Text extracted via OCR from the original document. May contain errors from the scanning process.
Form W-9
(Rev. Decamber 201I)
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Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
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Part I
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name' We
to avoid backup withholding. For individuak, this is your social security number (SSM. However, for a
reagent alien, sole proprietor, or disregarded entity, see the Part I Instructions on page 3. For other
entities. it is your employer identification number (EIN). t you do not have a number, see How to get a
TIN on page 3.
Note. II the account is in more than one name, see the chart on page 4 for guideline* on whose
number to enter.
Law
Certification
Under penalties of perjury, I certify that
1. The number shown on this tom is my correct taxpayer Identification number (or I am waiting for a number to be Sued to me), and
2. lam not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
&woke (IRS) that I ern subject to backup withholding as a result of a falure to report al interest or dividends, or (c) the IRS has notified me that I em
no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Certification Walrus:Sorsa. 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 failed to report all interest and dividends on your tax return. For reel estate transactions, item 2 does not apply. For mortgage
'Merest paid. acquisition or abandonment of secured property. cancelabon of debt. contributions to an individual retrement arrangement (IRA), and
generally. payments other than interest and dividends. you are not re:piked to sign the certification, but you must provide your correct TIN. See the
instructions on page 4.
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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
example, income paid to you, real estate transactions, mortgage interest
you paid. acquisition or abandonment of secured property, cancellation
of debt, or contrisutions you male to an IRA
Use Forrn W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN to the person requesting it (the
IlIqUetten and, when applicable, to
1. Certify that the TIN you we giving is correct (or you are wailing 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 are a U.S. exempt
payee. If applicable, you are also certifying that as a V.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.
Social security number
Employer idensfisetion number
INS
Det.
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Nets. If a requester gives you a toms 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 we:
• 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 tat (as defined in Regulations section 301.7701.7).
Special mks for partnerships. Partnerships that conduct a trade or
business in the United Staters 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. 10221X
Form W-9 (Roy. 12-2011)
SDNY_GM_00053859
CONFIDENTIAL - PURSUANT TO FED „QC) .NEIDENTIAL
DB-SDNY-0016683
EFTA_00164429
EFTA01295137
O
rpc2DEPARTMENT OF THE TREAIJRY
"‘JINTERNAL REVENUE SERVICE
CINCINNATI CH
45999-0023
Date of this notice: 11-13-2008
ntification Number:
Form: SS-4
Number of this notice: CP 575 B
BUTTERFLY 1R
022
For assistance you may call us at:
1-800-829-4933
Thank ou for applying for an Employer Identification Number (EIN). We assigned you
EIN
This FIN will identify your estate or trust. If you are not the
applicant, please contact the individual who is handling the estate or trust for you.
Please keep this notice in your permanent records.
When filing tax documents, payments, and related correspondence, it is very important
that you use your EIN and complete name and address exactly as shown above. Any variation
may cause a delay in processing, result in incorrect information in your account, or even
cause you to be assigned more than one EIN. If the information is not correct as shown
above, please make the correction using the attached tear off stub and return it to us.
Based on the information received from you or your representative, you must file
the following form(s) by the date(s) shown.
Form 1041
04/15/2009
If you have questions about the form(s) or the due date(s) shown, you can call us at
the phone number or write to us at the address shown at the top of this notice. It you
need help in determining your annual accounting period (tax year), see Publication 538,
Accounting Periods and Methods.
We assigned you a tax classification based on information obtained from you or your
representative. It is not a legal determination of your tax classification, and is not
binding on the IRS. If you want a legal determination of your tax classification, you may
request a private letter ruling from the IRS under the guidelines in Revenue Procedure
2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note:
Certain tax classification elections can be requested by filing Form 8832, Entity
Classification Election. See Form 8832 and its instructions for additional information.
To obtain tax forms and publications, including those referenced in this notice,
visit our Web site at www.irs.gov. If you do not have access to the Internet, call
1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office.
SDNY_GM 00053860
CONFIDENTIAL — PURSUANT TO FED. R.QQN(F
IDENTIAL
DB-SONY-00 16684
EFTA (()164430
EFTA01295138