DS9 Document EFTA01255652

Fenn (Rev. Deseyber Department Head W-9 2011) to beady Request for Taxpayer Identification Number and Certification Giver Form to the requester. Do not send to the IRS. of to &tyke ni 1 1 Name (as shonn on your Incase In murt TEC e 1 _I-tc, Maims nerneldereecled entity nine,V different Iran above puck IPPlaxiele M redivremavade QLInOd liability 0 Crew (see instructions) box for federal tat direellicabore 0........ CleurnPt Mee proximo( 0 C Corporetbn II S Comoretim 0 Partnenner 0 Tnatiestete metre. Fear the ley ckucsifrralica (C.0 topcoat:" S, S corPorat el. P- _psdenho), e . E I City. add, Intl DP 4r floq.ostfl rams end addeea(ga &) code rieptets, yv cc-is t; L List somas nartmr(a) hem Waal) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the Name line to avoid backup withholding. For individuals, this is your social *murky number (SSI4), However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, his your employer identification number (EIN). if you do not have a number, see How to get a 77N on page 3. Note. If the account is in more than one name. see the chat on page 4 for guidelines on whose number to enter. Certification 11 Part II Seed ',aunty number Employer idereecatIon weber Under penalties of perjury, I certify 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. lam not subject to backup withholding because: (a) I arm exempt from backup withholding. or (b) I hen not been notified by the Internal Revenue Service (IRS) that I err, subject to backup wfihttokting as • result of • (alum to report all interest or dividends, or (c) the IRS has notified me theft am no longer subject to backup withholding. and 3. I am a U.& citizen or other U.S. person (defined below). Certification instructions. You must crow out item 2 above if you have boonnotiRed by the IRS that you we currently subject to backup withholding because you have failed to report all interest rind dtvidehrls on youriex rethin. For reN estate transactkna Item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured p etatkan of debt. cgntributions to an individual retirement arrangement (RA), end generally, payments other than Interest and dividends are not required to tilgny certification, but you must provide your correct TIN. See the instructions on Page 4. • Sign sic real , r7 Here us moon.; General Instructions Section references we to the Internal Revenue Code unless otherwise noted. Purpose of Form A person who is 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, reel 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 if you are a V.S. person (Including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicatie. to: 1. Certify that the TIN you en riving Is correct (or you are wafting 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 we a U.S. exempt payee. If applicable, you are also certifying that as a U.& 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. Date e ith Note. If a requester gives you a form other than Foram W-9 to request your TIN, you must use the requester's form if It is substantially similar to this Form W4. Definition of a U.S. person. For federal tax purposes, you are considered a U.& person if you we: • An individual who Is a U.S. citizen or U.S. resident alien, • A partnership, oorporartIon, 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 certain cases where a Form W-9 has no been received, a partnership is required to presume that a partner is • foreign person. and pay the withholding tax. Therefore, if you are a V.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. Ca No. 1023IX Farr W-9 (Rev. 12-2011) SDNY_Gfel_00063434 CONFIDENTIAL - PURSUANT TO FED. R.QP . AIE I DENTIAL DB-SDNY-0026259 EFTA_00173942 EFTA01255652