EFTA Document EFTA01355811

Farm W-9 (Rew. Dann 2011) Othasmnial the Teary mime Rear Swam Request for Taxpayer Identification Number and Certification Give Form to the reqUeSter. Do not Sand to the IRS. ni gkZ . c a ii 1 I 2 (75 *we us mown on yam num* rax sauna Southern Trust Company. Inc. awns fahlaflart9artlecl witty none. x oilmen born aeon Southern Financial LLC oweiraseroprieta ear ler felony to elessillogort O troarktoWsolectoprielor O C Caporaeon CI 6 Careasterri O Pennerahle O TnnUestase n ...„ t WINO Hatay company Fluorinate. ctsurfewicrs (C.0 capeskin. S•8 comantat Pannerehleill - O Othw two ristnycloriq• Exempt eaves Mows inanter, stew, aid am. a sire no) 6100 Red Hoak Quarter B3 Requests?. ows anti worms lows* City. an. cod ZIP cede St. Themes, USV1 00802 LW account nimerdej has (wim* Past I Taxpayer Identification Number (TIN) Enter your TIN.in the speroalate box. The TIN provided must match the name given on Me *Name" line foamed backup withholding. For individuals, this rs your war/ security number ISSN). However. for a resident alien, sole predator, or disregarded entity, sae the Part I nstructions on page 3. For other tattle, h Is your employer identification numbur (El N) If you do not have a number, see How to get a 7W on page 3. Note. If the account is in more than one name. see the Chad on page 4 for guidelines on whose number to enter. Soda secerIty number I Employer IMintlemeen nester Part II Certification Under penalties at perjury, I candy that: 1. The number shown on this form is my correct taxpayer identification number (atom waiting fore number to be issued to me), and 2. I em not subject to backup withholding because: (attain exempt from backup withholding, or (b) I have not been Waded by the Internal Revenue Service gRS) that I ern subject to backup withholding as a result or a ?Whirs to report WO interest or dividendit, or (e)the IRS has notified me Malian no laird sublect to backup withholding. and 3. I am a U.S. citizen or other U.S. person (defined below). Certification Instructions. You must aces out item 2 above if you have been notified by the IRS that you are aunty stbjea to backup withholding beowse yde have failed Is report al Interest and divide*e on your tax return. For real estate transactions. item 2 does not apply. For mortgage Interred paid. acquisition or attandonment secured property. cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally. payments other then Interest and (vidands, you we not r luisact to Sign the eereSeeeen• but you must Provide your correct 11N. Seethe instructions on page 4. Sign teener/es Here us. penal General Inatzuctons Section references we to the Internet Revenue noted. Purpose of Form A person who Is required to ac's wi information return with the IRS must obtain your correct taxpayer Identification number friN) to report, far example, income paid to you, real estate transactions, mortgage interest you paid. acquisition a abandonment of secured property. cancellation of debt. or contributions you made to an IRA. Use Form W4 only if you are a U.S. person (Indming a resident alien). to provide your correct TIN to the person requesting It (the requester) and, when appacable. to: 1. Certify that the TIN you we giving is correct (or you are waiting for a number to be Issued). 2. unify that you we not subject to backup withholding. or 3. Claim exemption from backup withholding if you are a US. exempt payee. If applicable, you are also certifying that ass U.S. person. your allocable share of any partnership Income from a U.S. trade or business Is not satiect to the withholding tax on foreign partners' Share of effectively connested &cc OMO. ono. 1-a-13 Note. If a requester gives you a form Other than Form W-9 to request yew TIN, you must use the requester% kern If It is substandelly tanner to this Form W4. Definition of a US. person. For fedefli tax parpoSat you are considered e U.S. person if you ere: • An individual who is • U.S. Oaten or U.S. resident then, • 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 locate estate), or • A domestic trust (as cleaned in Regulations section 301.77nt Special new for partnerships. Partnerships that conduct a nide or business In the United Sates are generally required to pay a wenhowng tax on any foreign partners' share of InoOme trait such business. Further, in certain cases where a Form W9 has not been received, a partnership is required to presume that a per is a foreign person. and pay d*withhokling tax. Therefore, If you area U.S. person that Is a partner in a partnereNp conducting a trade or business In the United •• Stales, provide Form W-9 to the partnership to estabish your U.S. status and avoid withhOding on your store of partnership income. Ca No. trillte Earn W-9 (Ref. 12.2011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0041092 CONFIDENTIAL SDNY_GM_00187276 EFTA01355811