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efta-efta01194924DOJ Data Set 9Other

Financial institutions

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DOJ Data Set 9
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efta-efta01194924
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EFTA Disclosure
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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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Domainii799.int
Domainrachoustonenortonrosefulbright.com
Phone(212) 318-3000
Phone2844284
Phone713 651 5252
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