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<title>SEC FORM 
            4</title>
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<body>SEC Form 4 
   <table width="100%" border="0" cellspacing="0" cellpadding="4">
<tr>
<td width="20%" colspan="2" valign="top" align="center" class="FormName">FORM 4</td>
<td rowspan="2" width="60%" valign="middle" align="center">
<span class="FormTitle">UNITED STATES SECURITIES AND EXCHANGE COMMISSION</span><br><span class="MedSmallFormText">Washington, D.C. 20549</span><br><br><span class="FormTitle">STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP</span><br><br><span class="MedSmallFormText">Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934</span><br><span class="MedSmallFormText">or Section 30(h) of the Investment Company Act of 1940</span>
</td>
<td rowspan="2" width="20%" valign="top" align="center"><table width="100%" border="1" summary="OMB Approval Status Box">
<tr><td class="FormTextC">OMB APPROVAL</td></tr>
<tr><td><table width="100%" border="0" summary="OMB Interior Box">
<tr>
<td class="SmallFormText" colspan="3">OMB Number:</td>
<td class="SmallFormTextR">3235-0287</td>
</tr>
<tr><td class="SmallFormText" colspan="4">Estimated average burden</td></tr>
<tr>
<td class="SmallFormText" colspan="3">hours per response:</td>
<td class="SmallFormTextR">0.5</td>
</tr>
</table></td></tr>
</table></td>
</tr>
<tr valign="middle">
<td><table width="100%" border="1" cellpadding="0" cellspacing="0"><tr><td>  </td></tr></table></td>
<td class="SmallFormText">Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. 
         <i>See</i>

         Instruction 1(b).</td>
</tr>
<tr valign="middle">
<td><table width="100%" border="1" cellpadding="0" cellspacing="0"><tr><td>  </td></tr></table></td>
<td class="SmallFormText">Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. </td>
</tr>
</table>
<table width="100%" border="1" cellspacing="0" cellpadding="4">
<tr>
<td rowspan="4" width="35%" valign="top">
<span class="MedSmallFormText">1. Name and Address of Reporting Person<sup>*</sup></span><table border="0" width="100%"><tr><td><a href="/cgi-bin/browse-edgar?action=getcompany&amp;CIK=0001220829">PARKER DAVID RAY</a></td></tr></table>
<hr width="98%">
<table border="0" width="100%"><tr>
<td width="33%" class="MedSmallFormText">(Last)</td>
<td width="33%" class="MedSmallFormText">(First)</td>
<td width="33%" class="MedSmallFormText">(Middle)</td>
</tr></table>
<table border="0" width="100%">
<tr><td><span class="FormData">400 BIRMINGHAM HIGHWAY</span></td></tr>
<tr><td><span class="FormData"></span></td></tr>
</table>
<hr width="98%">
<span class="MedSmallFormText">(Street)</span><table border="0" width="100%"><tr>
<td width="33%"><span class="FormData">CHATTANOOGA</span></td>
<td width="33%"><span class="FormData">TN</span></td>
<td width="33%"><span class="FormData">37419</span></td>
</tr></table>
<hr width="98%">
<table border="0" width="100%"><tr>
<td width="33%" class="MedSmallFormText">(City)</td>
<td width="33%" class="MedSmallFormText">(State)</td>
<td width="33%" class="MedSmallFormText">(Zip)</td>
</tr></table>
</td>
<td width="35%" valign="top">
<span class="MedSmallFormText">2. Issuer Name <b>and</b> Ticker or Trading Symbol
