EFTA Document EFTA01385755

Form W.9 (Rev. December 2014) Cepertrnet ct the Treasay Nlaid Revenue Slake 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. 1 Name (es shown on your income lax rel um). Name is remind on this line: do not leave this line bt• Southern Financial LLC 2 Business namardivegerded entity name, it different from above $ Chick aPPretriate box tor federal tax cinallicetion: check only one of the following seven boxes: O individuatrate proprietor or O C Corporation O $ Corporation O Partnership singe-member LW O Limited iiablitly company. Enter the tax classification (CaC corporation. S.S corporation, Pe pretnership) Note. For a single-member LW that le divegarded. do not check LLC check the appropriate pox in the tax clasaication of the single-member owner. • Other (see Instructions)* O Trust/estate * 4 Exemptions f;,11,nrrultr e'peg n°tergel kjuPne Exempt payee Exemption code Of any) POPO" b nxel•WI,I4, s,COUtita*US) (codas apply only to code Of ww) from FATCA reporting the fine above for S Address (number. street. and apt. of suite n0.) 6100 Red Hook Quarter 83 Rethaster's name nd address (OPtiOnall a City. state, and ZIP code St Thomas USVI ,00802 7 List account numberts) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this Is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (971). If you do not have a number, see How to get a ITN on page 3. Note. If the account is in more than one name, see the instructions for line 1 and the char( on page 4 for guidelines on whose number to enter. Social security number or Emptoyer Identiticat on number Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer Identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding. or (b) I have not been notified by the Internal Revenue Semite (IRS) that I en subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form Of any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the Abet you are currently subject to backup withholding because you have failed to report all est and • dends on your tax return. For r e transactions, item 2 does not apply. For mortgage interest paid, acquisition or aban ment of secured •roperty, cancellation contributions to an individual retirement arrangement (IRA), and generally, payments other than • tweet and dividends, • u are not d to sign the certification, but you must provide your correct TIN. See the instructions on page 3. Sign Here Signature of U.S. person General Instructions Section references aro to the trAernal Revenue Code uniess otheiv4se noted. Future developments. Information about developments arrectirq Form W4 (such as legislation enacted after we release Itt is al www.es.govIlw9. Purpose of Form Ni InoNiousi or entity (Form W-9 requester) vita is required to ale an ink:motion return with the IRS must obtakt your correct taxpayer identification number (TIN) kitten may be your social security number (SSW). individual taxpayer identification number ((TIN), adoption taxpayer Identificatam number (AIN), or employer Identification number (EN). to report on on information return the amount paid to yea or other amount reportable on an Information return. Examples of intonnation returns include. but are not limited to. Ma foliowIng: • Form 1002-INT (kiterest earned or paid) • Form 1099-DIV (dividends. kitten° those from stocks or mutual funds) • Form 1092441SC (various types of Income, prizes. awards. or gross proceeds) • Form 1009-B (Mock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (raceeds from real estate transactions) • Form 1099-K (merchant vet and third party network transactions) glt71,20/4 • Form 1090 (borne mortgage interest). 10994 (student loan interne. 109ST (tuition) • Form 1099-C $canceled debt) • Form 1099-A (actaistion or abandonment of secured proorty) Use Form W4 only if YOU are a U.S. person (including a ersidal mien). to provide your correct TIN. t I you do not return Form W-9 to the mover:ter wane TN, you mart be sublect nor backup mugs See What is Webs, waMoicang2 on page 2. By signng the ftleacul form. you: 1. Certify that the TIN you are gMng is correct (or you are wailing fora number to be hayed). 2. Certify that you are not subject to backup withholding. a 3. Caam exemption Iron, backup withholding it you are a US. exempt pmts. applicable. you are also certifying that as a U.S. person. your allocate shire of any partnership income from a U.S. trade or business is not subject to the withholding lax on foreign partners' share of effectively connected income, and 4. Certify Thai FATCA coded) entered on this form le any) Indicating that you are exempt from the FATCA reporting. a correct. See %tat is FATCA reporting, on page 2 for further information. Cat. No. 10231X Form W-9 (Rev. 12-2014) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL SDNY GM_00233277 DB-SDNY-0087093 EFTA01385755