EFTA Document EFTA01357848

Form W-9 (Rev. December 2011) Deportment of the Treany Internal Reveres Service Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Print or type See Specific Instructions on page 2. Name (as shown o your ncome tax return) Business nameidaregarded entity name. if different from above Check appropriate box for federal tax classifioatiorc O Indwiduai/sole proprietor O C Corporation O S Corporation O Partnership O Trust/