Ts Request

<saml:Assertion MajorVersion="1" MinorVersion="1" AssertionID="8260d6ec-864c-43b
f-8a9d-ba77124ac80f" Issuer="www.bluefrog.com" IssueInstant="2015-07-16T14:36:26

Z" xmlns:saml="urn:oasis:names:tc:SAML:1.0:assertion">
<saml:Conditions NotBefore="2015-07-16T14:36:21Z" NotOnOrAfter="2015-0716T14:36:31Z">
<saml:AudienceRestriction>
<saml:Audience>www.lpl.com</saml:Audience>
</saml:AudienceRestriction>
</saml:Conditions>
<saml:AuthenticationStatement AuthenticationMethod="urn:oasis:names:tc:S
AML:1.0:am:password" AuthenticationInstant="2015-07-16T00:00:00Z">
<saml:Subject>
<saml:NameIdentifier NameQualifier="www.lpl.com" Format=
"urn:oasis:names:tc:SAML:1.1:nameid-format:X509SubjectName">AOE</saml:NameIdenti
fier>
<saml:SubjectConfirmation>
<saml:ConfirmationMethod>urn:oasis:names:tc:SAML
:1.0:cm:bearer</saml:ConfirmationMethod>
</saml:SubjectConfirmation>
</saml:Subject>
</saml:AuthenticationStatement>
<saml:AttributeStatement>
<saml:Subject>
<saml:NameIdentifier NameQualifier="www.lpl.com" Format=
"urn:oasis:names:tc:SAML:1.1:nameid-format:X509SubjectName">AOE</saml:NameIdenti
fier>
<saml:SubjectConfirmation>
<saml:ConfirmationMethod>urn:oasis:names:tc:SAML
:1.0:cm:bearer</saml:ConfirmationMethod>
</saml:SubjectConfirmation>
</saml:Subject>
<saml:Attribute AttributeName="SSO_DATA" AttributeNamespace="htt
p://www.oasis-open.org/RSA2004/attributes">
<saml:AttributeValue>
<TXLife xmlns="http://ACORD.org/Standards/Life/2
" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http
://ACORD.org/Standards/Life/2 TXLife2.20.01.xsd " Version="2.20.01">
<UserAuthRequest>
<VendorApp>
<OLifEExtension VendorCo
de="003" ExtensionCode="VendorNameExtension">
<VendorName>Blue
Frog Solutions</VendorName>
</OLifEExtension>
de="003" ExtensionCode="AppNameExtension">
<AppName>ADMServ
er</AppName>
</OLifEExtension>
de="003" ExtensionCode="AppVerExtension">
<AppVer>2.20.0.2
73</AppVer>
</OLifEExtension>
</VendorApp>
</UserAuthRequest>
<TXLifeRequest PrimaryObjectID="_a778dd2
e-49d2-4c15-92ef-254248824e59" id="_1ee670c8-b9e0-44a8-a614-9e7986975190">
<TransRefGUID>23ef781b-12f5-4742
-a000-9d28fcf9db4b</TransRefGUID>
<TransType tc="103">New Business

Submission for a Policy</TransType>
<TransExeDate>2015-07-16</TransE
xeDate>
<TransExeTime>14:26:11Z</TransEx
eTime>
<TestIndicator tc="1">true</Test
Indicator>
<OLifE>
<SourceInfo>
<SourceInfoName>
AFFIRM</SourceInfoName>
</SourceInfo>
<Holding id="_c7b7bdab-2
71b-4f24-8e61-1246222f30c3">
<HoldingTypeCode
tc="2">Policy</HoldingTypeCode>
<HoldingStatus t
c="1">Active the Holding is in force</HoldingStatus>
<Policy>
<PolNumb
er>311007770
</PolNumber>
<Carrier
Code>AXA
</CarrierCode>
</Policy>
<Investment>
<QualPla
nType tc="1">Non-Qualified</QualPlanType>
<Account
Value>0.00</AccountValue>
</Investment>
</Holding>
