EFTA01282296.pdf

Fran W-9 (Se Decanter 2011) Request for Taxpayer live linen to the .oquostar. Do not Owertmen of the Tresary Identification Number and Certification ;and so the IRS. Never ROWANS Seine Ilse to shown en ea rocs tax test Butterfly Trust . Bois nwnerdtwearrded entity snit if acts hen above Chosh efristopatte box for Seel tax dassestort Inefrektuasole Pretetetot 0 C Comeedon 0 SCarperetten ID Peravanshb ❑9 Tmenestan Cl Elsa Payee i 0 LISS labilltyMSS. Etter tholes cbssificatten reC torporeitn. BSorneterko nmetessoobt ►• -.........----.... .-.. 0 'a Z- a CelOr 000 imativotions) • Mat trarea, meet, end et a sac no ) Reopesties nom and Sat <Mist. 6100 Red Hook Quarter, B3 o City, stews end DP code 4 st norms, u.s.y.i.00so2 Laiwoure wink/ hem lopor•O Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided mutt match the name given en the lire rill rent t to avoid backup withholding. For individuals, this a your social security number (SSN). NOSS for a resident alien, sole proprietor. or disregarded entity. see the Part I instructions on page 3. For other entities. it is your employer identitioation number (Flat). If you do not have a nember. see How to get a I TIN on page 3. Note. N the account is in more than one name, sot the chart on page 4 lot guidelines on whose Employer identleeetknnwnbr I number to stet Rai Certification Under penalties of penury. I certify that: 1. The number shown on this lone is my correct taxpayer identification number Oxfam waiting fora number to be Sued to net s and 2. lam not subject to backup withholding because: (a) I am exempt from backup withholding. cc (b) I have not been notified by he Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or efnidends. Of (c) the IRS h. a notilkd 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 it you have been notified by the IRS that you we currently subject s backup withholding because you hive failed to report YI interest arid dividends on your tax return. For real estate transactions. hem 2 does not appl% For mortgage interest paid, acquisition or abandonment of secured property. cancetation of debt contributions to an individual retirement am tigerns it (IRA). and generally, payments other than interest and dnidends. you are not required to sign the certification, but you most provide your c :nett TIN. See the instructions on page 4. swing of Hers Sign ptoon • --3 -NiCkA-t AS A t R I 7,c) I r General Instructions Nets. If a requester gives you a form other than f amt W.') to request your TIN, you must use the isqueeter's form 4 il i substantially similar Section references are to the Internal Revenue Code testers otherwise to this Form W-9. noted. Definition of a U.S. person. For federal tax puns; you em Purpose of Form considered a V.S. person if you are: A person who is required to fiat an information return with the IRS must • An individual who is a U.S. citizen or U.S. residi:t alien, obtain your correct taxpayer identification number (TIN) to report, for • A partnership. ortPonthen, conPany or anon ion created a example. income paid to you, real estate transactions, mortgage interest organized in the United Stales or under the laws. ' the United Slates. you paid, acquisition or abandonment of secured propery cancellation • An estate (other than a foreign name). or of debt or contributions you made to an IRA • A domestic trust (as defined in Regulations sect on 301.7701-7). Use Form W.9 only a you are a U.S. person (including a strident alien), to provide your oared TIN to the person requesting it (the Special rtes for partnerships. Partnerships the ,itinduct a trade or requester) and, when applicable, to butanes& in the United States we generally remit:id to pay a withholding tax on any foreign partners* share of income from such business. • I. Certify that the TIN you we giving is correct (or you are wading lor a Further, in certain cases where a Form W-9 has n Y beenreceived, a number to be issued). partnership is required to presume that a partner) s a lore!gn person. 2. Certify that you we not subject to backup withholding, or and pay the withholding tax Therefore• if you are 1U.S.. reface that is a a Claim exemption from backup withholding if you we a U.S. exempt partner in a partnership conducting a trade a but pax in the United payee. If amicable, you aro also mortifying that as a US. Pelson. your States, provide Form W9 to the partnership to et :shish your U.S. allocable share of any partnership Moans, from a U.S. trade or business status and avoid wrthhoiding on your sham of par monship incauo. is not subject to the vrithholdfrig tax onifavign pannam share of effectively conceded noorne. Cat No.10231X W-9 trket. 12.2011) SCINY_GM_C0037699 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0000523 EFFA_00148308 EFTA01282296