      </span><br><a href="/cgi-bin/browse-edgar?action=getcompany&amp;CIK=0000928658">COVENANT LOGISTICS GROUP, INC.</a>
     [ <span class="FormData">CVLG</span> ]
   </td>
<td rowspan="2" valign="top">
<span class="MedSmallFormText">5. Relationship of Reporting Person(s) to Issuer
      </span><br><span class="MedSmallFormText">(Check all applicable)</span><table border="0" width="100%">
<tr>
<td width="15%" align="center"><span class="FormData">X</span></td>
<td width="35%" class="MedSmallFormText">Director</td>
<td width="15%" align="center"><span class="FormData">X</span></td>
<td width="35%" class="MedSmallFormText">10% Owner</td>
</tr>
<tr>
<td align="center"><span class="FormData">X</span></td>
<td class="MedSmallFormText">Officer (give title below)</td>
<td align="center"></td>
<td class="MedSmallFormText">Other (specify below)</td>
</tr>
<tr>
<td width="15%" align="center"></td>
<td width="35%" align="left" style="color: blue">Chairman and CEO</td>
<td width="15%" align="center"></td>
<td width="35%" align="left" style="color: blue"></td>
</tr>
</table>
</td>
</tr>
<tr><td valign="top">
<span class="MedSmallFormText">3. Date of Earliest Transaction
         (Month/Day/Year)</span><br><span class="FormData">02/12/2026</span>
</td></tr>
<tr>
<td valign="top">
<span class="MedSmallFormText">4. If Amendment, Date of Original Filed
         (Month/Day/Year)</span><br>
</td>
<td valign="top">
<span class="MedSmallFormText">6. Individual or Joint/Group Filing (Check Applicable Line)
      </span><table border="0" width="100%">
<tr>
<td width="15%" align="center"></td>
<td width="85%" class="MedSmallFormText">Form filed by One Reporting Person</td>
</tr>
<tr>
<td width="15%" align="center"><span class="FormData">X</span></td>
<td width="85%" class="MedSmallFormText">Form filed by More than One Reporting Person</td>
</tr>
</table>
</td>
</tr>
</table>
<table width="100%" border="1" cellspacing="0" cellpadding="4">
<thead>
<tr><th width="100%" valign="top" colspan="11" align="center" class="FormTextC"><b>Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned</b></th></tr>
<tr>
<th width="36%" valign="top" rowspan="2" align="left" class="MedSmallFormText">1. Title of Security (Instr. 
      3)
   </th>
<th width="6%" valign="top" rowspan="2" align="left" class="SmallFormText">2. Transaction Date
      (Month/Day/Year)</th>
<th width="5%" valign="top" rowspan="2" align="left" class="SmallFormText">2A. Deemed Execution Date, if any
      (Month/Day/Year)</th>
<th width="7%" valign="top" colspan="2" align="left" class="SmallFormText">3. Transaction Code (Instr. 
      8)
   </th>
<th width="19%" valign="top" colspan="3" align="left" class="SmallFormText">4. Securities Acquired (A) or Disposed Of (D) (Instr. 
      3, 4 and 5)
   </th>
<th width="11%" valign="top" rowspan="2" align="left" class="SmallFormText">5. 
      Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 
      3 and 4)
   </th>
<th width="9%" valign="top" rowspan="2" align="left" class="SmallFormText">6. Ownership Form: Direct (D) or Indirect (I) (Instr. 
      4)
   </th>
<th width="8%" valign="top" rowspan="2" align="left" class="SmallFormText">7. Nature of Indirect Beneficial Ownership (Instr. 