<Holding id="_3f7df22a-f
f53-46a0-a9d2-2522c04dd9a4">
<HoldingTypeCode
tc="3">Investment</HoldingTypeCode>
<HoldingStatus t
<AssetValue>7634
91.07</AssetValue>
<DistributorClie
ntAcctNum>59349063</DistributorClientAcctNum>
<Investment Carr
ierPartyID="_43a5bea9-f13e-48c3-ac22-1fa69982a029" />
</Holding>
<Holding id="_a778dd2e-4
9d2-4c15-92ef-254248824e59">
<AccountDesignat
ion tc="3">Owner</AccountDesignation>
<HoldingTypeCode
<HoldingName>GOU
LD HARRIET Initial Purchase-Test</HoldingName>
<HoldingStatus t
c="3">Proposed - Pending - Not yet inforce</HoldingStatus>
<DistributorClie
<ShareClass tc="
6">No Share Class</ShareClass>
<Policy CarrierP
artyID="_43a5bea9-f13e-48c3-ac22-1fa69982a029">
<Product
Type tc="10">Variable Annuity</ProductType>
<Product
Code>IEASHR15</ProductCode>
<Carrier
Code>62944</CarrierCode>
<PlanNam
e>Investment Edge 15 ADV</PlanName>
<CusipNu
m>00248C527</CusipNum>
<Commiss
ionOptionSelected tc="9">No commissions (i.e. wrap)</CommissionOptionSelected>
<TotComm
Retained>0.00</TotCommRetained>
<Annuity
>
<QualPlanType tc="1">Non-Qualified</QualPlanType>
<QualPlanSubType tc="5">Not Applicable</QualPlanSubType>
<InitDepositAmt>60000.00</InitDepositAmt>
<Rider id="_8e799d7c-012f-4e4c-b509-9ea491f9d7b1">
<RiderTypeCode tc="206">Death Benefit</RiderTypeCode>
<RiderSubTypeCode tc="6">Return of account value</RiderSubTypeCode>
<Description>There is no additional charge for the Death Benefit. The death ben
efit is equal to your client's Account value as of the date AXA Equitable receiv
es satisfactory proof of the owner's death.</Description>
<RiderCode>A8</RiderCode>
<ShortName>Return of Account Value</ShortName>
</Rider>
<Rider id="_2632a0a4-f4e2-4fff-85b5-2337976a0e3f">
<RiderTypeCode tc="207">Surrender Charges</RiderTypeCode>
<RiderSubTypeCode tc="44">No Share Class</RiderSubTypeCode>
<Description>Surrender Charge Schedule - 0/0</Description>
<RiderCode>CWC</RiderCode>
<ShortName>Surrender Charge Schedule - 0/0</ShortName>
</Rider>
</Annuit
y>
<Applica
tionInfo>
<TrackingID>FRL-BRSB-PZ2</TrackingID>
<ApplicationJurisdiction tc="35">New Jersey</ApplicationJurisdiction>

<SignedDate>2015-07-16</SignedDate>
<SubmissionType tc="2">Electronic</SubmissionType>
<ApplicationCollectionDate>2015-07-16</ApplicationCollectionDate>
<ApplicationCollectionTime>10:31:56</ApplicationCollectionTime>
</Applic
ationInfo>
<Require
mentInfo id="_e00ca75a-3f05-4df6-8f4f-9be731cf449f">
<ReqCode tc="1000300000">Approval Queue Requirement</ReqCode>
<RequirementDetails>ProSurvApprovalQueue</RequirementDetails>
<ReqStatus tc="1">Pending</ReqStatus>
<RequestedDate>2015-07-16</RequestedDate>
<StatusDate>2015-07-16</StatusDate>
<OLifEExtension VendorCode="003" ExtensionCode="ReleasePartyOrgCodeExtension">
<ReleasePartyOrgCode>PROSURVAPPROVALQUEUE</ReleasePartyOrgCode>
