EFTA01295222.pdf

Request for Taxpayer Give Form to the Form W4 Ow. Decarter2011) requester. Do not Depstesol of liwTreeny Identification Number and Certification send to the IRS. eters RoenuoSevk• toms (se shown on your booms tax return) Spare, Inc. &eines mensideregarded entity nom I drawl eon above ,_ Check awroPnete box fa fearer tat ciessiRostion: 5 • kwirdowyeure proprietor • C Corporation 1g so:demotion O Postmen,* O TrusUestere i j ❑n limited istaty concern Enter the tax desshaitron Pan corPonstien. SeS corporation, Prponnership), DExerpt pew, a r..., o I O Other ley rat:ructions) e• I. t edema (numb., street, red opt. or sit no.) 6100 Red Hook Quarter B3 City, state, end ZIP code <7 St. Thomas, U.S.V.I. 00002 Re.aea stress end address loplioneir (.Bt soocunt numbed.) hero (*Miens§ Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name line Social washy nurnbee to avoid backup withholding. For individuals, this le 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 (EIN). If you do not have a number. see How to get a 77N on page 3. Not.. If the account is In more than one name. see the chart on page 4 for guidelines on whose Employer identifiestron number number to enter. Iglu Certification Under penalties of perjury, I certify that: I. The number shown on this form is my correct taxpayer Identification number (or I am waking 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 Sande* (IRS) that I am subject to backup withholding as a result of a fauns to report all interest or dividends, or (c) the IRS has notified me theft am no longer subject to backup will-n*1(9ns, end 3. I am a U.S. citizen err other U.S. person (defined below). Certification Instructions. You must cross out Item 2 above if you have been notified by the IRS that you we currently subject to backup withisokling because you have failed to report WI Interest and diridends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage interest paid, acquisition or abandonment of twos property, cancellation of debt coMdbutions to an individual retirement arrangement (IRA), and genendly, payments other than Interest and d' you are not required to-sign the certification, but you must provide your correct TIN. See the Instructions on page 4. Sign Here I Signature of us. person • D,.. ga- -3O--tS General Instructions 40te. If a reputes, gives you a form other than Form W-0 to request your TIN, you must use the requester's form If It S substantially similar Section references are to the !Memel Revenue Code unlessotherwise 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 we: A person wrso is required to file an information return with the IRS must • An 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 States or under the laws of the United States, you paid. acquisition or abandonment of secured property, cancellation • An estate (other than a foreign estate). or of debt or contributions you made to en IRA. • A domestic trust (as defined in Regulations section 301.7101-7). Use FO1111 W-9 only If you are a U.S. person (induding a resident Wien), to provide your correct TIN to the person requesting it (the Special Mee for parthersNps. Partnerships that conduct a trade a requester) and, when applicable, to: business in the United States are generally required to pay a withholding tax on any foreign partners' share of income from such business. 1. Certify that the TIN you are giving Is correct (or you we waiting for a Further, in certain cases where a Form W-9 has not been received, a number to be issued). partnership is required to presume that a partner is a foreign person, 2. Certify that you we not subject to backup withholding. or and pay the withholding tax. Therefore, if you an a U.S. person that is a 3. Claim exemption from backup withholding k 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 V.S. person, your States, provide Form W-9 to the partnership to estabteli your V.S. allocable share of any pwtnership Income from a U.S. trade or business status and avoid withholding on your share of partnership income. is not subject to the withholding tax on foreign partners' share of effectively connected income. OW Na 10231X Form W-9 (Roo. 12.2011) SDNY_GM_00053984 CONFIDENTIAL - PURSUANT TO FED_ R.QP .NEIDENTIAL DB-SDNY-0016808 EFTA_00164554 EFTA01295222  vO/ in 4uua if zue