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efta-efta01194924DOJ Data Set 9OtherFinancial institutions
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Unknown
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DOJ Data Set 9
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efta-efta01194924
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Financial institutions
Energy
Infrastructure, mining and commodities
Transport
Technology and innovation
Life sciences and healthcare
RIORTON ROSE FULBRIGHT
Change to contact information
Important notice
January 2015
New remittance address:
Norton Rose Fulbright US LLP
P.O. Box 844284
Dallas, Texas 752844284
Wire or ACH
instructions:
Our mailing address:
Norton Rose Fulbright US LLP
666 Fifth Avenue
New York, New York 10103-3198
(212) 318-3000
We have changed the legal name of our law firm to Norton Rose
Fulbright US LLP. Please make all future payments to Norton
Rose Fulbright US LLP and discontinue using the name Fulbright
& Jaworski LLP.
As you know, in June 2013, our firm became part of Norton Rose
Fulbright. At that time, we retained the legal name Fulbright 8e
Jaworski LLP. Since that time we have concluded that continued
use of our former legal name is potentially confusing to our clients
and the public, and we have decided to adopt a legal name,
Norton Rose Fulbright US LLP, that better reflects
our
combination into Norton Rose Fulbright. The other members in
Norton Rose Fulbright are Norton Rose Fulbright LLP, Norton
Rose Fulbright Australia, Norton Rose Fulbright Canada LLP, and
Norton Rose Fulbright South Africa Inc. Although the members
in Norton Rose Fulbright remain separate legal entities, we
operate as a single legal practice.
We also want to take this opportunity to inform you of our practice regarding
the sharing of non-privileged information with other members. Our global
practice ranks among the largest and most prestigious in the world. In the
aggregate, Norton Rose Fulbright has more than 3800 lawyers and other legal
staff practicing in over 50 offices around the world. We share with other
members non-privileged information about our practice and clients for
research, practice management, training, administrative and other business
purposes. Confidentiality agreements are in place among all members. If you
have any concerns about this sharing of non-privileged information that relates
to you, please promptly notify us so that we can address your concerns.
If you have any questions, please contact our Revenue and Accounting Center at
713 651 5252 or via entail to RAChoustonenortonrosefulbright.com. Your
cooperation is appreciated.
EFTA01194924
Form W'9
I
(Rev.
n0ir 2014)
Deprave el iherreramry
(menet Revenue SeMce
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
Print or type
IL
See Specific Instructions on page 2.
I Name (as shown
NORTON ROSE
Income tax
Nimbi rewired
UM IMe: do
leave 'Ns by blank
On yew
return).
on
not
FULBRIGHT US LLP
2 Business nemalcistegeMea entity name, a different from above
3 Check appropriate box tor federal tax classificallon: check only One of the following seven boxes'
0 indulduaVsON prOaletOr a
El C Corporation
ID S Corporation 0
Partnership
single-member LLC
El Limited baba ty company. Enter the tax Muskat:on (CxC corporation. SeS corporation. Pxpannershrol
Note. For a smote-member LLC that Is disregarded. do not check tie: check the appropriate box In
sane tax classification of the %Male-member owner.
0 Other (See instructions) n
INI Trust/estate
b
P
4 Exemptions
certain entities.
anetn•dtiam
Exempt payee
Exemption
code Of any)
Apatite aran,As.Yered
(codes apply only to
not ine victuals. see
on page 3):
code Of MIN
from MICA reporting
the line above for
Ana PAU SI
5 Address (number. street. and apt. or safe no.)
1301 McKinney, Suite 5100
Requester's name and addreSS (OplOnall
6 Cily. state. and ZIP code
Houston, TX 77010-3095
7 WI Keeled number(*) here (optional)
Pawl I
Taxpayer Identification Number (TIN)
Enter Our TIN in the appropriate box. The TIN provided must match the name given on line I to avoid
back p withholding. For individuals, this is generally your social security number (SSN). However, for a
resident alien. Sole prOpnetOr. Or disregarded entity, see the Part I instructions on page 3. For other
entities. 4 is your employer identification number (EIN). If you do not have a number, see How 10 gat a
page
7)N on
or
Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4
guidelines on whose number to enter.
Social security number
Part II
Under penalties of penury. I certify that:
1. The number shown on this loam is my correct taxpayer identification number (er I am waiting 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
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 withhold ng: and
3. I am a U.S. citizen or other U.S. person (defined below): and
a. The FATCA code(s) entered on this form Of any) indicating that tam exempt from FATCA reporting is correct.
Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently Subject to backup withholding
because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage
interest paid, acquisition or abandonment of secured properly, cancellation 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 3.
Sign
Here
Certification
Signature of
U.S. person,
Date•
l
— z/^fS
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. Information about developments affecting Fan) W-9 (Such
as legislation enacted atter we release hits at www.TagOvi•w9.
Purpose of Form
An individual a entity (Farm W-9 requester) who is required to file an information
rehire with the IRS must obtain yaw CareCI taxpayer Identification number (TIN)
which may be you WON security number ISSN). Indrhdial taxpayer identification
number PUN). adoption taxpayer Identificaton number (ATIN), or employer
*demarcation number ON). to report on an Information return the amount paid 10
you. or other amount reportable on an intonation return. Examples of Information
return, inCtude. but are not limited to. the taunting:
• Form II799.INT (Merest earned a paid)
• form 109PDN (dividends. Induding those from stocks or mutual funds)
• P4irm 101•444ISC (various types of Income, pens, awards. or gross proceeds)
• Form 1099.8 (stock or mutual fund sales and certain other transactions by
brokers)
• Form 1099.5 (proceeds from real estate transactions)
• Form 1099•K (mere: ant Card and Pad party network Irani/SOWN
• Form 1098 (INN,* mortgage interest). 1098.E (student loan interest 1098.1
(turban'
• Form 1099•C (canceled debt)
• Form 1099-A (acquisition a abandonment of secured PrOPOnY)
Use form W.9 only if you are a U.S. person (inducing a resident alien). to
provide your COrrecl TIN.
ft you do not return Form w.9 to the requester with a PIN, you night be sulaect
to backup wehhokAbg. See Whet a backup wahhokbefg2 on page 2.
By signing the kted-out form. you:
1. Comfy that the TiI you are giving Is correct (cv you are 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 area U.S. exempt payee. If
voiced ,. you are also certifying that AS a U.S. PlirsOn, yOur allocable Share of
any partnership Income from a V.S. trade Or business IS not sublect to the
withholding lax on foreign partners' Shale of effectively connected Income, and
a Certify that FATCA cocktail entered on this lam al any) indicating that you we
exempt from the FATCA reporting,, correct. See What is FATCA mooring? on
page 2 tor twiner information.
Cat. No 10231%
Form W-9 (Rev. 124014)
EFTA01194925
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Domain
ii799.intDomain
rachoustonenortonrosefulbright.comPhone
(212) 318-3000Phone
2844284Phone
713 651 5252Wire Ref
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