EFTA Document EFTA01385762

Form W-9 (Rev. December 2014) Department al the tereary Wend &minus 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. i Name (as shown on your income tax return). Name is required on this eric de rot leave US area tiwtk Southern Trust Company, Inc. 2 Business nerne/Olsregarded entity name, edifiers% from above 3 Check appropriate box for federal tax Massakation: chock only ono of the following seven boxes: 0 Inctridual/sae proprietor or ti CeaPontioft 0 $ Corporation 0 ParloeFahIP sag's-member tic 0 limitedEsbilty company. Enter the ttaxclasaication (C.0 corporation. S•S oorPoriton. Piteartnerehlo) Note. For a singlemember US Mat is diweganled, do not check tic: check the appropiate box In the tax classification of the sego-member owner. 0 Other (se* Instnrctioa) if- 0 TAtatiostala • 4 Exemptions certain entil:es. Instruceons Exempt payola Exemption code at any) Paseo issiewermoicreeserwara (coca apply only to nel incliv,duals: um on page 3): Cede pat any) from FATCA repeal% the Rasaabove for Ma S Address (number. street. and apt. a sake no.) 6100 Red Hook Quarter B3 Requesters name and address Node* a City. Ha andZIPcode St Thomas USVI ,00802 7 List account numbar(S) here (opliona0 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 back. p 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 (EIN). If you do riot have a number, see Now to get TIN on page 3. Note. If the account is In more than one name, see the instructions for line 1 and the chart on page 4 for guidelines on whose number to enter. I Social secu by number Of 1 Employer Identification number Part II Certification Under penalties of perjury. I certify that: 1. The number shown can 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 Senders (IRS) that I am 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 V.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form or any) Indicating that I am exempt from FATCA reporting is correct. Certification Instructions. You must cross out item 2 above if you have been notili00 by the IRS that you are currently subject to backup withholding because you have failed to report dividends on your tax re 1R:-FOireal estate transactions, item 2 does not apply. For mortgage e Un interest paid, acquisition or aba Orelleflt of aeZo ed property, 0 °not bt, contributions to an Individual retkement arrangement (IRA), and generally, payments other than terest and divide you required to si n the certification, but you must provide your correct TIN. See the instructions on page 3. I Sign Here Signature of R\ U.S. person Pfli-V General Instructions Section relerences are to the Internal Revenue Code unless otherwise noted. Future developments. Information about developments affect:1g Form W-9 (such as legislation enacted alter we reheat it) is at www.irs.gov/rw9. Purpose of Form An Movidual or entity (Form W'9 requested who is requited to Me an information return with the p S mast obtain your correct taxpayer Went/batten number (TIN) %Mich may be your social Stacey number (ESN). Individual taxpayer Identification number OTIN). adoption taxpayer Identlecatkin number (ATINS. or employer identification number (EIN), to report on en infomiation return the amount pat to you. or other amount reportable on en kdoemetton return. Examples of informtlion returns Include, but me not limited to, the loeowmg: • Form 1099.INT Overact earned or pall) • Form 1099.DIV (dividends. Including those from stocks or mutual funds) • Form 1090'441SC 044/0U4 types of income. prizes, awards. or gross proceeds) • Form 1099-B (stock or mutual fund gala and certain other transectfrans by brokers) • Form 1099-8 (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) Data 4 .2119/.701-9 • Form 1098 (home mortgage intereS1), 1098-E (student ban interest). 1093.-T (turban) • Form 1099.0 (canceled debt) • Form 1039-A (acquisition or abandonment ol secured womb/ Use Form tO-9 only if you are a US. person (ncluceng a resider/ ellen). to provide your correct TIN. If you do riot /own Form W•9 fo file Mt/later with a TW, you night be scet#ect to bacAvp witiMokling. See West is backup witeholottng? on page 2. Sy ragrFng Me bled-out form. you: 1. Certify that the TIN you ere giving is correct (or you ere wak'ng tor a number to be issuedl. 2. Certify that you are not SUbjett to On* withholding • of 3. Claim exemption from backup withhold/iv If you are a U.S. exempt payee. If oppbcable, you ere also ortilyag that as a U.S. person, your allocable share of any partnership income from a U.S. tin or business Is not attest to trio withholding lax on torsion partners' share of effectively CONICCIed income, and 4. Certify that FATCA coatis) entered on this form (if any) InecatIng that you are exempt from the FNMA repotting is correct. See Werth FATCA reporting? on page 2 for falter Intonation. Cat. No. 10231X Form W-9 (Rev. 12.2014) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL SDNY GM_00233284 DB-SDNY-0087100 EFTA01385762