EFTA01378929.pdf

Form (flev. November 2017) W-9 Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not Department a theTreastsy send to the IRS. :memo! Revenue Service Iv Go to www.irs.goy/FormW9 for instructions and the latest Information. 1 Name (as shown on your Income tax return). Name is required on St ine; do not leave this line Wank Butterfly Trust 2 Business namerdisregarded entity name. if dliferem from anent See Specific Instructions on page 3. 3 Cheek swop*, box for federal tax dassincation of the person vmose name Is entered on awl. Check Only One of the 4 Exemptions (codes apt* only to following seven bares. certain entities, not individuals; see instructions on page 3l: • Indeekkitiliede proprietary O C Corporation Og Corporation O Partner:110 0 Trust/estate single-member LLC Exempt payee code y any) Print or type. 0 Limited Lability company. Enter the lax deseScaticn (CC corporation, 5.5 corporation. P=Partnershio) lb Note: Check the appropriate box in the as above for the tax classification of the tingle-monlOn, (mom Do not check Exemption from FATCA repefeng U.0 a the LLC S ohs:lead as a ertaiihmornber LLC that is disregarded horn the owner unless the owner of the LLC is code la any) another LLC that Is not disregarded horn disown./ for U.B. federal tax purposes. Otherwise. a single .member LLC that Is deregarded from the Owner sh0010 theft the ePlweltftete box tee the tee eleeeteeehen of 0 owns. O Other (see instructions) iv I4s.' meamextts nwam ameene US) 5 Addresses's/tier. street, aid ba a at "al it twat& requester's name and Andrea (Attune 6100 Red Hook Quarter, B3 5 City, etre, end DP code St. Thomas, U.S.V.I. 00802 7 List account menter(s) here (00nOnalt 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 (SSW). However. for a resident alien, sole proprietor. or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to ger a 77N, later. or Note: If the account is in more than one name, see the Instructions for line 1. Also see What Name and Employer Identification number Number To Ghre the Requester for 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 wafting for a number to be issued to me); and 2.1am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internet Revenue Service (IRS) 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; end 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 IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest said. acquisition or abandonment of secured prepay, cancellation of debt, contributions to an individual retirement arrangement PRA). and generally, payments other than Interest and dividends, are not required to sign the certification, but you must provide your correct TN. See the instructions fa Part II, later. Sign Here I Sienese' of U.B. person la Dow, iobizo • Form 1099-DIV (dividends, including those from stocks or mutual General Instruction funds) Section references ere to the Internal Revenue Code unless otherwise • Form 1099-MISC (various types of income, prizes, awards, or gross noted. proceeds) Future developments. For the latest information about developments • Form 1099-8 (stock or mutual fund sales and certain other related to Form W-9 and its instructions, such as legislation enacted transactions by brokers) after they were published, go to www.es.gov/FomtW9. • Form 1099-S (proceeds from real estate transactions) Purpose of Form • Form 1009-K (merchant card and third party network transactions) An individual or entity (Form W-9 requester) who is required to file an • Form 1098 fttome mortgage interest), 1098-E (student loan interest), information return with the IRS must obtain your correct taxpayer 10984 (tuition) ftleMificatIon number (TIN) which may be your social security number • Form 1099-C (canceled debt) (SSN), individual taxpayer identification number (ITIN), adoption • Form 1099-A (acquisition or abandonment of secured property) taxpayer identification number (ATIN), or employer identification number Use Form W-9 only it you are a U.S. person (including a resident (EIN), to report on an information return the amount paid to you, or other alien), to provide your correct TIN. amount reportable on an information return. Examples of information returns include, but are not landed to, the foliowIng. If you do not return Form W-9 to the requester with a TIN, you might • Form 1099-INT (interest earned or paid) be subject to backup withholding. See What is backup withholding, Jai r. Cal. No. 10231% Form W-9 (Rev. 114017) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0076210 CONFIDENTIAL SDNY GM_00222394 EFTA01378929