Case File
efta-01448847DOJ Data Set 10OtherEFTA01448847
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DOJ Data Set 10
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efta-01448847
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Form Ift1-9
fie% December int1)
Oeportment a/ th, Treesay
Norma RevenueSeirke
Request for Taxpayer
Identification Number and Certification
Give Fonn to the
requester, Do not
send to the IRS.
I
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Name ras shown on your hams tax ream)
The Haze Trust
Business rianardisregerded (way name, a dlderera amebae*
Check sppropriele box for Iodine tax clesslricedon:
0 lorliikluslarole proprietor
0
C Corporation
0 s Corporation
•
Pertnershp [El Trutt/sets*
Limited Salary carpany. Enter the tax daselficatIon (C-.0 capotallon. S=S ccepOtatkn. P-41/01010IdiP) II"
Othis Sow hotrod/cm)"
0 Exerrot Payee
Requester's name and address (options
Address inurber, street, end*. a sae no.)
6100 Red Hook Quarter B3
Cary, sane we ZIP code
St. Thomas, U.S.V.I. 00802
Lai concert rarreier(s) here freakier)
Past I
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Names line
I Social security nun*
to avoid backup withholding, For individuals, this le your social security number (SSft. 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 (EIN). If you do not have a number, see How to gets
77N on page 3.
Note. If the account is in more then one name, see the chart on page 4 for guidelines on whose
number to enter.
Employer Identalcatice number
3
7 1
S 4 1 4
Part II
Under penalties of perjury, I certify that
1. The number shown on this form is my correct taxpayer identification number (or Ian waiting for a number to be issued to me). and
2. I am not subject to backup withholding because: (a) l am exempt from backup withholding. or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Cartflattion Instructions. You must woes out Item 2 above if you have been notified by the IRS that you ere currently subject to backup withholding
because you have failed to report WI Interest and dividends on your tax return. For real estate transactions, hem 2 does not apply. For mortgage
interest paid. acquisition or abandonment of secured property, oencellation of debt. contributions to an individual retirement arrangement (IRA). and
generally, payments other than interest and dividends, you are not required to sign the certification but you must provide your correct TIN. See the
instructions on page 4.
Sign
Here
Certification
11110natur*
%
Tr--)C.CA Cf...A..-1/4 V
%.(- A
General Instructions
Section references an to the Internal Revenue Code unless otherwise
noted.
Purpose of Form
A person who le 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, real estate transactions, mortgage interest
you paid. acquisition or abandonment of secured property, cancellation
of debt, or contributions you made to an IRA.
Use Form W-9 only ti you we a U.S. person (including a resident
alien), 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 are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt
payee. If applicable, 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 on foreign partners' share of
effectively connected income.
3
Note. If a requester gives you a form other than Form W-9 to request
your TIN, you must use the requester's form f it le substantially similar
to this Form W-9.
Definition of a U.B. person. For federal tax purpose:, you are
considered a V.S. person if you at
• 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 301.7701-7).
Special rules for partnerships. Partnerships that conduct a trade or
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 sedan 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 are 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 establish your U.S.
status and avoid withholding on your share of partnership Income.
Cat. No. 10231%
Faro W-9 (Rev. 12-2011)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
SONY GM_00250183
DB-SDNY-0103979
EFTA01448847
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