New York State Department of Taxation and Finance CT-6 Election by a Federal S Corporation ; (6/10) to be Treated As a New York S Corporation "| Tha clection tobe ollactive For office use only for the tax yoar beginning (awmckh- yy 12/24/11 | epkeyer Identification number 66-0776891 ~~ Legal name of corporation Mark an X in the box C] Maple, inc. it federal election is pending cone Date DBA oF trace nama (if ery) received address Mailing name & aifieront hoe Jagat mans) c/o Kellerhals Ferguson LLP Nuanber and sireet or PO bax | the federal section to Veat ihe amber ef shareholders wfio are neeeesde nis ol New York State corporation as an S corporation is 4 Letfoctive for the tax year baginnng 11/22/2011 _ - _ Indicate the month and day your tax year ends ‘signing below each shareholder of the above corporation elects to include ali amounts required by Tax Law, Article 22, section 660, 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 number ____ Stock owned of each shareholder or employer Number of Date firckude 2iP code) identification number shares acquired rey E. Epstein, Trust AOR Rea FG ugse Sie 0-3 PY 10,000 11/22/11 a _ 2 _ _ Signature of authorized person E-mail address of authorized person Firm's nan for poors if sel-ernptoync Preparet's PTIN or SSN Signature of individual preparing this election E-mail address of individual preparing this election ~ [Preparers NYTPRIN- Date See instructions for where to file, EFTA00295836