      4)
   </th>
</tr>
<tr>
<th width="4%" align="center" class="SmallFormText">Code</th>
<th width="3%" align="center" class="SmallFormText">V</th>
<th width="8%" align="center" class="SmallFormText">Amount</th>
<th width="5%" align="center" class="SmallFormText">(A) or (D)</th>
<th width="6%" align="center" class="SmallFormText">Price</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left"><span class="FormData">Class A Common Stock</span></td>
<td align="center"><span class="FormData">02/12/2026</span></td>
<td align="center"></td>
<td align="center"><span class="SmallFormData">S</span></td>
<td align="center"></td>
<td align="center"><span class="FormData">16,230</span></td>
<td align="center"><span class="FormData">D</span></td>
<td align="center">
<span class="FormText">$</span><span class="FormData">29.3587</span><span class="FootnoteData"><sup>(1)</sup></span>
</td>
<td align="center"><span class="FormData">2,316,714</span></td>
<td align="center">
<span class="FormData">D</span><span class="FootnoteData"><sup>(2)</sup></span>
</td>
<td align="left"></td>
</tr>
<tr>
<td align="left"><span class="FormData">Class A Common Stock</span></td>
<td align="center"><span class="FormData">02/12/2026</span></td>
<td align="center"></td>
<td align="center"><span class="SmallFormData">S</span></td>
<td align="center"></td>
<td align="center"><span class="FormData">2,770</span></td>
<td align="center"><span class="FormData">D</span></td>
<td align="center">
<span class="FormText">$</span><span class="FormData">27.7552</span><span class="FootnoteData"><sup>(3)</sup></span>
</td>
<td align="center"><span class="FormData">2,313,944</span></td>
<td align="center">
<span class="FormData">D</span><span class="FootnoteData"><sup>(2)</sup></span>
</td>
<td align="left"></td>
</tr>
<tr>
<td align="left"><span class="FormData">Class A Common Stock</span></td>
<td align="center"><span class="FormData">02/12/2026</span></td>
<td align="center"></td>
<td align="center"><span class="SmallFormData">S</span></td>
<td align="center"></td>
<td align="center"><span class="FormData">1,000</span></td>
<td align="center"><span class="FormData">D</span></td>
<td align="center">
<span class="FormText">$</span><span class="FormData">27.0203</span><span class="FootnoteData"><sup>(4)</sup></span>
</td>
<td align="center"><span class="FormData">2,312,944</span></td>
<td align="center">
<span class="FormData">D</span><span class="FootnoteData"><sup>(2)</sup></span>
</td>
<td align="left"></td>
</tr>
<tr>
<td align="left"><span class="FormData">Class A Common Stock</span></td>
<td align="center"><span class="FormData">02/13/2026</span></td>
<td align="center"></td>
<td align="center"><span class="SmallFormData">S</span></td>
<td align="center"></td>
<td align="center"><span class="FormData">15,000</span></td>
<td align="center"><span class="FormData">D</span></td>
<td align="center">
<span class="FormText">$</span><span class="FormData">28.4607</span><span class="FootnoteData"><sup>(5)</sup></span>
</td>
<td align="center"><span class="FormData">2,297,944</span></td>
<td align="center">
<span class="FormData">D</span><span class="FootnoteData"><sup>(2)</sup></span>
</td>
<td align="left"></td>
</tr>
<tr>
<td align="left"><span class="FormData">Class A Common Stock</span></td>
<td align="center"><span class="FormData">02/17/2026</span></td>
<td align="center"></td>
<td align="center"><span class="SmallFormData">S</span></td>
<td align="center"></td>
<td align="center"><span class="FormData">96,333</span></td>
<td align="center"><span class="FormData">D</span></td>
<td align="center">
<span class="FormText">$</span><span class="FormData">29.6985</span><span class="FootnoteData"><sup>(6)</sup></span>
</td>
<td align="center"><span class="FormData">2,201,611</span></td>
<td align="center">
<span class="FormData">D</span><span class="FootnoteData"><sup>(2)</sup></span>
</td>
<td align="left"></td>
</tr>
<tr>
<td align="left"><span class="FormData">Class A Common Stock</span></td>
<td align="center"><span class="FormData">02/17/2026</span></td>
<td align="center"></td>
<td align="center"><span class="SmallFormData">S</span></td>
<td align="center"></td>
<td align="center"><span class="FormData">3,667</span></td>
<td align="center"><span class="FormData">D</span></td>
<td align="center">
<span class="FormText">$</span><span class="FormData">28.8467</span><span class="FootnoteData"><sup>(7)</sup></span>
</td>
<td align="center"><span class="FormData">2,197,944</span></td>
<td align="center">
<span class="FormData">D</span><span class="FootnoteData"><sup>(2)</sup></span>
</td>
<td align="left"></td>
</tr>
<tr>
<td align="left"><span class="FormData">Class A Common Stock</span></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"><span class="FormData">227,872</span></td>
<td align="center"><span class="FormData">D</span></td>
<td align="left"></td>
</tr>
<tr>
<td align="left"><span class="FormData">Class A Common Stock</span></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"><span class="FormData">76,795</span></td>
<td align="center">
<span class="FormData">I</span><span class="FootnoteData"><sup>(8)</sup></span>
</td>
<td align="left"><span class="FormData">401(k)</span></td>
</tr>
<tr>
<td align="left"><span class="FormData">Class B Common Stock</span></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"></td>
<td align="center"><span class="FormData">4,700,000</span></td>
<td align="center">
<span class="FormData">D</span><span class="FootnoteData"><sup>(2)</sup></span>
</td>
<td align="left"></td>
</tr>
</tbody>
</table>
<table width="100%" border="1" cellspacing="0" cellpadding="4"><thead>
<tr><th width="100%" valign="top" colspan="16" align="center" class="FormTextC">
<b>Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned</b><br><b>(e.g., puts, calls, warrants, options, convertible securities)</b>
</th></tr>
<tr>
<th width="13%" valign="top" rowspan="2" align="left" class="SmallFormText">1. Title of Derivative Security (Instr. 
