Table

Name Status TIN Address City State Zip Name Birthdate Box 1 Box 2 Box 3 Box 4 Box 5 Box 6 Box 7 Box 8 Box 9 Box 10 Box 11 Box 12 Box 13 Box 14 Box 15 Box 16 Box 17 Box 18 Box 19 Box 20 Box 21 Box 22
Aida Guynes Authorized 422843862 9576 Very Long Address Drive Richkarta NY 12401 165 03/15/1979 9626 8633 8299 7634 0 5514 705 7077 1 1347 8434 5475 5738 6122 7114 1202 9974 836 9933 2901 654654.65454.12.131 2
Ajwa Shaffer Pending 100000005 81 NE. Bank Street Merrick NY 11566 104 07/09/1970 8091 3013 2768 2289 0 6397 3388 1710 1 6234 3813 4218 2180 9291 5336 2997 6504 545 2117 6588 654654.65454.12.127 2
Alethia Saine Failed 889355033 621 Old Belmont Lane Addison IL 60101 157 08/01/1963 1859 2369 7632 7811 0 5971 6330 7395 1 269 1867 1586 9953 1640 2863 8083 3290 569 3712 4666 654654.65454.12.141 2
Anaya Ibarra Authorized 962962715 7996 Lake Street Fort Worth TX 76110 117 12/04/1987 8881 2109 1357 9624 0 6143 5086 209 2738 4264 5979 7420 9114 9108 3112 7172 8563 787 5260 654654.65454.12.140 2
Angeles Dipietro Authorized 378171754 7132 West Street Sanddale MN 55347 164 01/13/1977 4919 1029 5924 5423 0 7258 8704 8014 7298 433 7010 9767 3704 4715 882 8509 4443 3175 2882 654654.65454.12.130 2
Ariane Harker Authorized 986297899 1 S. Winding Way St. New Britain CT 06051 160 03/30/1972 908 7644 9697 3193 0 1463 2691 4291 8556 8678 7370 6196 5231 1838 2912 6327 4548 2398 5169 654654.65454.12.126 2
Ava-Mai Jennings Authorized 100000009 9831 Lees Creek Drive Eden Prairie MN 55347 108 02/10/1976 9626 8633 8299 7634 0 5514 705 7077 1 1347 8434 5475 5738 6122 7114 1202 9974 836 9933 2901 654654.65454.12.131 2
Baran Jacobs Authorized 892112014 936 East Howard Ave. Glenview IL 60025 114 03/19/1984 7277 338 2026 8947 0 4187 1302 6561 1 1476 6862 9768 9315 4043 6828 754 8550 2957 715 1318 654654.65454.12.137 2
Bell Lucious Authorized 102797813 39 Snake Hill St. Queensham Falls NY 13021 153 08/25/1959 7277 338 2026 8947 0 4187 1302 6561 1 1476 6862 9768 9315 4043 6828 754 8550 2957 715 1318 654654.65454.12.137 2
Che Rodriguez Authorized 100000008 7747 South Schoolhouse Ave. Santa Clara CA 95050 107 03/27/1974 4919 1029 5924 5423 0 7258 8704 8014 7298 433 7010 9767 3704 4715 882 8509 4443 3175 2882 654654.65454.12.130 2
Chung Fields Authorized 162691799 9271 Newbridge St. New Britain CT 06051 140 06/27/1975 9200 4490 8604 1572 0 8155 8390 3211 8324 5794 4651 1233 1447 7349 9682 7989 1167 1549 8975 654654.65454.12.124 2
Courtnie Wills Authorized 825431439 14 Union Street Kingston NY 12401 109 08/17/1979 4865 8737 5471 4419 0 9832 8462 6404 5769 7950 3776 4712 2209 5797 7217 6922 5994 9292 8785 654654.65454.12.132 2
