EFTA Document EFTA01360764

Fpm W (Rev. December 2011) Deptrtment of the ift1Stily Internal Revenue Service Print or type I See Specific instsuctions on page 2. armill al.„ turn &cigar en name. d, ei Busaoss from above Check an:cognate box for Wawa) tax classification: Individual/sob proprietor 0 C Corporation 0 S Corporation 0 Partnership 0 Trustrestate El United liability company. Enter the tax classification (C-C corporation. 5-5 corporation. PxpartnesshIP)P 0 Other (see iratnections) e 0 EamPt