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Form
(Rev. December 2019
W-9 Request for Taxpayer Give Form to the
Identification Number and Certification requester. Do not
Department N the Treasury
Internal Revenge Service send to the IRS.
Name OS 010.41on your Income tax retten)
Southern Trust Company, Inc
Metre IVITe/disregated entity name. rf deferent from above
See Specific Instructions on page 2.
ate* appropriate box for federal tax classification:
0 Inellvkluatbole proprietor CI C Corporation 0 S Corporation U Pannershes li bust/estate
Print or typo
O funded Hanky company. Enter the tax el:indention (CmC corporation. STS corporation. beg:isn't-rasp) or LI Exempt payee
__--_
0 Other (see r etruCtiOns),
Address (number, street. and apt. or suite not I Re:penes an and abbess (000300
6100 Red Hook Quarter 83
City, slat and ZIP code
St Thomas, USVI 00602
I
List eocount numberts) here (optervaa
lall Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The T1N provided must match the name given on the 'Name* Social .sooty bar
line
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 Pal I instructions on page 3. For other
entities, It Is your employer identification number (Elt4). If you do not have a number, see How to get a
TIN on page 3.
Hi I
Note. If the account is in more than one name. see the chart on page 4 for guidelines on whose Employer Identlfleation number
number to enter.
7 7 9 8 1
Iran 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, a
(b) I have not been notified by the Internal Revenue
Service ORS) 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 U.S. citizen or other U.S. person (defined below).
Certification instructions. You must cross out item 2 above if you have been n:otiked by the IRS that you
are
because you have failed to report 8a Interest and dividends a1your tax return. For real estate transactions, currently subject to backup withholding
item 2 does not apply. For mortgage
interest paid, acquisition or abandonment_Oaecured peoperty, cancellation of debt. contributions to an individual
retirement
generally, payments other than interest aid d? ?ends, you are not re cjsect-to sign the certification, but you must provide arrangement ORA), and
your correct TIN. See the
instructions on page 4.
Sign I Signature of
Here u.s. person► Dell. <2'
General Instructiods Note. If a requester gives you a form other than Form W-9 to request
Your TIN, you must use the requester's form if It Is substantially similar
Section references are to the Internal Revenue Ise to this Form W-9.
noted.
Definition of a U.S. person. For federal tax purposes. you are
Purpose of Form considered a U.S. person if you at
A person who is required to file an information return with the IRS must • M Individual who Is a U.S. citizen or U.S. resident alien,
obtain your correct taxpayer identification number (TIN) to report, for • A partnership, corporation, company, or association created Or
example, income paid to you, reel estate transactions, mortgage interest organized in the United Slates or under the laws of the United States,
you paid, acquisition or abandonment of secured property, cancellation
of debt, or contributions you made to an IRA. • An estate (other than a foreign estate), a
Use Form W-9 only if you are a U.S. person (including a resident • A domestic trust (as defined in Regulations section 301.7701.7).
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
1. Certify that the TIN you are giving is correct (Or you are waiting for a tax on any foreign partners' share of income from such business.
number lo be Issued), Further, in certain cases where a Form W-9 has not been received. a
partnership is required to presume that a partner is a foreign person,
2. Certify that you are 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 withhacfing if 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 V.S. trade or business status and avoid withholding on your share of partnership Income.
is not subject to the withholding lax on foreign partners' share of
effectively connected Income.
Cat. No. 10231X Form W-9 eV. 12-2011)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0049671
CONFIDENTIAL SDNY_GM_00195855
EFTA01360973
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