DS9 Document EFTA01252885

F o r m W a 9 I Pm Dicernber2011) Depertinen de ee Senate Treasury Nana Pew Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Nerve Oa yew mane k t.n of saMa tray lefirwit horn above e NQ-, C. , 3 I g i 0 Chick spar • box for federal tit closer ni iza Inceektualhole proprietor 0 c DePorshon 0 S Corporston 0 nonnership • Trusueetste • linked fiebtin company. Enter the tat Cierakaticn (C-C corporation. S=S capons cn, nemrtnersho) re Dew M. instructions) p X Early! payee I Ackra inints„, krat-x,r1:AO 4.4 e 63 R.,.....,,,..,,,,,,,x,.,dr.,..opormo a Oty. efte, Arid 311b _cris ST / K. 0-,. US t.4 DOI° 2.- . ...,.... /t1 nurbrns)hwe LS meant erne P rat I Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box The TIN provided must match the name give on the 'Name' line i geoid seamy tiny to avoid resident entities. backup whhholding. For indivkluals. this Is your social security number (SSN). However, lora alien, sole proprietor. or disregruded entity. see the Part I instructions cm page 3. For other h is your employs identification number (EIN). If you do not have a number. see How to oat a ( VI ?VI - .2- 9 ils-I TIN on page 3. Nobs. If the account Is in more than one name, see the chart on page 4 for guides nee on whose number to enter. Employer klanefioetica number -n PI II Certification Under penalties of perjury. I catty that: 1. The number shown on this form Is my correct taxpayer identification number (or 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 mete 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). Cerecirtion instructions. You because you have failed to Interest paid, acquisition or generey. payments other Instructions on page 4. Sign Hire General instructiohs out Item 2 above It you have been notified by the IRS that you me a rrently subject to backup withholding all Into and dividends on your tax ce real estate transactions, item 2 does not apply. For mortgage rneM secured property tion of debt, contributions to an individual retirement arrangement (IRA). and interest and ividenda. net required to sign the certification, but you must provide your correct TIN. See the elensture of U.S. person e Date e /40/0//3 Note. PI a requester gives you a form other than PPM W-9 to request your TIN, you must use the requesters form If It Is substantially similar Section references are to the Internal Revenue Code unless Me to this Form W.40. noted. Purpose of Form A porton who is required to fire an information retum with the IRS must obtain your correct taxpayer identification number (TIN) to report, for example. income paid to you, real estate transactions, mortgage :Merest you paid. acquisition or abandonment of secured property. cancellation 01 debt, or contributions you made to an IRA Use Form W-9 only it you are a U.S. person (Including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, viten applicable. to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be Issued). 2. Certify that you are not subject to backup withholding, or 3. Claim exemption horn backup withholding if you we a U.S. exempt payee. If applicable you are also certifying that as • U.S. person, your allocable share of any parineralep income from a U.S. trade or business Is not subject to the withholding tax on foreign partners' share of effectively connected Income. Definition of a U.S. person. For federal tax purposes you are considered a U.S. person if you arc • M 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 lees of the United States, • M estate (other than a foreign estate), or • A domestic trust (as defined in Regulations section 301.7701.7). Special mks for partnerships. Partnerships that conduct a trade or business In the United States am generally required to pay a withholding tax on any foreign partners' share of income from such business. Further, in certain cases Where a For., W-9 hoe not been received, a partnership is required to presume that a partner Is a foreign person, and pay the withholding tax. Therefore, h you are a U.S. person tint his partner in a partnership conducting a trade or business In the United States, provide Form W-9 to the pourers* to establish your U.S. status and avoid withholding on your share of partnership Income. Cat No, 10231% CONFIDENTIAL - PURSUANT TO FED. R. CC oNFIDENTIAL Fenn W-9 Olev. 12-2011) SDNY_GM_00037295 OB-SDNY-0000119 EFTA 00147908 EFTA01252885