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Saks Inc.

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If you are a current or former employee of this company and have 401(k) shares, please use this form to register your complaint. Thank you.

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Defendant:
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Saks Inc.

*Describe your complaint:
(briefly describe the damages you have suffered)

Date of purchase(s) of Saks stock:

Number of shares purchased:

Your loss to date, if any, in Saks stock:

Your loss to date, if any, for Saks stock bought from 1999 to 2003:

*Did you buy during 1999 and 2003?

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If no, when did you buy?

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Are you a current employee?

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Did you purchase in an offering?

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Did you acquire your shares through a broker?

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