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efta-01372254DOJ Data Set 10Other

EFTA01372254

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efta-01372254
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
F. W-9 Ow December 2011) Dior:roe al tte Treasury Menal Revue. Serie Request for Taxpayer Identification Number and Certification :live I 'form to the squoster. Do not ;and 1:0 the IRS. Name* shoe" at se name tax return) Butterfly Trust Busieserernarderogreded entry rem i afferent flan above Check recroperte box for laded to classification 0 ° Indrricustesore prooneror K C CaPereen eaten (nenber. street. and ape a sate no.) 1 6100 Red Hook Guider, S3 S 0) 0 S Corporate 0 thertnershe 0 Tnestrectre 0 timed ashen cormany. Enter the to essaicatisi (GC oorporstlon. SeS =pore" Paperthenthipi► 0 Other tree reseuctions) 0 Exempt * fee lily, stew end ZIP code St. Thomas, sot= Lei sown mnbegansee Mein, Fillgateef norm end edemas plora to Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box The TIN provided must match the name given on the Nene re to avoid backup withholding. For individuals, this is your social security number (SSN). Flowerer, for a resident alien. sole proprietor, or disregarded entity, se the Part I instructions on page 3. For other entities, it is your employer identification number (E W). If you do not have a nimber, see How to pet a Mon page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number tom*. Sorel esarity Employe rdentificath n numbs 216 6 6 9 7 1 1 Part Under penalties of perjury. I certify that: 1. The number shown on this form is my correct taxpayer identification number (dram waiting fora number to be issued to car 2. I am not sublet to backup withholding because: (a) I am exempt from backup withholding. a (b) I have not been notified by: Service (IRS) that I am subject to backup withholding as a result of a failure to report alt interest or drvidends. or (c) the IRS hi no longer subject to backup withholding and 3. I ern a US. citizen or other U.S. person (defined below). Certification instructor's. You must cross out item 2 above if you have been notified by the IRS that you are currently subject because you have failed to report it interest and dividends on your lac return. For real estate transactions, hen 2 does not appl interest paid, acquisition or abandonment of secured property. cancellation of debt, contnbutions to an individual retirement an generally, payments other than interest and dividends. you are not required to sign the certification. but you mast provide your c instructions on page 4. Sign Here Certification SIgnetureol r j ...2.1„442 .4 U.S.persioner General Instructions Section references are to the Internal Revenue Cede unless otherwise noted. Purpose of Form A peen who is required to tile an information return with the IRS must obtain your cared taxpayer identification number (TIN) to report, for example, income paid to you, real estate transactions, mortgage interest You pad. acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an RA. Use Form W-9 only if you are a U.S. person finduding a resident alien), to provide your correct TIN to the person requesting h (the coquette) and, when applicable. to 1. Certify that the TIN you are giving is correct (or you ere waning for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. II appicable. you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax onloreign partners' there of effectively conoected income. c and he Intense Revenue I) notifkd me that I am 1 backup vrithhoiding For mortgage regiment (RA). and net TIN. See the Octet R R.o I HI U Note. If a requester gives you a them ether than F arm W4to request your TIN. you must use the requester's town substantmity similar to this Form W-9. Deletion of a U.S. person. For federal tax pulp 'ea you are considered a U.S. person if you We: • M individual who is a U.S. citizen or U.S. reside r.t alien, • A partnership. corporation, company. or smock •ion created a organized in the Linked States or under the laws..! the United States. • An estate (other than a foreign estate), or • A hornestic trust (as defined in Regulations zed on 301.7701-7j. Special nelies for partnersNps. Partnerships undue a trade a business in the United States are genteelly retain el 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 n betn recemad. a partnership is required to presume that a partneri a a foregn person. and pay the vrithhokfirg tax Therefore, if you are 5 U.S. semen that is a partner in a partnership conducting a trade or bur bees in the United State, provide Form W.9 to the partnership to ee :ISM your U.S. status and avoid withholding on your share of par reship intorno. Cat No. tonty I Lim Ws9OUV. 12.2011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0065909 CONFIDENTIAL SDNY_GM_00212093 EFTA01372254

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