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Xueli Zhang China

18 Wuhuaqu Xiaotuanshan 24-1-204


Kunming , Yunnan , 650106 China
18 Wuhuaqu Xiaotuanshan 24-1-204
Kunming , Yunnan , 650106 China

530112199108050014
08/05/1991

Digitally signed by Xueli Zhang Date: 10.20.2022


Xueli Zhang 19:24:15-04:00
10-20-2022
Xueli Zhang
Affidavit Of Unchanged Status

Under penalties of perjury, I declare that I have examined and signed this form and that the information and certifications
contained therein for purposes of establishing tax status under chapter 3, chapter 4 and chapter 61 of the U.S. Internal
Revenue Code remained the same and unchanged from 01/01/2021 through the present, and were true, correct, and
complete for the time period.

Digitally signed by Xueli Zhang


Signature : Date: 10.20.2022
19:24:15-04:00

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