CUSIP NO. 760416107
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Schedule 13G
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Page 2 of 10
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1
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NAMES OF REPORTING PERSONS
The Evergreen Trust B
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
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(a) [ ]
(b) [ ]
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
Pennsylvania
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NUMBER OF SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
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5
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SOLE VOTING POWER
0
|
||
6
|
SHARED VOTING POWER
2,019,438 (1)
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7
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SOLE DISPOSITIVE POWER
0
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|||
8
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SHARED DISPOSITIVE POWER
2,019,438 (1)
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,019,438 (1)
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10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[ ]
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.6% (1) (2)
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12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
OO (Trust)
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(1)
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See Item 4.
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(2)
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The percentage of Common Stock reported herein as being beneficially owned by the Reporting Person is based on the sum of (i) 25,972,897 shares of Common Stock outstanding as of December 31, 2010, which information has been provided to the Reporting Person by the Issuer, and (ii) 461,538 shares issuable upon the conversion of 3,000 trust preferred securities of Republic First Bancorp Capital Trust IV, which trust preferred securities are currently convertible.
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CUSIP NO. 760416107
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Schedule 13G
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Page 3 of 10
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1
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NAMES OF REPORTING PERSONS
Brooke C. Madonna
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
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(a) [ ]
(b) [ ]
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||
3
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SEC USE ONLY
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|||
4
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CITIZENSHIP OR PLACE OF ORGANIZATION
Pennsylvania
|
|||
NUMBER OF SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
|
5
|
SOLE VOTING POWER
0
|
||
6
|
SHARED VOTING POWER
2,019,438 (1)
|
|||
7
|
SOLE DISPOSITIVE POWER
0
|
|||
8
|
SHARED DISPOSITIVE POWER
2,019,438 (1)
|
|||
9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,019,438 (1)
|
|||
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[ ]
|
|||
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.6% (1) (2)
|
|||
12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
|
(1)
|
See Item 4.
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(2)
|
The percentage of Common Stock reported herein as being beneficially owned by the Reporting Person is based on the sum of (i) 25,972,897 shares of Common Stock outstanding as of December 31, 2010, which information has been provided to the Reporting Person by the Issuer, and (ii) 461,538 shares issuable upon the conversion of 3,000 trust preferred securities of Republic First Bancorp Capital Trust IV, which trust preferred securities are currently convertible.
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CUSIP NO. 760416107
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Schedule 13G
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Page 4 of 10
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1
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NAMES OF REPORTING PERSONS
Harry Dillon Madonna
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
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(a) [ ]
(b) [ ]
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3
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SEC USE ONLY
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|||
4
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CITIZENSHIP OR PLACE OF ORGANIZATION
Pennsylvania
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NUMBER OF SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
|
5
|
SOLE VOTING POWER
11,934
|
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6
|
SHARED VOTING POWER
2,019,438 (1)
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|||
7
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SOLE DISPOSITIVE POWER
11,934
|
|||
8
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SHARED DISPOSITIVE POWER
2,019,438 (1)
|
|||
9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,031,372 (1)
|
|||
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[ ]
|
|||
11
|
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.7% (1) (2)
|
|||
12
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TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
|
(1)
|
See Item 4.
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(2)
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The percentage of Common Stock reported herein as being beneficially owned by the Reporting Person is based on the sum of (i) 25,972,897 shares of Common Stock outstanding as of December 31, 2010, which information has been provided to the Reporting Person by the Issuer, and (ii) 461,538 shares issuable upon the conversion of 3,000 trust preferred securities of Republic First Bancorp Capital Trust IV, which trust preferred securities are currently convertible.
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CUSIP NO. 760416107
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Schedule 13G
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Page 5 of 10
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1
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NAMES OF REPORTING PERSONS
Brandy C. Madonna
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
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(a) [ ]
(b) [ ]
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3
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SEC USE ONLY
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|||
4
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CITIZENSHIP OR PLACE OF ORGANIZATION
Pennsylvania
|
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NUMBER OF SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
|
5
|
SOLE VOTING POWER
8,795
|
||
6
|
SHARED VOTING POWER
2,019,438 (1)
|
|||
7
|
SOLE DISPOSITIVE POWER
8,795
|
|||
8
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SHARED DISPOSITIVE POWER
2,019,438 (1)
|
|||
9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,028,233 (1)
|
|||
10
|
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[ ]
|
|||
11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.7% (1) (2)
|
|||
12
|
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
|
(1)
|
See Item 4.
|
(2)
|
The percentage of Common Stock reported herein as being beneficially owned by the Reporting Person is based on the sum of (i) 25,972,897 shares of Common Stock outstanding as of December 31, 2010, which information has been provided to the Reporting Person by the Issuer, and (ii) 461,538 shares issuable upon the conversion of 3,000 trust preferred securities of Republic First Bancorp Capital Trust IV, which trust preferred securities are currently convertible.
