EFTA Document EFTA01472250

Form W-9 Request for Taxpayer (Rev. August 2013) Department of the Treasury Internal Revenue Service Identification Number and Certification Name (as shown on your income tax return) Business name/disregarded entity name, if different from above Check appropriate box for federal tax classification: Individual/sole proprietor Exemptions (see instructions): C Corporation S Corporation Partnership Trust/estate Limited liability company. Enter the tax classification (C=C corporation,