</OLifEExtension>
<OLifEExtension VendorCode="003" ExtensionCode="QueueSequenceExtension">
<QueueSequence>1</QueueSequence>
</OLifEExtension>
</Requir
ementInfo>
<Financi
alActivity id="_64293174-61d9-4eeb-b02c-fe700cccc1d4">
<FinActivityType tc="1">Premium Payment</FinActivityType>
<FinActivityGrossAmt>60000.00</FinActivityGrossAmt>
<FinActivityNetAmt>60000.00</FinActivityNetAmt>
<ReferenceNo>FRLBRSBPZ2001</ReferenceNo>
<RetainedCommissionAmt>0.00</RetainedCommissionAmt>
<Payment id="_c907fe24-202b-4072-8299-45baa0a62b76">
<PaymentForm tc="11">Clearinghouse</PaymentForm>
</Payment>
<Payment id="_a4996ba8-6982-4d7b-b1c4-98af25ab9e60">
<SourceOfFundsTC tc="1">Voluntary Cash</SourceOfFundsTC>
<OLifEExtension VendorCode="003" ExtensionCode="Suitab3Extension">

<Suitab3 />
</OLifEExtension>
</Payment>
<FinancialActivityInfo id="_28ca8f54-aa6c-4c59-a8f3-a2bb6af8ef7d" HoldingRefID="
_ddee6e30-be28-4f94-8c36-3205b07df2a1" />
<Description>Brokerage Account</Description>
</Financ
ialActivity>
</Policy>
<Investment>
<SubAcco
unt id="_6fb1a3f7-ceec-40ac-9866-93663cafe841">
<ProductCode>CAT7</ProductCode>
<CarrierCode>62944</CarrierCode>
<ProductFullName>Asset Allocation - All Asset Alternative Portfolios</ProductFul
lName>
<OLifEExtension VendorCode="003" ExtensionCode="CarrierNameExtension">
<CarrierName>AXA Equitable Life Insurance Company</CarrierName>
</OLifEExtension>
</SubAcc
ount>
<SubAcco
unt id="_81b7988c-0aef-4bb6-a93e-bb9e1eaf7d0f">
<ProductCode>02428</ProductCode>
<ProductFullName>All Asset Aggressive - Alt 25</ProductFullName>
<CarrierName>AXA Equitable Funds Management Group, LLC</CarrierName>
</OLifEExtension>
</SubAcc
ount>
<SubAcco
unt id="_2cc8747a-fc6f-463a-b7ef-3b7bc08fd504">
<ProductCode>02408</ProductCode>
<ProductFullName>DCA EQ/Money Market</ProductFullName>
<CarrierName>DCA</CarrierName>
</OLifEExtension>
</SubAcc
ount>
<SubAcco
unt id="_1a645115-178f-47a8-a774-c3f631ce7834">
<ProductCode>GRP</ProductCode>
<ProductFullName>Model Group</ProductFullName>
<CarrierName>AXA Equitable Life Insurance Company</CarrierName>
</OLifEExtension>
</SubAcc
ount>
</Investment>
<Arrangement id=
"_c9850fe8-b43f-4063-8b18-a425802ebd7f">
<Product
Code>IP_3MGDCA</ProductCode>
<ArrType
tc="19">Initial Premium</ArrType>
<ArrSubT
ype tc="1022500038">Mixed Complex AA and SDCA</ArrSubType>
<ModalAm
t>60000.00</ModalAmt>
<PlanNam
e>3 Month General DCA</PlanName>
<DestTra
nsferAmtType tc="3">Percentage</DestTransferAmtType>
<ArrDest
ination id="_c1aead38-302e-427f-896d-1a0e96b4c482" SubAcctID="_2cc8747a-fc6f-463
a-b7ef-3b7bc08fd504">
<TransferPct>100</TransferPct>
</ArrDes
tination>
</Arrangement>
<Arrangement id=
"_3485acea-13eb-4516-8f00-01bee9c376f5">
<Product
Code>AASD</ProductCode>
<ArrType
tc="21">Asset Allocation</ArrType>
<ArrSubT