      3)
   </th>
<th width="5%" valign="top" rowspan="2" align="left" class="SmallFormText">2. Conversion or Exercise Price of Derivative Security
   </th>
<th width="5%" valign="top" rowspan="2" align="left" class="SmallFormText">3. Transaction Date
      (Month/Day/Year)</th>
<th width="5%" valign="top" rowspan="2" align="left" class="SmallFormText">3A. Deemed Execution Date, if any
      (Month/Day/Year)</th>
<th width="9%" valign="top" colspan="2" align="left" class="SmallFormText">4. Transaction Code (Instr. 
      8)
   </th>
<th width="10%" valign="top" colspan="2" align="left" class="SmallFormText">5. 
      Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 
      3, 4 and 5)
   </th>
<th width="9%" valign="top" colspan="2" align="left" class="SmallFormText">6. Date Exercisable and Expiration Date 
      (Month/Day/Year)</th>
<th width="17%" valign="top" colspan="2" align="left" class="SmallFormText">7. Title and Amount of Securities Underlying Derivative Security (Instr. 
      3 and 4)
   </th>
<th width="6%" valign="top" rowspan="2" align="left" class="SmallFormText">8. Price of Derivative Security (Instr. 
      5)
   </th>
<th width="6%" valign="top" rowspan="2" align="left" class="SmallFormText">9. 
      Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 
      4)
   </th>
<th width="6%" valign="top" rowspan="2" align="left" class="SmallFormText">10. Ownership Form: Direct (D) or Indirect (I) (Instr. 
      4)
   </th>
<th width="7%" valign="top" rowspan="2" align="left" class="SmallFormText">11. Nature of Indirect Beneficial Ownership (Instr. 
      4)
   </th>
</tr>
<tr>
<th width="4%" valign="bottom" align="center" class="SmallFormText">Code</th>
<th width="4%" valign="bottom" align="center" class="SmallFormText">V</th>
<th width="5%" valign="bottom" align="center" class="SmallFormText">(A)</th>
<th width="5%" valign="bottom" align="center" class="SmallFormText">(D)</th>
<th width="5%" valign="bottom" align="center" class="SmallFormText">Date Exercisable</th>
<th width="4%" valign="bottom" align="center" class="SmallFormText">Expiration Date</th>
<th width="10%" valign="bottom" align="center" class="SmallFormText">Title</th>
<th width="7%" valign="bottom" align="center" class="SmallFormText">Amount or Number of Shares</th>
</tr>
</thead></table>
<table width="40%" border="1" cellspacing="0" cellpadding="4">
<tr><td valign="top">
<span class="MedSmallFormText">1. Name and Address of Reporting Person<sup>*</sup></span><table border="0" width="100%"><tr><td><a href="/cgi-bin/browse-edgar?action=getcompany&amp;CIK=0001220829">PARKER DAVID RAY</a></td></tr></table>
<hr width="98%">
<table border="0" width="100%"><tr>
<td width="33%" class="MedSmallFormText">(Last)</td>
<td width="33%" class="MedSmallFormText">(First)</td>
<td width="33%" class="MedSmallFormText">(Middle)</td>
</tr></table>
<table border="0" width="100%">
<tr><td><span class="FormData">400 BIRMINGHAM HIGHWAY</span></td></tr>
<tr><td><span class="FormData"></span></td></tr>
</table>
<hr width="98%">
<span class="MedSmallFormText">(Street)</span><table border="0" width="100%"><tr>
<td width="33%"><span class="FormData">CHATTANOOGA</span></td>
<td width="33%"><span class="FormData">TN</span></td>
<td width="33%"><span class="FormData">37419</span></td>
</tr></table>
<hr width="98%">
<table border="0" width="100%"><tr>
<td width="33%" class="MedSmallFormText">(City)</td>
<td width="33%" class="MedSmallFormText">(State)</td>
<td width="33%" class="MedSmallFormText">(Zip)</td>
</tr></table>
<hr width="98%">
<span class="MedSmallFormText">