Cynthia Schmitt Authorized 100000003 32 Stonybrook Ave. Vista CA 92083 102 10/24/1962 6321 1502 8394 5669 0 8850 666 4069 1 6530 8803 8241 1079 1470 7747 7577 8155 7884 2257 8562 654654.65454.12.125 2
Darleen Mcevoy Authorized 080262139 384 Locust Court Addison IL 60101 135 11/21/1968 4579 3698 514 5328 0 4504 4757 5052 295 9963 9246 6403 3284 2341 7439 3634 3949 3588 8459 654654.65454.12.138 2
Donald Householder Authorized 489681611 740 North Wintergreen St. Goshen IN 46526 132 04/03/1963 5173 6436 7099 8480 0 5065 3556 9312 1 2656 7784 404 1273 8889 6530 7702 6721 8795 1270 3270 654654.65454.12.135 2
Edgar Rago Authorized 699760889 1 Gonzales Avenue Santa Clara CA 95050 149 02/06/1989 5592 2145 5786 8331 0 566 200 364 1 951 2419 8267 4549 417 6373 9931 1152 211 4764 7177 654654.65454.12.133 2
Edythe Pilson Authorized 263078245 45 Campfire Road Glenview IL 60025 134 06/22/1967 7277 338 2026 8947 0 4187 1302 6561 1 1476 6862 9768 9315 4043 6828 754 8550 2957 715 1318 654654.65454.12.137 2
Eliot Pham Authorized 100000002 8560 Devon Road Hartford CT 06106 101 12/28/1960 9200 4490 8604 1572 0 8155 8390 3211 8324 5794 4651 1233 1447 7349 9682 7989 1167 1549 8975 654654.65454.12.124 2
Elke Birden Authorized 761374404 306 Old York Ave. York PA 17402 155 12/15/1961 914 7257 8421 68 0 9552 5092 8473 1 4503 3276 8436 2095 5506 8804 3624 8741 6796 2475 8531 654654.65454.12.139 2
Felipa Desrochers Authorized 441267380 9062 Poplar Rd. Roanoke Rapids NC 27870 139 05/20/1975 5075 8927 8405 6680 0 4497 2304 7966 2767 684 6140 4854 5120 2000 6275 459 5740 7035 5833 654654.65454.12.142 2
Fredericka Booth Authorized 127582747 7917 Kirkland St. Merrick NY 11566 146 06/10/1985 4919 1029 5924 5423 0 7258 8704 8014 7298 433 7010 9767 3704 4715 882 8509 4443 3175 2882 654654.65454.12.130 2
Freida Anton Authorized 235942198 7611 Valley St. New Britain CT 06051 138 12/20/1973 1859 2369 7632 7811 0 5971 6330 7395 1 269 1867 1586 9953 1640 2863 8083 3290 569 3712 4666 654654.65454.12.141 2
Haydn Franco Authorized 546845047 59 Glenwood Avenue Key West FL 33040 100 11/30/1955 815 678 795 9059 0 7389 1367 3932 1 62 9097 420 1468 3604 867 5723 1116 9212 2868 4527 654654.65454.12.123 2
Hershel Remer Authorized 839010816 559 Golf St. Merrick NY 11566 124 03/24/1999 8091 3013 2768 2289 0 6397 3388 1710 1 6234 3813 4218 2180 9291 5336 2997 6504 545 2117 6588 654654.65454.12.127 2
Ian Rosenburg Authorized 020838167 389 Lilac St. Hartford CT 06106 121 12/08/1992 9200 4490 8604 1572 0 8155 8390 3211 8324 5794 4651 1233 1447 7349 9682 7989 1167 1549 8975 654654.65454.12.124 2
Iola Oriley Authorized 577032664 9788 S. Bohemia Street Roanoke Rapids NC 27870 141 03/01/1976 6321 1502 8394 5669 0 8850 666 4069 1 6530 8803 8241 1079 1470 7747 7577 8155 7884 2257 8562 654654.65454.12.125 2