EFTA Document EFTA01360764

Fpm W (Rev. December 2011) Deptrtment of the ift1Stily Internal Revenue Service Print or type I See Specific instsuctions on page 2. armill al.„ turn &cigar en name. d, ei Busaoss from above Check an:cognate box for Wawa) tax classification: Individual/sob proprietor 0 C Corporation 0 S Corporation 0 Partnership 0 Trustrestate El United liability company. Enter the tax classification (C-C corporation. 5-5 corporation. PxpartnesshIP)P 0 Other (see iratnections) e 0 EamPt Pern Reesastort ren• led madras Raiona4 V1/41 I9k P I Y 1006..E t List account nurrecON here (option.° Part I Taxpayer Identification Number (TIN) Enter to avoid your TIN in the appropriate box. The TIN provided must match the name given on the "Name' line iiiiiialill boohoo withholdina. For Individuals. this is von social security number (SSNI. However. for a resident alien, sole proprietor, or disregarded entity, see the Part I instruction on page 3. For other entities, it is your employer identification number (EN). If you do not have a number, see How to got a TIN on page 3. Note. If the account is In more than one name, see the chart on page 4 for guidelines on whose number to enter. -9 Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Employer identification number , 1 Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my coned taxpayer identification number (or I am welting 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 (RS) 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 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 are currently subject to backup withholding because you have land 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, cancellation of debt, contrbutions to an individual retirement arrangement (RA), and generaky, payments other than interest and dividends, you are not required n the certification. but you must provide your correct TIN. See the instructions on page 4. Sign gjo„j uy, Here U.S. person. General Instruct Section references are to titetrtornal Revenue Code uniess otherwise noted. Purpose of Form A person who Is recuired to file an informaticn 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, acquieldon or abandonment of secured property, cancellation of debt or contributlom you made to an IRA. Use Form W-9 only if you are a U.S. person (Including a resident alien), to provide you. correct TIN to the person requesting it (the requests) and. when anXicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued). 2. Certtry that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are 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. Crate 470i:2;420i Note. If a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form If It is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An 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 laws of the United States, • An estate (other than a foreign estate), or • A domestic trust (as defined in Regulations section 3O1.7701-7). 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 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 share of partnership income. Cat. No. 10231X Form W-9 (Roy. 12.2011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0049324 CONFIDENTIAL SDNY_GM_00195508 EFTA01360764