          Relationship of Reporting Person(s) to Issuer
      </span><hr width="98%">
<table border="0" width="100%">
<tr>
<td width="15%" align="center"><span class="FormData">X</span></td>
<td width="35%" class="MedSmallFormText">Director</td>
<td width="15%" align="center"><span class="FormData">X</span></td>
<td width="35%" class="MedSmallFormText">10% Owner</td>
</tr>
<tr>
<td align="center"><span class="FormData">X</span></td>
<td class="MedSmallFormText">Officer (give title below)</td>
<td align="center"></td>
<td class="MedSmallFormText">Other (specify below)</td>
</tr>
<tr>
<td width="15%" align="center"></td>
<td width="35%" align="left" style="color: blue">Chairman and CEO</td>
<td width="15%" align="center"></td>
<td width="35%" align="left" style="color: blue"></td>
</tr>
</table>
</td></tr>
<tr><td valign="top">
<span class="MedSmallFormText">1. Name and Address of Reporting Person<sup>*</sup></span><table border="0" width="100%"><tr><td><a href="/cgi-bin/browse-edgar?action=getcompany&amp;CIK=0001271324">PARKER JACQUELINE F</a></td></tr></table>
<hr width="98%">
<table border="0" width="100%"><tr>
<td width="33%" class="MedSmallFormText">(Last)</td>
<td width="33%" class="MedSmallFormText">(First)</td>
<td width="33%" class="MedSmallFormText">(Middle)</td>
</tr></table>
<table border="0" width="100%">
<tr><td><span class="FormData">400 BIRMINGHAM HIGHWAY</span></td></tr>
<tr><td><span class="FormData"></span></td></tr>
</table>
<hr width="98%">
<span class="MedSmallFormText">(Street)</span><table border="0" width="100%"><tr>
<td width="33%"><span class="FormData">CHATTANOOGA</span></td>
<td width="33%"><span class="FormData">TN</span></td>
<td width="33%"><span class="FormData">37419</span></td>
</tr></table>
<hr width="98%">
<table border="0" width="100%"><tr>
<td width="33%" class="MedSmallFormText">(City)</td>
<td width="33%" class="MedSmallFormText">(State)</td>
<td width="33%" class="MedSmallFormText">(Zip)</td>
</tr></table>
<hr width="98%">
<span class="MedSmallFormText">
          Relationship of Reporting Person(s) to Issuer
      </span><hr width="98%">
<table border="0" width="100%">
<tr>
<td width="15%" align="center"></td>
<td width="35%" class="MedSmallFormText">Director</td>
<td width="15%" align="center"><span class="FormData">X</span></td>
<td width="35%" class="MedSmallFormText">10% Owner</td>
</tr>
<tr>
<td align="center"></td>
<td class="MedSmallFormText">Officer (give title below)</td>
<td align="center"></td>
<td class="MedSmallFormText">Other (specify below)</td>
</tr>
<tr>
<td width="15%" align="center"></td>
<td width="35%" align="left" style="color: blue"></td>
<td width="15%" align="center"></td>
<td width="35%" align="left" style="color: blue"></td>
</tr>
</table>
</td></tr>
</table>
<table border="0" width="100%">
<tr><td class="MedSmallFormText"><b>Explanation of Responses:</b></td></tr>
<tr><td class="FootnoteData">1. The price reflects a weighted average sale price for multiple transactions ranging from $28.70 to $29.4125, inclusive. The reporting persons undertake to provide, upon request by the SEC staff, the issuer, or a stockholder of the issuer, full information regarding the number of shares sold at each price.</td></tr>
<tr><td class="FootnoteData">2. Shares owned jointly by Mr. and Mrs. Parker, as joint tenants with rights of survivorship.</td></tr>
<tr><td class="FootnoteData">3. The price reflects a weighted average sale price for multiple transactions ranging from $27.42 to $28.405, inclusive. The reporting persons undertake to provide, upon request by the SEC staff, the issuer, or a stockholder of the issuer, full information regarding the number of shares sold at each price.</td></tr>
