EFTA01387182.pdf

'''9 Give Form to the Own W Request for Taxpayer reqUeSter. Do not Met. ocambewido Identification Number and Certification send to the IRS. Deorment of the Omen InuresRamie Sete I Kamm pa shown on your Interne lax wont} Nana a coquatel onIna wtP0 Ml bevelMa ere blank Southern Trust Company, Inc. • a pumma namereartmanSed en* erne, ii diewent owe above ar ; Southern Financial, LLC 4 aireptions (codas moil Otto .li. 3 amok approortaie box ter federal Lu ctreolfratIon: OW sly am of the folloitim seven boom see 0 S emperor,' O Pannership O Trwthreato folirn antareosipaowlerata" ! O 5345•55114115,310 Minim or ❑O CConteradon stslomember LLC EAOMOI payee cols Of eon t pS ❑ simile Mainly company. Fakir the O Unt PAC caporatIon. SeS corporation. imperownh10) lo tno &apogean box D the rebores for EalimPtic.1 keen FATCA159"5 7st Note. For a crejtooteriba t/C tat 4 Carentrelon. de Mt creek up; dyed< coda at ens) C * etc In ounlacsson of me omit mammy Cr...CY. s / 4 a ne....................e.eon lon14 , z Ill Dow Dee rains:Ponta mt rotas red Remesala runts sad Scan. (optima/ E 5 P4554333 5/Inte r. Meet. arid t 6100 Red Hook Quarter, B3 in li Cita. sant ancIZIP cote a St. Thomas, USVI 00802 T Let mcoura memos.) here lepeOrite Pa -t c Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box. The Tim provided must match the name given on lir e 1 to avoid soda tatty numbs, (SSN). However, for a backup withholdIng. Foe Individuals. IMS Is generaity your social security number page 3. For other resident alien. sole proprietor, or dtcrepanled entity, too the Part I Instructlibra on see How Co gat amides. It Is your employer Iclantenetren number (SIN). If you do not have a number. or Trig m page 3. the than on page 4 lot Unto. If the account Is hi more than one memo, see the loam:Miens for lino and guldenas on whose number to enter. Certification Under ponahles of pedury, leen& that for a number to be 'tetrad to met and 1. The number shown on this form Is My correct taxpayer identlOCation number (orient waiting withholding, cr. (b) I have riot been nothied by the Internal Raven.* 2. I am not subtract to backup withhoterng because, (a) I ban exempt from backup o result of a lakes to repot all Interest or Oh/Wends. or (e) the IRS has (loaned me that I am Service ORS) that I ern subject to backup withholding as no longer subject to teckup velthholenth and 3. I em a U.S. citizen or other U.S. person (defined Wont end FATCA reporting b =rect. 4. The MICA code(a) entered on tNt tone al any) incrcattng that I am exempt from try the IRS that you ere currently subject to backup salltioldng Cartfleaden LnatructIons. You must cross out Item 2 above if you have been notified have failed to report all Interest and darldends on your tax return. For real estate hansaceoni. Item 2 does not apply. For snongegs because you of debt, COntributnna loan inovidutil retirement arrangement end interest paid. aCiaulsIllOn or abandonment of secured property. catfiCelladon payments other than Interest and dividends, you me net required to San the cerliCositora but you mitt prodde Your cermet Tilt Seethe gencireity. instructions cm pegs 3. Sign Montano to Hero US. parson to owes atiOL901* . Faye 1098 prone manatee tverest). imet modems:urn Waren/ flYST General Instructions suktom BectIon rainless we le the went Revenue 0:00 USW; otherwise noted. • Fern 1099.0 (canopied (so Future devaleornentr. htonnalon abed deveimmerta IntornoForm W.9 (sun • Form i099•Atesariallmi et se t dsecured Property) as nentelbn enacted sitar we sauna it) i o mthrwvottaperolhe9 Um Mon wet ore/ a you we a U.S person Pliduana a ma'am 0 04 /0 inavlaelart cowed Tilt Purpose of Form Wrath* red Wpm form W-0 la me tequasto(watt • Wit >to Want be Abet Pa kolMdun Or army (Form Wit Mounter) who Is /none to tee an inkrmaitbn Sc mow airthokona See Mine bactlap withbaker& on page 2. Ilan% wkh D10 MS mat obtain your carnal taxpayer lonoikaben romber (1154) PSN.kilichai taxpayer Wane/neon By Sobs the lies:Sout loan. you: *nth " , be yore 40r-5,5 500•14Y meter number pfd). amptbn tamayor lewsakelloo number (4124). or emokler 1. Certify Pm ma Tot you are onary3 b sand (a you are *Ong Macomber klitroiricanon Marble: (04 to report en en trikeruclon relish the &Tong paid to to be batted). you. or other frownt noon)* an en DlcoentInt morn. Example' of biernlatIon 2 Coney that you are not neent to tennis withhoktine, Want Oxide. but ore net boated to, the lawny: 2. Ctirn exemption ham backup withhclosim ayou en a U.S. comp met If • Form 1099-IN! (ran% Mood an mkt) sponse...v. you en aide Caliph") old meat porton. your atom* share of • Form I099-Dry easise ob,. inrAxtem those Imo nods a named Weal any ponnorelp ircoma from a US. trade m me nen to not rob.coct to the • Fenn ioeStaiSc (.-aMustype of Income. One, net or VON plIceech) wanhoktiro ma an Wean WNW An 01stfecthebe Conleeled Wein are 4. Cady that MICA co6401mood mthb form Of ve) heathy me you as • ram 1099-0 Mack or mutual fund sake era cadet other tramactiorta by broken) exam (centre FATCA relientml, le comet See wive i MICA nanni?on orree 2 for further hkernarton. • ram 1OXIS iprocoada lioni red mum wreathe/4e • Form tO324t enentent card are third party remark hertractions) Cat. No. 10231X Fenn W-9 (Res 12-201ry CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0089354 CONFIDENTIAL SDNY GM_00235538 EFTA01387182