EFTA00295836.pdf

4), CT-6 New York Slate Department of Taxation and Finance Election by a Federal S Corporation (8/10) to be Treated As a New York S Corporation l Lowey& Menefeelion mint" ids elationis to be Saul* For elitese only *rite tot war 68-0776891 tagivilig rentInkity) 1224/11 Legename of corporation Mark en X in the box Maple, Inc. federal erection is pending DOSrecolied DBA or trade rune teeny) Tel one amber 0 Kiang none lx infiew? /Myr Jewil n1,110 Stare of incorpwation Date of incorPoretion rst d a Kellerhals Ferguson LLP VI 11/22/11 Mater am street or PO box Date began business in New York State 12/24/11 State ZIP WO, Monts of shams issued and outstanding St. Thomas VI 00802 10,000 lbe federal erection to test the Total nurnbet 01 OhibiettOklete Herber shireadded Stowe naveadierild New Ilark at. osporaeon as an S PorporaSan is ellectis for the tax year beginner 1122/2011 1 1 Indicate the month and day your tax year ends Shareholders' unanimous consent and individual affirmation: By signing below each shareholder of the above corporation elects o include all amounts required by Tax Law, Article 22, section 860, in computing his or her New York taxable income and certifies that the personal information given below is to the best of his or her knowledge and belief true, correct, and complete. See Instructions if a continuation sheet or a separate consent statement is needed. A B C D Name and address Social security numbs Stock ?Wiled Shareholder's signature (see indrUaions) of each shareholder or employer Number of Date For this election to be valid. all shareholders Oliciude DP code) klenlifCallon number shares acquired must signify consent by signing below. AutE. Red Bost,'I• Trustee l-foo • . er.ste B-3 triiiimas, v II:I 10.000 11/22/11 Certification: I certify that this election and any attachments are to the best of my knowledge and belief true, correct, and complete. Signature of authorized POP3C01. Of kcal tilt Authorized person E-mail address of authorized person Dote Paid rirm's name eneur irsononnaywo Fora EN Pnaparee's MTN or SSN preparer SigrThasure of incandual preform tie anon Addrons fly Slats ZIP code use °WY E-mall address of :tarot preproirq thw electron reWrois NYTPRIN — I Dote (see inset) Sae instructions for whore to file. EFTA00295836