EFTA Document EFTA01282043

Farm W-9 (Rev. December 2011) Dipertriere er IS Pew flame Awns SeMoe Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not None to the Rid or type Se. Specific Instructors on cape 2. Name las tax NOM . f al. 9•iess erica deferent from oboe, Al 5 ch.d, apropist• box for WNW Um clareManiors propriMer 0 C Conwnson 0 S Corpsman 0 Pernershia • Trust/sew. company. Freer rho tax oleastraten (C..--C arpason, SeS arena) PeterInereleol ►a frlibUCtkillil P• ❑0 EXOTP One re infivklueVaele 0 United iablity 0 Clew Se st neribr, eel. Intin. a *a mnia.) , k 4/ 0 0 RE/) ti l attbriet / 89 Rasa. name end Sawa (Wend) Day, suet end ZIP code 5r" 5rT us to 00 g a t'' Ur. ant (unbolt{ hue kotion4 Part I Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box. The TIN provided must match the name given on the 'Name the to avoid backup withholding. For Individuals, this Is your social security number (SSN). However. for a resident alien, sole proprietor, or disreganded entity. ere 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 • TIN on page 3. Note PI the account is in more than one name, see the chart on page 4 for guidearries on whose number to enter. Sects epory reerber ire yyr .3 Employes kkinescabal number P II Certification Under penalties of perjury. I certify that 1. The number shown on this form is my correct taxpayer idendfloatkai number (or I am waiting for a number to be Issued to me), and 2. I am not subject to beat* withholding because: (a) I am exempt from backup withholding. or (b) I have not been notted by the internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividend., or (e) the IRS has notified me that Ian no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below). Cerlifflostlon inelnialions. You must cross out hem 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 dividends on your tax return. For reel estate transactions item 2 donna! apply. For mortgage in m s Interest paid, acquisition or abandonment of sear property. cancellation of debt, °attributions to an individual retirement anangement (IRA). and generallY. Payrnenb other thartinfinest and d' . you are not n u paten the-certification. but you must provide yourconed TIN. Seethe Instructions on page 4. Sign s oma. of / — ------" \ Here us. anent / General Instructions Net*. If a requester gives you a form than form W-9 to request Det• e (0412 , your sIN, you must use the requester's form If M is substantially similar Section references are to the Internal Revenue unless otherwise to this Form W-9. 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. real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt or contributions you made tow IRA Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TN to the person requesting it (the requester) and, when applicable. to 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you we not subject to backup withholding, or 3. Claim exemption from backup withholding If you are • U.S. exempt payee If applicable, you are also certifying that as • 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 Imams Definitien of • U.S. person. For federal tax purposes, you are considered • U.S. person S you we: • An Individual who is • U.S. citizen or U.S. resident alien, • A partnership, corporation. company, or association created or organized in the United Stales or under the laws or 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 parkterships. Pannerehips that conduct • trade a business In the United States are generally required to pay • withholding tax on any foreign partners' share of income from such business. Further, in certain cases where • Form W-9 has not been received, a partnership is required to presume that • partner Is • foreign person. end pay the withholding tax. Therefore, h you are • U.S. person that Is a partner in a partnership conducting a trade a business in the United States, provide Form W-9 to the partnershks to establish your U.S. status and avoid withholding on your sham of partnership incase Cot No. 10231X tam W-OiRev. 12-2011) CONFIDENTIAL - PURSUANT TO FED. R.toNFIDEN-rIAL SDNY_GM_00037296 DB-SONY-0000120 EFTA_OO1479O9 EFTA01282043