EFTA Document EFTA01294990

Form wag (Rev. December 2011) Deptnenent d the Treasury lowed Revenue Semco A Name Request for Taxpayer Identification Number and Certification exusese namaiosregattleci entity name, d minded Irem above Check OPPreinite box for federal tax classification: Indteduallsole proprietor O C Corporton Ds Corporation O Pannership O Trust/estate p Limited liability sensory. Enter the tax classification (C-C corporation. S'S comonicon. P•paruiershiral• CI Other (see irstnciticesi► List ac