CAPITAL INVESTMENT MANAGEMENT

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IRS Form 5329

Link to Form 5329 - 2005 http://www.irs.gov/pub/irs-pdf/f5329.pdf

Link to instructions for completing From 5329 - www.irs.gov/instructions/i5329/ch01.html

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IRS Form 5329
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740 NW Blue Parkway, Suite 301
Lee's Summit, MO 64086

Phone: 816-246-1212 Toll Free 888-307-3878
Fax: 816-246-9959

capitalinvestment @cimretirementpros.com

Securities offered through Securities America, Inc., member FINRA, SIPC.
740 NW Blue Parkway, Suite 301, Lee's Summit, MO 64086, (816) 246-1212
VanDeusen, Garrison, Lundstrom & Schuster, Registered Representatives.

Capital Investment Management, Inc. and Securities America are separate entities.