nab 410 blo lood Itá 004 09/10/28e3 14:34 ar -774-2030 pm_ Ws:9r Pá. e3 pon. 55-4 Application for.Employer MelltlfiCatIMI Number • (Rte. Docerneer 70011 (Far use by enviers's, corporations, partnorshIpa, trusts estates. Chttrohtos gmemMent agencrot, Indian Mbar ontIne. certain indwirtuals, end otperui ENte r ad it Owners* of it* inaary imemio asvin a...6o lo• Son disparate inatrodions for 'tech lino. lb- Koop a copy for your noords. OMB Na 1146410X1 1 Legal Puma of entity (or inchrldue) Ti, whom the EIN Is being nadis tod 'JtelAreirS, .roer-t_ I s 2 Trade name of buskaas Of different from ham on Orel) 3 Executer, trustee. "care vr non» ab Man adelrose (morn, opt. Mee CO. and Ma Ce N.O. hod ea Sbeet address Of different) (Do not a P.O. timid • P. of •6 49 l< g i 7o Ale I- 'I. _z___S ears ____ 4b City. Mate, and ZIP coda Mt City. sea and ZIP code h nis ift 9 County and stab where Mope busInaas b tPr.. 120t041- St_ _771.0•.‘" ..r,. Vr cc 9-4-7, f- I - a en el S 7e. Nun* ol ptindpal office& ward paart. perm Mew. Or teen th SSN. or EIN ...e) , ' •• I (514 1 ti t; 1 :, 4 . : ': iv •• t; • € . i i• ea 'Typo 01entity (chock only one ❑ EatatO (sSig orsbaiding U Sole proprietor pan) C1 Plan anettnetrater n Ponnnrxhlp CI Trust (SSN of pentad p4Corptuatlan (enter form numbef to be am fr ❑ igadOnnt Gard aSteteRucal government ❑ Paragon' attract corp. O Faoneineommem 0 Federal gerunmenthieflery D Chord, or cturch-cong014xl aignnIzatton O Mbar nonprofit organUtation (5POcilY) ► ❑ REAM nJots+ tribal frovommontrienurprises Group Kemper)» Number (GEN) tr O Out (specIrd'er 9 eh if a corportaron. name the sate ce ensign navy Stata eteeltede3 Stare Incorponitatt Reason for applying (check Only OM bay 14C3 7r, r5k4. Fordgn cautery aIbMkIng ~ogle »ern Piglet/ II. die Saved nersbusmees (Speedy Wee ile—.- Chenpiel type of orgarbsebn (spedly neralbiplf Sr 11121.44:1.44._ P 0. ❑ Pattered Ong huencse I3 Wed employen- IChan the box and en be 12.) ❑ edited • rut (specify bib) r n Compeancit with IftS tvietherdIng republic" O Como a pansten plan (entity typo) se 10 O Other bpaci9) ► axe burns' SI d moo Ononth. day. yeld ,e))) .1.,. ):: CZOSIng month of neonatal% year I I- wit data wage( or moonstone pokier wlif be pet bomb de> troel. Now If appanant n a nanfbulding egenc enter data (14413/41e va han be rued rte nannoident Mien (Mandi day, yawl OP 13 Highest number of employees warted in use non 12 Menthe Na the applicant (be nor Agliculuoin Hosnattdd 14 ~ea to hove any employnas danigMS peitod. *gar "-is " fr t2 o 1_ C) Check Ono box than tint OOsatbes ten principal seder of your busetect. C.1 Peeler cum ri. foetal assieenee Wholosseragexibmks El camouakm O Renal 4 Inning O Trestspenterrn a ~Ind 0 Aco.ottialon 4, food scoff* I] Wholetelrether I. I Rea3 o Rat tatito O mantdacturkg lg Vintner ti henna O Otter (specify) 15 Imitate) principal line of motchandLsa he'd: specht construction work done: products produced: or services provided. 11a Ria the I f 4.bilognt ever mottled for 4/1 Clnpbyltr Minter:tbe number tea never any edict onions? Not.; fr "Yes.' please tomato lines Ma and tat. . . . . ❑ Ina tg Ns leb you chocked *Tees on lint le& give applicant's 01111 name and teal flint thorn an Pear aPplicadon if Montt torn Inciter 2 aeon. It2b name is Trade namo ► ten Opera:Po:no dab wean. and Key end mate where. the appecation was need. EMS' previous /motorsr bdandgnatim number if lagoon . Appoxlmixtt lisle seen lied Ow.. day, ptadI fly end seta more Um Porous UN ComoInt dia union only II pa« is stet the mood logvklualt to nun the entity) ad mise eaten net en worelen of OM tan third cellannelt muts, Onvottis ienivw re orb« (Oct ternudid Party i Designee Address sea recede magma, tax ~be enhid. en tali) ottitt Pea,'M or loin. I dodo" On I hiss tanked oh mbar. Mam el bet la els' ~MO se mien ins emus se WM) W. :It el de e- c, l',1c- , 1~4 AMC<Win ttikrOM re"« e',4kM ar«t144 Nona eon ree gym or pant tioionfi fr _S-..(.e'"..,rer i -n.- co ) 7» — ;1.24.40, j•werwnin sax owl'. era tockej $4444~ i. 1 4/21: 14 044.4.~ 149" .9."- ......" flea b• Slarilly [pin>) 7 7,e, M44•444.• Sat 4..4.4 --.203/1 Osoluii-timnAM Notir.a. 44.4.44.taa.beAt. InttrI4Othalli• CC. No. moose rcnn 98-4 af,v.1140041 SDNY_G/A_000539135 CONFIDENTIAL — PURSUANT TO FED R.QP .ENE I DENTIAL DB-SDNY-0016809 EFTA_00164555 EFTA01295223