EFTA Document EFTA01451493

Form W-9 (Rev. 8-2013) Page 4 What Name and Number To Give the Requester For this type of account: Give name and SSN of: 1. Individual 2. Two or more individuals Ord account) 3. Custodian account of a minor (Uniform Gilt to Minors AC1) 4. a. The usual revocable savings trust (grantor is also trustee) b. Socalled trust account that is not a legal or vand trust under state law 5. Sole proprietorship or disregarded entity owned by an individual 6. Grantor mist filing under Optional Form 1099 Filing Method 1 (see Regulation section 1.671-411))(216109 The individual The actual owner of the account or, if combined funds, the first individual on the account The minor' The grantor-trustee' The actual owner' The owner' The grantor For this type of account: Give name and EIN of: 7. Disregarded entity not owned by an individual 8. A valid trust, estate, or pension trust 9. Corporation or LLC electing Corporate Statue on Form 8832 or Form 2553 10. Association, club, religious. charitable. educational, or other tax-exempt organization II. Partnership or multi-member LLC 12. A broker or registered nominee 13. Account with the Department of Agriculture in the name of a pubic entity (such as a state or local govemrnent. school district, or prison) that receives agricultural program payments 14. Grantor tent Nine under the Form 1041 Filing Method or the Optional Form 1099 Fling Method 2 (see Regulation section 1.671-4(b)(2)(0039 The owner Legal entity' The corporation The organization The partnership The broker or nominee The public entity The trust Lai first and Circle the nestled lie pew whose number you format . a only one penal on a pint accamt hes an SSN. that person's minter must be I unshed. ' Cede the mites MOTO and rumen the mincesSSN. 'you must show your in:Pr:duel none and you may ate enter your tininess or •DBA' roma on the 'Summits narnedOiregatOOO entity norm in.. You may um *thee your SSW a EIN Of you Obit onel. but Me IRS encourages you to use your SSW. Let Pitt and circle the nen. or the trust. estate. or pension trust. rib not furnish the Tit! Of the personal representative or matte unbts the legal entity U.S is not designates in ow account tile.) Also see Special rule: for pelnersMos on Pagel. 'Nate. Grantor alto mat monde a Form V/.9 to trustee of bust. Note. If no name is Circled when mere than One name is listed, the number will be considered to be that of the first name listed. Secure Your Tax Records from Identity Theft Identity theft occurs when someone uses your personal information such as your name. social security number (SSN). or other identifying information. without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a lob or may file a lax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax preparer. 11 your tax records are affected by identity theft and you receive a notice from the IRS. resPOnd right away to the name and phone number printed on the IRS notice or letter. If your tax records are not currently affected by identity theft but you think you we at risk due to a lost or stolen purse or wallet, question. N ctivity or credit report, contact the IRS Identity Theft Hotline at submit Form 14039. For more infomslion, see Publication 4535. Identity Thetl Prevention and Victim Assistance. Victims of identity theft who are experiencing economic harm or a system problem. or are seeking help in resolving tax problems that have not been resolved through normal channels. may be eligible for Taxpayer Advocate Service (TAS) n reach T toll-free case intake line at r TPUTDD Protect yourself from suspicious emits or phishing schemes. Phishing is the creation and use of email and webutes designed to mimic legitimate business entails and websites. The most common act is sending an email toe user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. The IRS does not initiate contacts vnth taxpayers via °mails. Also, the IRS does nOt request personal detailed information through emal or ask taxpayers for the PIN numbers, passwords. or similar secret access information for their credit cam. bank. or other financial accounts. If you rec ' email claiming to be from the IRS. forward this message to ou may also report misuse of the IRS name. logo. to the Treasury Inspector General for Tax Administration at ou can forward suspicious emals to the Federal Trade mission at: contact them at wwwitc.govhdthelt or 1-877- IDTHEFT (1 Visit IRS.gov to learn more about identity theft and how to reduce your risk. Privacy Act Notice Section 6109 of the Internal Revenue Code reqtaxis you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you: mortgage interest you paid: the acquisition or abandonment of secured property: the cancellation of debt: or contnbutions you made to an IRA. Archer MS.A. or HSA. The person collecting this form uses the information on the form to file information returns with the IRS. reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, Rates, the District of Columbia. and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and cnminal laws, or to federal law enforcement and intelligence agencies to combat terronsm. You must provide your TIN whether or not you are required to file a tax return. Under section 3406. payers must generally withhold a percentage of taxable interest. dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information. CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0 108117 CONFIDENTIAL SDNY_GM_00254301 EFTA01451493