EFTA Document EFTA01282296

Fran W-9 (Se Decanter 2011) Owertmen of the Tresary Never ROWANS Seine Request for Taxpayer Identification Number and Certification live linen to the .oquostar. Do not ;and so the IRS. . 0 'a i Z - o 4 Ilse to shown en ea rocs tax test Butterfly Trust Bois nwnerdtwearrded entity snit if acts hen above Chosh efristopatte box for Seel tax dassestort Inefrektuasole Pretetetot 0 C Comeedon 0 SCarperetten ID Peravanshb ❑9 Tmenestan 0 LISS labillty MSS. Etter tholes cbssificatten reC torporeitn. BSorneterko nmetessoobt ►• -.........----.... .-.. a CelOr 000 imativotions) • Cl Elsa Payee Mat trarea, meet, end et a sac no ) 6100 Red Hook Quarter, B3 Reopesties nom and Sat <Mist. City, stews end DP code st norms, u.s.y.i.00so2 Laiwoure wink/ hem lopor•O Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided mutt match the name given en the lire rill to avoid backup withholding. For individuals, this a your social security number (SSN). NOSS for a resident alien, sole proprietor. or disregarded entity. see the Part I instructions on page 3. For other entities. it is your employer identitioation number (Flat). If you do not have a nember. see How to get a TIN on page 3. Note. N the account is in more than one name, sot the chart on page 4 lot guidelines on whose number to stet rent t I Employer identleeetknnwnbr I Rai Certification Under penalties of penury. I certify that: 1. The number shown on this lone is my correct taxpayer identification number Oxfam waiting fora number to be Sued to net s and 2. lam not subject to backup withholding because: (a) I am exempt from backup withholding. cc (b) I have not been notified by he Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or efnidends. Of (c) the IRS h. a notilkd 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). Certification instructions. You must cross out item 2 above it you have been notified by the IRS that you we currently subject s backup withholding because you hive failed to report YI interest arid dividends on your tax return. For real estate transactions. hem 2 does not appl% For mortgage interest paid, acquisition or abandonment of secured property. cancetation of debt contributions to an individual retirement am tiger ns it (IRA). and generally, payments other than interest and dnidends. you are not required to sign the certification, but you most provide your c :nett TIN. See the instructions on page 4. Sign swing of • --3 -NiCkA-t t Hers ptoon • AS A General Instructions Section references are to the Internal Revenue Code testers otherwise noted. Purpose of Form A person who is required to fiat 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 propery cancellation of debt or contributions you made to an IRA Use Form W.9 only a you are a U.S. person (including a strident alien), to provide your oared TIN to the person requesting it (the requester) and, when applicable, to • I. Certify that the TIN you we giving is correct (or you are wading lor a number to be issued). 2. Certify that you we not subject to backup withholding, or a Claim exemption from backup withholding if you we a U.S. exempt payee. If amicable, you aro also mortifying that as a US. Pelson. your allocable share of any partnership Moans, from a U.S. trade or business is not subject to the vrithholdfrig tax onifavign pannam share of effectively conceded noorne. R I 7,c) I r Nets. If a requester gives you a form other than f amt W.') to request your TIN, you must use the isqueeter's form 4 il i substantially similar to this Form W-9. Definition of a U.S. person. For federal tax puns; you em considered a V.S. person if you are: • An individual who is a U.S. citizen or U.S. residi :t alien, • A partnership. ortPonthen, conPany or anon ion created a organized in the United Stales or under the laws. ' the United Slates. • An estate (other than a foreign name). or • A domestic trust (as defined in Regulations sect on 301.7701-7). Special rtes for partnerships. Partnerships the ,itinduct a trade or butanes& in the United States we generally remit:id 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 n Y beenreceived, a partnership is required to presume that a partner) s a lore!gn person. and pay the withholding tax Therefore• if you are 1U.S.. reface that is a partner in a partnership conducting a trade a but pax in the United States, provide Form W9 to the partnership to et :shish your U.S. status and avoid wrthhoiding on your sham of par monship incauo. Cat No.10231X CONFIDENTIAL CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) W-9 trket. 12.2011) SCINY_GM_C0037699 DB-SDNY-0000523 EFFA_00148308 EFTA01282296