<tr><td class="FootnoteData">4. The price reflects a weighted average sale price for multiple transactions ranging from $26.90 to $27.36, inclusive. The reporting persons undertake to provide, upon request by the SEC staff, the issuer, or a stockholder of the issuer, full information regarding the number of shares sold at each price.</td></tr>
<tr><td class="FootnoteData">5. The price reflects a weighted average sale price for multiple transactions ranging from $28.05 to $28.71, inclusive. The reporting persons undertake to provide, upon request by the SEC staff, the issuer, or a stockholder of the issuer, full information regarding the number of shares sold at each price.</td></tr>
<tr><td class="FootnoteData">6. The price reflects a weighted average sale price for multiple transactions ranging from $29.00 to $29.99, inclusive. The reporting persons undertake to provide, upon request by the SEC staff, the issuer, or a stockholder of the issuer, full information regarding the number of shares sold at each price.</td></tr>
<tr><td class="FootnoteData">7. The price reflects a weighted average sale price for multiple transactions ranging from $28.80 to $28.93, inclusive. The reporting persons undertake to provide, upon request by the SEC staff, the issuer, or a stockholder of the issuer, full information regarding the number of shares sold at each price.</td></tr>
<tr><td class="FootnoteData">8. The number of shares beneficially owned following the reported transaction is equal to Mr. Parker's February 12, 2026 account balance in the employer stock fund under the issuer's 401(k) plan, divided by the closing price on February 12, 2026. The plan is unitized and as such does not itself allocate a specific number of shares to each participant.</td></tr>
</table>
<table width="100%" border="0">
<tr>
<td width="60%"></td>
<td width="20%"><u><span class="FormData">/s/ David R. Parker, by Heidi Hornung-Scherr, attorney-in-fact, pursuant to a POA previously filed with the SEC</span></u></td>
<td width="20%"><u><span class="FormData">02/17/2026</span></u></td>
</tr>
<tr>
<td width="60%"></td>
<td width="20%"><u><span class="FormData">/s/ Jacqueline F. Parker, by Heidi Hornung-Scherr, attorney-in-fact, pursuant to a POA previously filed with the SEC</span></u></td>
<td width="20%"><u><span class="FormData">02/17/2026</span></u></td>
</tr>
<tr>
<td></td>
<td class="MedSmallFormText">** Signature of Reporting Person</td>
<td class="MedSmallFormText">Date</td>
</tr>
<tr><td colspan="3" class="MedSmallFormText">Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.</td></tr>
<tr><td colspan="3" class="MedSmallFormText">* If the form is filed by more than one reporting person, 
                  <i>see</i>

                  Instruction 
                  4

                  (b)(v).</td></tr>
<tr><td colspan="3" class="MedSmallFormText">** Intentional misstatements or omissions of facts constitute Federal Criminal Violations 
                  <i>See</i>

                  18 U.S.C. 1001 and 15 U.S.C. 78ff(a).</td></tr>
<tr><td colspan="3" class="MedSmallFormText">Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, 
                  <i>see</i>

                  Instruction 6 for procedure.</td></tr>
<tr><td colspan="3" class="MedSmallFormText"><b>Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.</b></td></tr>
</table>
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