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📄 Extracted Text (951 words)
Forn W-9
(not Decernte 20:4)
Request for Taxpayer
lficatIon
Glye Form to the
requester. Do not
>erten or Me neamy IdentificatIon Number and Cert send to the I RS.
I/1mM Froyamo Sonate
t neme las glymn ans« ram las Mbrna "Snoe .s mq..44en an h CO m1 leme ital .1ne blank
Southern Trust Company. Inc.
N 2 Buens namordineweed @Møy nanki. e danen from anave
§, Southern Feiende', ISC
& 3 Check oppropa» b« for federol rex daificatbn: creedc orer orm ot mo fettrMen somt Onn: 4 nsercisOmn (mana/c* or4 to
8 L,
n IndvIcuaireols proprbtor or O C CorwatIon 0 a Co:porsar G Ponnsen4 D Troevestaur h ni el
rk,;..tt ?..: on
n pm*
ra 11-3;."sat sa
langbanamber LLC
Emnet pens pode re regt
1 a ankect liabirny company. Fatte Me tro desseicaran (CoC corporadon SeS capandr, Pepasr~ le
Now Fa • sngle.menber LIC Mat h dammene do not check RC: check te innvortes bOx Ma bm *bom br Ext" ti°n " In FATCA n" ribili
the tex otaceifbaer or the seenamentrer emner. cocli yit errA
a. S OMN (wa Innuelle~ Wittesameanard ~ IN VI;
*. 5 ~me @urter, set. end ape a aula nol acCentlera nane end arm (Optitne
IY
6100 Red Hook Quarter. B3
s em, man and istecode
dS St. Thomas, USVI 001502
7 LM eCOM-4 memb041,1b4411 0~1
Pa IS I Taxpayer IdentMcatIon Number (TIM
etter ymte litt In Me oppropet'a bOx. lherN provIdied mutt match the name given 011 fine 1 to avlid seouila ~flot
bisirup •ro' ind;ooLals, Ibis la genwally your social securtty number Ø. HOWCY1M, for a
resident aten, We propeletor. or ceiregarded enfly, sa the Pan I hagellons on nage 3, For other
°Meies, d B your employer Identikation nurober (EIN) d you do not havne number, ses How to gote
l
DM or page 3.
Hote. MIM ~ant is In moro Man ene name, sog tno eratmclIons lor Snei and Me cha' on naga 4 for i " IST& laLmaacraion numbed
guld•lineS on whose ~ber lo enter.
Certrficatron
~Ml
Under pene/gos ol parlere. I ~dy tøt
1. ne mynter *ho« on this foren d my ~OM texpayer Idonnficallon number (or I am metting for tt nutubor ro be 'spued lo mo); and
2. I em not sub;ect to gack ep witM,ot&% benause: gg I am ekornet Iran bactiup wilhltokang, or (b) I have not bnr nobliecl by Un bremas ~ut
Service (PS) tist I am subjaa to backup vathtokIng sa a ntet.lt atal/taum to report sl! Innerest or dividends, or (c) the IRS nes nollled me Mai I am
no longer subjaa lo bedage waleedaingt and
3. I am a U.S. druen or dh« U.S. person Nollled bokse): and
4. The FATCA bodet,' ~red On Iles tomt (if any) indlcallng [holrom exempt kun FATCA repOrtIng le corroct.
Cerefleardon tristructions. You muse posa out Item 2 Wen li you havs been marked by the IRS that you are CUllilfilly 5UblOCt to backup untrholclIng
botause you have foged to report se Intenst and dividende on your lax return. For real °state trancasliont, dom 2 dons not appty. Fot 4111122MM
Inler0s1 pa4, teocesleldon or abandonerer' ol SOMM1X1pnmetty. cancellation ol det4, °rettarbota lo an nclirkruar talkumen* streng 'Ment (MAX end
generalry. payrrents °Med than Intenst ond &ridende, you are not roquIred » eign die cortificadon, Celt yd/ must bratne your come% na See the
'nyttast ons on >ege 3.
Sign I eignarre ..
Hors ud. •riont
r , Den> -2/21/20/
General Instructions • Fonn 109e(nonte monnet borent.10gbE (9~ lort riene. 1096-T
Polane
~Ion referert» am to the Imamar Rome Code enten othenetsenoted. • Form 1090-C fcencercd eobn
Futura dnesiopmente Iniarraket toa development. fl atna Form Yir.fl huen • Fr 1099A text" y raardameni or sømer oropona)
tl legine len enacred arter vm Memo /gan walraw.~.
Use Form W.9 orer e you Gro • U.S penon 0rnMIng a modent dere ro
Purpose or Form pnaide mur correct TIK
M IniMdui or entity gorm Visa i c c:.19~WhO b •equien b rio m blonnaen ff ye,o ab nor attom Fem W.9 it ~moen« WiCle YOtibl‘gbf k Slett
wen eim ihttnS mutt omen yos coaa aaan L'oraFat flata (tre) te taktø wfrokivp. Sat tenaristeclorp wrY~42 m Vold 2.
Mit, mal be ytt, soda rumba ;Sarg. tidvclual aspene der,tirione, By signing ne lieWout tonn, you:
nember i, ros. leSnotbnraapreyor IdenalicatIcn rumler (A71N), w enebyer 1. ~prat Mella you ant gid» te COneel (ot yao ~Ang kr ~gir
ktemiricalcn rumba (EIN), to report on al neamacel sum Itle smurd pai to to te flabeek
yot or aner annan monen on en ni:ensar snurre Øgla al kfarmane
moms ildne. tut ere not klemd lo, the Voving: 2. CarIM UiR you are raa!~ to barJcup altoldiaz, or
• fonn toe9.INT penne etened or ad) 3. Cern ~glan from bode.• vahhokang f yenen a U.S. ~opi rayon 3
sopiaao, ya, no tO sor./IyO2 Mal as aU3 pastorn yeur ~satte ~le Or
• Fall lan•DFF fellerkeeda. Includno Iler» Ironi »eks or muta Iun am trio ‘2, o ~ro hem a u s. trade or tuantos b na Wact to be
• Face ICO9•14;SC (saalem14101. al letene, yta astam. or green oracemb) wl, ,Mbrg las on boks pannw rors of offectire~ed Ikorn and
• Fonn 1099.8 teak amme and snes ard ~dh« mineactions by 4 Gny !KU FMCA ende>: *torron em lone (4 onn 'Watere sot you as
brokar') e...r,m from l^o rATCA zaGeet-'11. is onne«. Sere Woot e FATCA rantirx?y on
• Fot 10»-Sfproceede tent me ende transacioen paoo 2 fa furta a otainn.
• Form t0944t enerchent cad end med party noteark versaskets)
Cal No. 10231X Form W-9 Man 12.2214)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079282
CONFIDENTIAL SDNY GM_00225488
EFTA01380755
ℹ️ Document Details
SHA-256
0840cb57ec8ec7d0faba913137f8dc60fffc1108ed802203a03b64690506ecbd
Bates Number
EFTA01380755
Dataset
DataSet-10
Type
document
Pages
1
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