ype tc="20">Complex Models</ArrSubType>
<PlanNam
e>Self Directed Allocation</PlanName>
<DestTra
<ArrDest
ination id="_b2e8154f-44d4-4ebb-9dd7-8834e89f31a8" SubAcctID="_1a645115-178f-47a
8-a774-c3f631ce7834">
<ArrDestination id="_ebc06b73-ea18-4672-9e4d-c6eb47d4d34f" SubAcctID="_6fb1a3f7ceec-40ac-9866-93663cafe841">
<ArrDestination id="_2aa4b401-dd08-440f-a5d8-a310b7fcd5f0" SubAcctID="_81b7988c0aef-4bb6-a93e-bb9e1eaf7d0f">
</ArrDestination>
</ArrDestination>
</ArrDes
tination>
<OLifEEx
tension VendorCode="003" ExtensionCode="FeatureNameExtension">
<FeatureName>Asset Allocation</FeatureName>
</OLifEE
xtension>
</Arrangement>
<Arrangement id=
"_f85cccb8-5cc1-4fb9-bf74-fa56e116a16a">
<Product
Code>GDCA_OPT3M</ProductCode>
<ArrMode
tc="4">Month or Monthly</ArrMode>
<ArrType
tc="2">Dollar Cost Averaging</ArrType>
<ArrSubT
ype tc="3">Special Dollar Cost Averaging</ArrSubType>
<NumOfMo
dalOccurrences>3</NumOfModalOccurrences>
<ModalPc
t>100.0000</ModalPct>
<PlanNam
e>General DCA 3M</PlanName>
<DestTra
<SourceT
ransferAmtType tc="3">Percentage</SourceTransferAmtType>
<ArrSour
ce id="_95298883-5e07-456a-a578-fe1cd1679f79" SubAcctID="_2cc8747a-fc6f-463a-b7e
f-3b7bc08fd504">
<TransferPct>100.00</TransferPct>
</ArrSou
rce>
<ArrDest
ination id="_3cde2a36-ca2b-45b8-875d-c07552725ec3" SubAcctID="_1a645115-178f-47a
8-a774-c3f631ce7834">
</ArrDes
tination>
<OLifEEx
<FeatureName>General Dollar Cost Averaging</FeatureName>

</OLifEE
xtension>
</Arrangement>
<Arrangement id=
"_705573f5-e5c4-4173-92ad-68be7f7d6eed">
<Product
Code>REBSA</ProductCode>
<ArrMode
tc="1">Annual or Annually</ArrMode>
<ArrType
tc="3">Asset Rebalancing</ArrType>
<ArrSubT
ype tc="18">Rebalance to Standing Allocations</ArrSubType>
<PlanNam
e>Rebalancing</PlanName>
<OLifEEx
<FeatureName>Rebalancing</FeatureName>
</OLifEE
xtension>
</Arrangement>
<Fee id="_610a50
b5-828d-41e0-b42e-66cbc78e1d2a">
<FeeType
tc="5">Asset Based Admin Charges</FeeType>
<FeeMode
tc="8">Day or Daily</FeeMode>
<Descrip
tion>Administration and Distribution Fee (reflected in Daily Net Unit Values)</D
escription>
<FeePct>
0.1000</FeePct>
</Fee>
<Fee id="_8cb442
08-c6fe-4d51-b7ba-a621ca06039a">
<FeeType
tc="4">Base M&E Charges</FeeType>
<FeeMode
tc="8">Day or Daily</FeeMode>
<Descrip
tion>Operations Fee (reflected in Daily Net Unit Values)</Description>
<FeePct>
0.2000</FeePct>
</Fee>
<OLifEExtension
VendorCode="003" ExtensionCode="Suitab1StorageExtension">
<Suitab1
id="_d56cb877-1f4f-4c47-8800-c30c8d73c98b">
<EmploymentStatusTC>1009800001</EmploymentStatusTC>
<Occupation>Rohtak</Occupation>
<MarStat>2</MarStat>
<NumberOfDependents>1</NumberOfDependents>
<FINRAMember>0</FINRAMember>
<Suitab1_Current_Holdings_Section type="xs:boolean" xs="http://www.w3.org/2001/X
MLSchema" xsi="http://www.w3.org/2001/XMLSchema-instance">true</Suitab1_Current_
