EDC ANNUAL REPORT Value of Exemptions of Stockholders/Partners/Members BENEFICIARY ______________________________ Fiscal Year Ending _______________ Stockholders, Partners, or Members Social Security No. Physical Address % Distributable Shares EDC Income Business Activity Total Tax Due EDC Credit Balance Tax Due TOTAL: $ $ $ Note: Totals of EDC Credit and Balance Tax Due must be carried forward to the EDC Annual Report and reported under Taxes and Duties (See instructions). Page 2 of ______ 0 0 0