

/01(2-34+(3*5678789
:;<=<>?@A?BCC?D@EFGH

239
2I
22
2
'

239
J22
2
'
K7932.32
22

%
883

,-

123567289
1

52
2
892

 8!2"#"
53327289
392 1
9

8
3$!2"#"%28
89
383&

12

38'5

2
2
6

2332
733
82.3'

()*+
(,-

/01(2-34+(3*5678789
:;<=<>?@A?BCC?D@EFGH

239
2I
22
2
'

239
J22
2
'
K7932.32
22

%
883
O823

,-L(MN3*

012345657

89