Holdings_Section>
<CDAmt>56777</CDAmt>
<EstGrossAnnualIncome>56777</EstGrossAnnualIncome>
<EstMonthlyExpenses>56777</EstMonthlyExpenses>
<EstNetMonthlyIncome>56777</EstNetMonthlyIncome>
<EstLiquidNetWorth>56777</EstLiquidNetWorth>
<FedTaxBracket>10</FedTaxBracket>
<INVEXPCDs>0</INVEXPCDs>
<INVEXPStocks>0</INVEXPStocks>
<INVEXPBonds>0</INVEXPBonds>
<INVEXPAnnuities>0</INVEXPAnnuities>
<INVEXPMutualFunds>0</INVEXPMutualFunds>
<InvestmentPurpose>2</InvestmentPurpose>
<InvestmentObjective>4</InvestmentObjective>
<RiskTolerance>3</RiskTolerance>
<TimeHorizon>1</TimeHorizon>
<RecFinPlan>0</RecFinPlan>
<Suitab1_SOF_Section type="xs:boolean" xs="http://www.w3.org/2001/XMLSchema" xsi
="http://www.w3.org/2001/XMLSchema-instance">true</Suitab1_SOF_Section>
<Cash>True</Cash>
<Borrowing>False</Borrowing>
<AnnuityLI>False</AnnuityLI>
<SalesMFS>False</SalesMFS>
<SaleQNQ>False</SaleQNQ>
<SaleIAA>False</SaleIAA>
<SaleOther>False</SaleOther>
<FP_Filler>1</FP_Filler>
</Suitab
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</OLifEExtension
>
<OLifEExtension
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<Integer_130>1</Integer_130>
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<NAIC_SM_Initials1>false</NAIC_SM_Initials1>
<NAIC_Ill_Initials1>false</NAIC_Ill_Initials1>
<NAIC_Ill_Initials2>false</NAIC_Ill_Initials2>
<MA_Request>0</MA_Request>
<Rpl3_RC15E_Q1>false</Rpl3_RC15E_Q1>
<NV_Exist_NoSurr>0</NV_Exist_NoSurr>
<RA_CurrSurrChargeX>false</RA_CurrSurrChargeX>
<RA3_CurrSurrChargeX>false</RA3_CurrSurrChargeX>
<RA2_CurrSurrChargeX>false</RA2_CurrSurrChargeX>
<NY_Form1>0</NY_Form1>
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<RA_CurrLBPPB>false</RA_CurrLBPPB>
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<RA_CurrLBOther>false</RA_CurrLBOther>
<RA2_CurrLBOther>false</RA2_CurrLBOther>
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<RA_CurrDBAV>false</RA_CurrDBAV>
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<RA3_Exist1LBIB>false</RA3_Exist1LBIB>
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<RA_Exist1LBPPB>false</RA_Exist1LBPPB>
<RA_Exist1LBWB>false</RA_Exist1LBWB>
<RA3_Exist1LBWB>false</RA3_Exist1LBWB>
<RA2_Exist1LBWB>false</RA2_Exist1LBWB>
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<RA2_Exist1LBOther>false</RA2_Exist1LBOther>
<RA_Exist1LBOther>false</RA_Exist1LBOther>
<RA2_Exist1DBRAV>false</RA2_Exist1DBRAV>
<RA_Exist1DBRAV>false</RA_Exist1DBRAV>
<RA3_Exist1DBRAV>false</RA3_Exist1DBRAV>
<RA_Exist1DBAV>false</RA_Exist1DBAV>
<RA2_Exist1DBAV>false</RA2_Exist1DBAV>
<RA3_Exist1DBAV>false</RA3_Exist1DBAV>
<RA_Excist1DBratchet>false</RA_Excist1DBratchet>
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<RA3_Excist1DBratchet>false</RA3_Excist1DBratchet>
<RA_Exist1DBrollup>false</RA_Exist1DBrollup>
