EFTA01381180.pdf

Form (raw. Decorber 2011) W-9 Request for Taxpayer Give Form to the requester. Do not Demers. d enPeavey Identification Number and Certification send to the IRS. Hanoi RiewnaServke Name (as shown on yaw kicaris tax rosin) Butterfly Trust Busereas namerdaregarded entity name. II deferent horn above Sal Spool.* Insiructiorts on page 2. Check Appropriate box for Word tax cissericaticer 0 indiyicorageroe proprietor • C Cceporabon 0 SComerarlion 0 Partnedhp IS TIILIVOSIZIIII Print or type 0 (aril% WM. • Limited liability company. Enter theta dosser:aeon (CC corporstIon. SoS corporation. Pwannarship) a 0 Other gee bethesticns) a Arkkess (number, test aid apt. a sate no.) Risdiesteis name end address (0Perrisi) MOORS Hook Quarter, III3 City. steak and ZIP code St. Thomas, U.S.V.I. 00802 Lint account nurrinetelnera Wilma* Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name' line Seidel security nunber to avoid backup withholding. For individuals, this is your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Past I instructions on page 3. For other entities, it Is your employer identification number (EIN). If you do not have a number, see How to get a 77N on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose I Employer identiltostien rxrtbm number to enter. 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 an waiting for a number to be issued to me). and 2. lam not subject to backup withholding because: (a) I am exempt horn backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a laws 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). Certification instructions. You must cross out item 2 above ri you have been notified by the IRS that you are currently subject to backup v.ithhokling because you have failed to report all interest and dtviderxls on your tax return. For real estate transactions, hem 2 does not apply. For mortgage interest paid. acquisition or abandonment of secured property, cancellation of debt, contributions to an IndMdual retirement arrangement (IRA), and generally. payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 4. Sign Signature of Here U.S. Demon►72):X/W44, Dad. X eS 0 I FS* General Instructions Note. If a requester gives you a torn other than Form W-0 to request your TIN, you must use the requester's form If h is substantially similar Sector references are to the Internal Revenue Code unless otherwise to this Forrn W4. noted. Definition of a U.B. person. For federal tax purposes, you are Purpose of Form considered a U.S. person If you are: A person who Is required to file an information return with the IRS mat • M individual who is a U.S. citizen or U.S. resident alien, obtain your correct taxpayer identification number (Tel) to report, for • A partnership, corporation, company, or association created or example, income paid to you, real estate transactions, mortgage interest organized in the United States or under the laws of the United States. you paid. acquisition or abandonment of secured property, cancellation • An estate (other than a foreign estate), or of debt, or contra:whom you made to an IRA. • A domestic trust (as defined in Regulations section 301.7701-7). Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the Special rules for partnerships. Partnerships that conduct a trade or requester) and, when applicable, to: business in the United States are generally required to pay a withholding tax on any foreign ostlers' share of Income from such business. 1. Certify that the TIN you we giving is correct (or you are waiting for a Further, in certain cases where a Fenn W-9 has not been received, a number to be issued), partnership is required to presume that a partner Is a foreign person. 2. Certify that you we not subject to backup withholding, or and pay the withholding tax. Therefore, if you are a U.S. person that is a 3. Claim exemption from backup withholding Jr you are a U.S. exempt partner in a partnership conducting a trade or business in the United payee. if applicable. you are also certifying that as a U.S. person, your States, provide Form W-9 to the partnership to establish your U.S. allocable share of any partnership income from a U.S. trade or business status and avoid withholding on your share of partnership Income. is not subject to the withholding tax on foreign partners' share of effectively connected income. Cat. No. 10231 Farm Wfa (Rat 12-2011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079969 CONFIDENTIAL SDNY GM_00226153 EFTA01381180