EFTA Document EFTA01295038

Como W-9 (Rev. DOCCITIbilf J011) Dopernwt of be beauty *tonal Rhona Senn* Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not wind to the IRS. I Check fi 2 . I t a Nan,. (aa shown on your mann Written) The Hen Treat Wanes nenalchstegmckat entityrime N deferent from above approptiato O InclaicknVaols r-, Lj Limited **Nay O Carer bee instruct/cm)* box to Waal um crinicas.a: III Excerpt Parse proprietor • C Corporation O 8 Coperadon O Perbership a Trust/estate a' company. Enke the tax cioacirnatket (CeC corporallen frr-8 coPerance.Fvertnershlot — • Acne frernter. street. and we a suite no.) Requesters name end ediress (options, City. Said ZIP code St. Thomas, U.S.V.I. 00802 IS somnt nwnbee) here Nincnin) urn Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name line I social number to avoid backup withholding. For Individuals, this Is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Pat I instructions on page 3. For other entities, it is your employer identification number (EN). N you do not have a number, see How to get a TIN on page 3. Employs, Itionakkadannurnber number to enter. Note. If the account is in more than one name, see the chart on page 4 for guidelnes on whose Part II Certification Under penalties of perjury, I certify that 1. The number shown on this form Is my oorrect taxpayer identification number (orlon waiting for a number to be issued to rne). and 2. lam not sr act to backup withholding because: (a) I arn exempt horn 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 methat 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 if you have been notified by the IRS that you we 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 property, caricelation of debt, contributions to an individual retirement anangement (IRA), and generally, payments other than Interest and dividends, you ere not required to Wan the certification, but you must provide your correct TIN. See the instructions on page 4. Sign Here General Instructions Section references are 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 scamp* Income paid to you, real 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 U.S. person (ndud rig a resident afien), to provide your correct TIN to the person requesting it (the requester) and, when applicable. to: 1. Certify that the TIN you are giving is correct (or you we 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 we a U.S. exempt payee. If applicable, you are also certifying that as a U.S. 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. Note. If a requester gives you a form other han Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9. Delloiton of a U.B. person. For federal tax purpceee, you are considered a U.S. person if you era • An ThiNklual who is a U.S. citizen or U.S. resident • A partnership. corporation, 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). Spoolsl ales for partnerships. Partnerships that conduct a trade a business in the United States are generally required to pay a withholding tax on any foreign partners' share of Income from such budneee. Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore. if you are a U.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 there of partnership income. Cat No. 10231% Form W-9pittiv. 12.2011) SDNY_GM_00053732 CONFIDENTIAL - PURSUANT TO FED. R.QP .NEIDENTIAL DB-SDNY-0016556 EFTA_00164307 EFTA01295038