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<RA3_Exist1DBrollup>false</RA3_Exist1DBrollup>
<RA_Exist1DBother>false</RA_Exist1DBother>
<RA3_Exist1DBother>false</RA3_Exist1DBother>
<RA2_Exist1DBother>false</RA2_Exist1DBother>
<IRATnsfr3_Immediate>0</IRATnsfr3_Immediate>
<IRATnsfr2_Immediate>0</IRATnsfr2_Immediate>
<grpPayContrC>0</grpPayContrC>
<RA2_CurrConFee>false</RA2_CurrConFee>
<RA_CurrConFee>false</RA_CurrConFee>
<RA_Exist1ConFee>false</RA_Exist1ConFee>
<RA2_Exist1ConFee>false</RA2_Exist1ConFee>
<RA3_Exist1ConFee>false</RA3_Exist1ConFee>
<RA2_ContactX>false</RA2_ContactX>
<RA_ContactX>false</RA_ContactX>
<SRAF_EEB>0</SRAF_EEB>
<SRAF_SDB>0</SRAF_SDB>
<SRAF_Rationale1>0</SRAF_Rationale1>
<RA_ContactCompareX>false</RA_ContactCompareX>
<RA2_ContactCompareX>false</RA2_ContactCompareX>
<RA_ProspectusX>false</RA_ProspectusX>
<RA2_ProspectusX>false</RA2_ProspectusX>
<RA2_CurrStatementX>false</RA2_CurrStatementX>
<RA_CurrStatementX>false</RA_CurrStatementX>
<RA2_OtherX>false</RA2_OtherX>
<RA_OtherX>false</RA_OtherX>
<RA_WBx>false</RA_WBx>
<RA2_WBx>false</RA2_WBx>
<RA_DBx>false</RA_DBx>
<RA2_DBx>false</RA2_DBx>
<RA_IBx>false</RA_IBx>
<RA2_IBx>false</RA2_IBx>
<RA2_RplOtherx>false</RA2_RplOtherx>
<RA_RplOtherx>false</RA_RplOtherx>
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</OLifEExtension
>
</Holding>
<Holding id="_ddee6e30-b
e28-4f94-8c36-3205b07df2a1">
<HoldingTypeCode
tc="3">Investment</HoldingTypeCode>
<HoldingStatus t
<AssetValue>7634
91.07</AssetValue>
<DistributorClie
<Investment Carr
ierPartyID="_d0d2cc34-8b97-418c-a841-21258afcf12f">
<QualPla
<QualPla
nSubType tc="5">Not Applicable</QualPlanSubType>
<SubAcco
unt id="_834fbd96-9187-4722-a220-fb4acac85d1a" />
</Investment>
</Holding>
<Holding id="_631e4d96-1
3cd-4704-bf47-a35148dd24c9">
<HoldingTypeCode
<HoldingStatus t
<Policy>
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</PolNumber>
<Carrier
Code>AXA
</CarrierCode>
</Policy>
<Investment>
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<Account
Value>0.00</AccountValue>
</Investment>
</Holding>
<Party id="_43a5bea9-f13
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<PartyTypeCode t
c="2">Organization</PartyTypeCode>
<FullName>AXA Eq
uitable Life Insurance Company</FullName>
<Organization>
<OrgCode
>EQUITABLE</OrgCode>
<DTCCMem
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</Organization>
<Carrier>
<Carrier
Code>62944</CarrierCode>
<NAICCod
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</Carrier>
</Party>
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</Party>
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<PartyTypeCode t
<FullName>AXAADV
ISORS</FullName>
<Organization>
<OrgForm
tc="23">Corporation (general)</OrgForm>
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