EFTA01295222

Form Ow. Decarter2011) Depstesol eters W4 liwTreeny Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. of RoenuoSevk• ,_ 5 i j a o I O . I edema t <7 toms (se shown on your booms tax return) Spare, Inc. &eines mensideregarded entity nom I drawl eon above Check awroPnete box fa fearer tat ciessiRostion: DExerpt pew, • kwirdowyeure proprietor • C Corporation 1g so:demotion O Postmen,* O TrusUestere ❑n r..., limited istaty concern Enter the tax desshaitron Pan corPonstien. SeS corporation, Prponnership), Other ley rat:ructions) e• (numb., street, red opt. or sit no.) 6100 Red Hook Quarter B3 Re.aea stress end address loplioneir City, state, end ZIP code St. Thomas, U.S.V.I. 00002 (.Bt soocunt numbed.) hero (*Miens§ Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name line to avoid backup withholding. For individuals, this le your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (E IN). If you do not have a number. see How to get a 77N on page 3. Not.. If the account is In more than one name. see the chart on page 4 for guidelines on whose number to enter. Iglu Certification Under penalties of perjury, I certify that: I. The number shown on this form is my correct taxpayer Identification number (or I am waking for a number to be issued to me). and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Sande* (IRS) that I am subject to backup withholding as a result of a fauns to report all interest or dividends, or (c) the IRS has notified me theft am no longer subject to backup will-n*1(9ns, end 3. I am a U.S. citizen err other U.S. person (defined below). Certification Instructions. You must cross out Item 2 above if you have been notified by the IRS that you we currently subject to backup withisokling because you have failed to report WI Interest and diridends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage interest paid, acquisition or abandonment of twos property, cancellation of debt coMdbutions to an individual retirement arrangement (IRA), and genendly, payments other than Interest and d' you are not required to-sign the certification, but you must provide your correct TIN. See the Instructions on page 4. Sign I Signature of Here us. person • General Instructions 40te. If a reputes, gives you a form other than Form W-0 to request Section references are to the !Memel Revenue Code unless otherwise noted. Purpose of Form A person wrso is required to file an information return with the IRS must obtain your correct taxpayer Identification number (TIN) to report. for example. income paid to you, reel estate transactions, mortgage interest you paid. acquisition or abandonment of secured property, cancellation of debt or contributions you made to en IRA. Use FO1111 W-9 only If you are a U.S. person (induding a resident Wien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving Is correct (or you we waiting for a number to be issued). 2. Certify that you we not subject to backup withholding. or 3. Claim exemption from backup withholding k you are a U.S. exempt payee. If applicable, you are also certifying that as a V.S. person, your allocable share of any pwtnership Income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income. Social washy nurnbee Employer identifiestron number D,.. ga- -3O--tS your TIN, you must use the requester's form If It S substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you we: • An Individual who is a U.S. citizen or U.S. resident alien • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States, • An estate (other than a foreign estate). or • A domestic trust (as defined in Regulations section 301.7101-7). Special Mee for parthersNps. Partnerships that conduct a trade a business in the United States are generally required to pay a withholding tax on any foreign partners' share of income from such business. Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, if you an a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to estabteli your V.S. status and avoid withholding on your share of partnership income. OW Na 10231X Form W-9 (Roo. 12.2011) SDNY_GM_00053984 CONFIDENTIAL - PURSUANT TO FED_ R.QP .NEIDENTIAL DB-SDNY-0016808 EFTA_00164554 EFTA01295222 vO/ in 4uu a if zue nab 410 blo lood 09/10/28e3 14:34 ar-774-2030 pm_ Ws:9r Itá 004 Pá. e3 pon. 55-4 (Rte. Docerneer 70011 Owners* of it* inaary imemio asvin a...6o Application for.Employer MelltlfiCatIMI Number (Far use by enviers's, corporations, partnorshIpa, trusts estates. Chttrohtos gmemMent agencrot, Indian Mbar ontIne. certain indwirtuals, end otperui lo• Son disparate inatrodions for 'tech lino. lb- Koop a copy for your noords. • ENte r da it OMB Na 1146410X1 I s • h f- 1 Legal Puma of entity 'JtelAreirS, 2 Trade name of buskaas (or inchrldue) Ti, whom the EIN Is being nadis tod .roer-t_ Of different from ham on Orel) 3 Executer, trustee. "care vr non» ab Man adelros e (morn, opt. Mee CO. and Ma Ce N.O. hod P. of • 6 49 l< g i 7 o ea Sbeet address Of different) (Do not a P.O. timid Ale I- 'I. _z___Sears ____ Mt City. sea and ZIP code St_ _771.0•.‘" ..r, . Vr cc 9-4-7, 4b City. Mate, and ZIP coda nis ift t Pr.. 120t041- 9 County and stab I - where Mope busInaas b a en el S 7e. Nun* ol ptindpal office& ward paart. perm Mew. Or teen ...e) , ' •• I (514 1 ti t; 1 :, 4 . : ': th SSN. or EIN iv •• t; • € . i i • ea 'Typo 01 entity (chock only one U Sole proprietor pan) n Ponnnrxhlp p4Corptuatlan (enter form numbef to be am fr K Paragon' attract corp. D Chord, or cturch-cong014xl aignnIzatton O Mbar nonprofit organUtation (5POcilY) ► O Out (specIrd'er eh if a corportaron. name the sate ce ensign navy Stata eteeltede3 Stare Incorponitatt 9 Reason for applying (check Only OM bay die Saved nersbusmees (Speedy Wee ile—.- 11121.44:1.44._ P 0. I3 Wed employen-IChan the box and en be 12.) n Compeancit with IftS tvietherdIng republic" O Other bpaci9) ► axe burns' d moo Ononth. day. yeld SI ,e))) .1.,. I I- 10 K EatatO (sSig orsbaiding C1 Plan anettnetrater CI Trust (SSN of pentad K igadOnnt Gard a SteteRucal government O Faoneineommem 0 Federal gerunmenthieflery K REAM n Jots+ tribal frovommontrienurprises Group Kemper)» Number (GEN) tr 14C3 7r, r5k4. Fordgn cautery a IbMkIng ~ogle »ern Piglet/ II. Chenpiel type of orgarbsebn (spedly neralbiplf Sr K Pattered Ong huencse K edited • rut (specify bib) r O Como a pansten plan (entity typo) se ) :: CZOSIng month of neonatal% year wit data wage( or moonstone pokier wlif be pet bomb de> troel. Now If appanant n a nanfbulding egenc enter data (14413/41e va han be rued rte nannoident Mien (Mandi day, yawl OP 13 Highest number of employees warted in use non 12 Menthe Na the applicant (be nor Agliculuoin Hosnattdd ~ea to hove any employnas danigMS peitod. *gar "-is " fr t2 o 1_ C) 14 Check Ono box than tint OOsatbes ten principal seder of your busetect. C.1 Peeler cum ri. foetal assieenee Wholosseragexibmks El camouakm O Renal 4 Inning O Trestspenterrn a ~Ind 0 Aco.ottialon 4, food scoff* I] Wholetelrether I. I Rea3 o Rat tatito O mantdacturkg lg Vintner ti henna O Otter (specify) 15 Imitate) principal line of motchandLsa he'd: specht construction work done: products produced: or services provided. 11a Ria the If 4. bilognt ever mottled for 4/1 Clnpbyltr Minter:tbe number tea never any edict onions? . . . . K Ina tg Ns Not.; fr "Yes.' please tomato lines Ma and tat. leb you chocked *Tees on lint le& give applicant's 01111 name and teal flint thorn an Pear aPplicadon if Montt torn Inciter 2 aeon. It2b name is Trade namo ► ten Opera:Po:no dab wean. and Key end mate where. the appecation was need. EMS' previous /motorsr bdandgnatim number if lagoon. Appoxlmixtt lisle seen lied Ow.. day, ptad I fly end seta more Um Porous UN third Party Designee ComoInt dia union only II pa« is stet the mood logvklualt to nun the entity) ad mise eaten net en worelen of OM tan cellannelt muts, Onvottis ienivw re orb« (Oct tern udid i Address sea recede magma, tax ~be enhid. en tali) ottitt Pea,'M or loin. I dodo" On I hiss tanked oh mbar. Mam el bet la els' ~MO se mien ins emus se WM) W. , :It elde e- c, l',1 c- Nona eon ree gym or pant tioionfi fr _S-..(.e'"..,rer i-n.- 1~4 AMC< Win ttikrOM re"« e',4kM ar«t144 co ) 7» — ;1.24.40, j•werwn in sax owl'. era tockej $4444~ i. 1/421: 14 044.4.~ 149" .9."- ......" flea b• Slarilly [pin>) 7 7,e, --.203/1 M44•444.• Sat 4..4.4 Osoluii-timn AM Notir.a. 44.4.44. taa.beAt. InttrI4Othalli• CC. No. moose rcnn 98-4 af,v.1140041 SDNY_G/A_000539135 CONFIDENTIAL — PURSUANT TO FED R.QP .ENE I DENTIAL DB-SDNY-0016809 EFTA_00164555 EFTA01295223