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efta-01372733DOJ Data Set 10Other

EFTA01372733

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efta-01372733
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EFTA Disclosure
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Form W '''9 (Rev. ocarierene 04;themi el the heathy thaws Ranee Santa Request for Taxpayer Identification Number and Certification Civil Form to the requester. 0o net send to the IRS. oi ; .;.li. ! t S p a t soo. * s z c , E t in a I Nam go amen on yet/ Inecene lax worn} Nome 4 a °quirt", on This lNr. ea not erne ,Ms SW blank Southern Trust Company, Inc. pum a ma nameMisteganSod enthy Ire, ii went Item above Southern Financial, LLC 3 Check *egoistae O 53.45•Jalkell is mantis O Untied %salary For a brogbalictibel etc tax cunlectMon box ter federal lax cirsolgoagan: OW sty eve of the tonotAng seven toe= Menial et O 0 Comordion 0 SCaporalon O Penneship O the-Weida LLC EA company. Iola the taa caratestkm PAC Gemara:ch. SeS corporation. Paparmashh(P tic WI 4 C.srgar0t0, do net awe: LW; duck go appnecOle box D the rabCro3 for 0 lhO Acta mamba/ CFACIf. 4 Exemptions gas° anteoewleral anti payee bemPtic" coda at eny) tusk.. vaavoavoniorvavo (codas aceit Otto fee code et ash keen FATCAnPerni Ill pow poor rains:Coro) ...vac 5 11/454•333 (nUelber•Onet. and ate. cesceere3 6100 Red Hook Quarter, .B3 RagtesYle mete and addiff4 Comae/ a City. stilt anOZO? co0e St. Thomas, USVI 00802 7 Ust account masthead Nee leptiente :Pa -t c Taxpayer Identification Number (TIN) Enter your TIN In the appropr!ate box:therm provided must match the name given on tine 1 to avoid backup withheldIng. Foe (ode/ duds. IMS Is generalty your social security number (SSN). However, for o resident alien. sole OlOcatOf, or dtcreganled entity, too tha Part I Instructions on paged For other amides. It Is your eMployerldentliCaU00 number (EIN). If you do not have a number, see How CO pet TIN on page 3. Unto. If the account Is hi mote than one name. see the Inalmottons for line I and the chart on page 4 lot guldenes on whose number t0 enter. 6oaa unyntrmber or Rending Identification number 616 0 7 7 9 711 . Certification Undo/ ponaftles oI perjury. leen& that 1. The number shown on this form Is my WOOS taxpayer identification number (or t am waiting (outnumber to be leaved to met and 2. I arn not sugect to tockup within/Ging because, (a) I ern exempt from backup withholding, a Mitt/Ivo riot been nothied by the Internal Raven.* Service fit/St that I ern subject to backup withholding as o /mat of a Wily!a to racial ell interest or cihrktends, or the IRS has notified MO that I ern n0 longer subject to backup velthholenth and 3. I em a U.S. citizen or other U.S person (defined Wont end 4, The MICA coding entered on tNs form QI ant indicating thole/a exempt from FATCA reporlinolscarect. CartHleadan LnatructIons. You must cross out Rent 2 above If you have been notified by the IRS that you we currently subject to backup sidithilIng because you have failed to report shinier/al end dividends on your tax return. For real estate hansackons. Item 2 (loan not apply. For trion0.96 Interest paid. acquisition or abandonment of secured property. cetneellation of debt, cOntributiCA3 to an friovidute retheMent arrangement (MK end generally. payments other than Interest and dividends, you ere net required to sign the cerliCoottort, but you neat provide Your correct 11N. Seethe instructions cm doge 3. Sign Hero SIgnalure el US. Ramon► General Instructions Seaton telOtelCos 010 le the !hint Annus 0000 Wane Otherwise noted. Future develOprnenb. Infonnekst abed developments anectue Form W.9 Duch ioebtabn enacted snot we release igistvnYve.ttapowlhe9. Purpose of Form An frollyktue; Or way (Form W-9 lacunas) van is coquted 10 Do an infonatition Often wkh u1a OX9 Mat obtain yea cirreet to p lie losoiscatcn mote Rti4) *nth mho' bows sor-bl (coat meter PSNOellidual taxpayer identathstron number prin, adoption taxpayer tOloielcalloo Dauber OM or rtmCDayel dernificahon Marto: (En to report on an Intetrudon rotten the among paid le you, or cow anoint reportable an on DIcarnaeCct Mum. &an0lea or Informatkm (gum :yid°. but are net linked to, the losevraw • Form 1009.INY (edam( area or pad) • Foam 1099•DN ethisenco. :taxing those ham n0ds a narked West • Fenn 1099•MISC Oulu: typos of Income, prim nth. or onte3 precool.) • Fens 10994( Moth or mutual fund ales Watt aviv tramactions by broken) • "coo 1039.S ;proceedb Inn red estate Uareadlond • Form t099-K (nentent cad as tiled pasty network ranractlats) este Ida0L901* • Farm l0ea terms mortgage Neese nett "dent lean sweep. flYST (token) • Form 1099.0 Pampa( (so • Form i099•Ageradetimi or &Wm:errant of secured Property) Use Than Wei only a you we alia parson credusas a madam 0 04 00 rgaVloe yaw *wool TIN. drarob not maim firm Vi-9 so me tetensity we', • MN, stu Wolves rope to beceimenkenokano. See Matt soap inane/Cr& on pop 2. By Siena to thed(out loon you: 1. Can* ewe the Tor you any poky Is owed lot you am *Wing to a camber to be solidi. 2. Coney that you ant not lketeel to totkue withhoklitc, 2. Ctirn manglon ham backup wall:agog If you ce a U.S. ramp payee if vocal.. you are OtS0 Cenlyhg VW meat person your acre sane of any pornthavo 'room* Porn a U.S. trade or sus nen is not oup;oot to the wanhoairg tax on keep Pennon' Mae Of elfvelhobe Corner:COO VOX,. oft 4. Gay that FAT CA codael nom at V* Ion ef ere hat% vut you Na °WV; from N0 FATCA teronhg le comet See Mot is MICA neenni?on geo 2 tor hasher elfemerion. Ca. No. 10230( Form W-9 (Rot 12-201ry CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0066577 SDNY GM_00212761 EFTA01372733

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