EFTA01385755.pdf

Form (Rev. December 2014) W.9 Request for Taxpayer Give Form to the requester. Do not Cepertrnet ct the Treasay Identification Number and Certification send to the IRS. Nlaid Revenue Slake 1 Name (es shown on your income lax relum). Name is remind on this line: do not leave this line bt• Southern Financial LLC 2 Business namardivegerded entity name, it different from above See Specific Instructions on page 2. $ Chick aPPretriate box tor federal tax cinallicetion: check only one of the following seven boxes: 4 Exemptions (codas apply only to O individuatrate proprietor or O C Corporation O $ Corporation O Partnership O Trust/estate f;,11,nrrultr e'peg n°ter gel kjuPne singe-member LW print or type Exempt payee code Of ww) O Limited iiablitly company. Enter the tax classification (CaC corporation. S.S corporation, Pe pretnership) * Exemption from FATCA reporting Note. For a single-member LW that le divegarded. do not check LLC check the appropriate pox in the fine above for the tax clasaication of the single-member owner. code Of any) • Other (see Instructions)* POPO" b nxel•WI,I4, s,COUtita*US) S Address (number. street. and apt. of suite n0.) Rethaster's name nd address (OPtiOnall 6100 Red Hook Quarter 83 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 Social security number 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. or Note. If the account is in more than one name, see the instructions for line 1 and the char( on page 4 for Emptoyer Identiticat on number guidelines on whose 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 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 glt71,20/4 • Form 1090 (borne mortgage interest). 10994 (student loan interne. 109ST General Instructions (tuition) Section references aro to the trAernal Revenue Code uniess otheiv4se noted. • Form 1099-C $canceled debt) Future developments. Information about developments arrectirq Form W4 (such • Form 1099-A (actaistion or abandonment of secured proorty) as legislation enacted after we release Itt is al www.es.govIlw9. Use Form W4 only if YOU are a U.S. person (including a ersidal mien). to Purpose of Form provide your correct TIN. Ni InoNiousi or entity (Form W-9 requester) vita is required to ale an ink:motion tI you do not return Form W-9 to the mover:ter wane TN, you mart be sublect return with the IRS must obtakt your correct taxpayer identification number (TIN) nor backup mugs See What is Webs, waMoicang2 on page 2. kitten may be your social security number (SSW). individual taxpayer identification By signng the ftleacul form. you: number ((TIN), adoption taxpayer Identificatam number (AIN), or employer 1. Certify that the TIN you are gMng is correct (or you are wailing fora number Identification number (EN). to report on on information return the amount paid to to be hayed). yea or other amount reportable on an Information return. Examples of intonnation returns include. but are not limited to. Ma foliowIng: 2. Certify that you are not subject to backup withholding. a • Form 1002-INT (kiterest earned or paid) 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 • Form 1099-DIV (dividends. kitten° those from stocks or mutual funds) any partnership income from a U.S. trade or business is not subject to the • Form 1092441SC (various types of Income, prizes. awards. or gross proceeds) withholding lax on foreign partners' share of effectively connected income, and • Form 1009-B (Mock or mutual fund sales and certain other transactions by 4. Certify Thai FATCA coded) entered on this form le any) Indicating that you are brokers) exempt from the FATCA reporting. a correct. See %tat is FATCA reporting, on • Form 1099-S (raceeds from real estate transactions) page 2 for further information. • Form 1099-K (merchant vet and third party network transactions) Cat. No. 10231X Form W-9 (Rev. 12-2014) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0087093 CONFIDENTIAL SDNY GM_00233277 EFTA01385755