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CUSIP NO. 760416107
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Schedule 13G
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Page 6 of 10
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1
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NAMES OF REPORTING PERSONS
Lucas Prewett
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
|
(a) [ ]
(b) [ ]
|
||||
3
|
SEC USE ONLY
|
|||||
4
|
CITIZENSHIP OR PLACE OF ORGANIZATION
Pennsylvania
|
|||||
NUMBER OF SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
|
5
|
SOLE VOTING POWER
0
|
||||
6
|
SHARED VOTING POWER
2,019,438 (1)
|
|||||
7
|
SOLE DISPOSITIVE POWER
0
|
|||||
8
|
SHARED DISPOSITIVE POWER
2,019,438 (1)
|
|||||
9
|
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,019,438 (1)
|
|||||
10 |
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[ ]
|
|||||
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.6% (1) (2)
|
|||||
12 |
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
|
(1)
|
See Item 4.
|
(2)
|
The percentage of Common Stock reported herein as being beneficially owned by the Reporting Person is based on the sum of (i) 25,972,897 shares of Common Stock outstanding as of December 31, 2010, which information has been provided to the Reporting Person by the Issuer, and (ii) 461,538 shares issuable upon the conversion of 3,000 trust preferred securities of Republic First Bancorp Capital Trust IV, which trust preferred securities are currently convertible.
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CUSIP NO. 760416107
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Schedule 13G
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Page 7 of 10
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Item 1(a).
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Name of Issuer:
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Republic First Bancorp, Inc. (the “Issuer”)
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Item 1(b).
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Address of Issuer’s Principal Executive Offices:
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50 South 16th Street, Suite 2400
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Philadelphia, Pennsylvania 19102
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Item 2(a).
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Name of Person Filing:
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The Evergreen Trust B
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Brooke C. Madonna
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Harry Dillon Madonna
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Brandy C. Madonna
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Lucas Prewett
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Item 2(b).
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Address of Principal Business Office or, if None, Residence:
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1320 North Avignon Drive
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Gladwyne, Pennsylvania 19035
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Item 2(c).
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Citizenship:
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Pennsylvania
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Item 2(d).
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Title of Class of Securities:
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Common stock, par value $0.01 per share (“Common Stock”)
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Item 2(e).
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CUSIP Number:
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760416107
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Item 3.
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If this statement is filed pursuant to §§ 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
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The Reporting Person is not a person or group specified in Item 3 to Schedule 13G.
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CUSIP NO. 760416107
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Schedule 13G
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Page 8 of 10
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Item 4.
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Ownership.
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With respect to The Evergreen Trust B, Brooke C. Madonna and Lucas Prewett:
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(A)
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sole power to vote or to direct the vote: 0 shares of Common Stock
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(B)
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shared power to vote or to direct the vote: 2,019,438 shares of Common Stock
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(C)
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sole power to dispose or to direct the disposition of: 0 shares of Common Stock
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(D)
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shared power to dispose or to direct the disposition of: 2,019,438 shares of Common Stock
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With respect to Harry Dillon Madonna:
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(A)
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sole power to vote or to direct the vote: 11,934 shares of Common Stock
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(B)
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shared power to vote or to direct the vote: 2,019,438 shares of Common Stock
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(C)
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sole power to dispose or to direct the disposition of: 11,934 shares of Common Stock
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(D)
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shared power to dispose or to direct the disposition of: 2,019,438 shares of Common Stock
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With respect to Brandy Madonna:
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(A)
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sole power to vote or to direct the vote: 8,795 shares of Common Stock
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(B)
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shared power to vote or to direct the vote: 2,019,438 shares of Common Stock
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CUSIP NO. 760416107
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Schedule 13G
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Page 9 of 10
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(C)
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sole power to dispose or to direct the disposition of: 8,795 shares of Common Stock
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(D)
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shared power to dispose or to direct the disposition of: 2,019,438 shares of Common Stock
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Item 5.
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Ownership of Five Percent or Less of a Class:
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If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following: [ ]
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Item 6.
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Ownership of More Than Five Percent on Behalf of Another Person:
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Not applicable.
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Item 7.
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Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person:
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Not applicable.
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Item 8.
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Identification and Classification of Members of the Group:
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Not applicable.
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Item 9.
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Notice of Dissolution of Group:
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Not applicable.
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Item 10.
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Certifications
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By signing below, each Reporting Person certifies that, to the best of the Reporting Person’s knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the Issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
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CUSIP NO. 760416107
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Schedule 13G
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Page 10 of 10
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Date: May 17, 2011
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The Evergreen Trust B
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By:
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/s/ Brooke C. Madonna | /s/ Brooke C. Madonna | |
Brooke C. Madonna, as Trustee
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Brooke C. Madonna
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By:
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/s/ Harry Dillon Madonna | /s/ Harry Dillon Madonna | |
Harry Dillon Madonna, as Trustee
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Harry Dillon Madonna
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By:
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/s/ Brandy C. Madonna | /s/ Brandy C. Madonna | |
Brandy C. Madonna, as Trustee
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Brandy C. Madonna
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By:
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/s/ Lucas Prewett | /s/ Lucas Prewett | |
Lucas Prewett, as Trustee
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Lucas Prewett
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Date: May 17, 2011
|
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The Evergreen Trust B
|
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By:
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/s/ Brooke C. Madonna | /s/ Brooke C. Madonna | |
Brooke C. Madonna, as Trustee
|
Brooke C. Madonna
|
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By:
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/s/ Harry Dillon Madonna | /s/ Harry Dillon Madonna | |
Harry Dillon Madonna, as Trustee
|
Harry Dillon Madonna
|
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|
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By:
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/s/ Brandy C. Madonna | /s/ Brandy C. Madonna | |
Brandy C. Madonna, as Trustee
|
Brandy C. Madonna
|
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By:
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/s/ Lucas Prewett | /s/ Lucas Prewett | |
Lucas Prewett, as Trustee
|
Lucas Prewett
|