EFTA01363180.pdf

Form (Rev. December 2014) W"9 Request for Taxpayer Give Form to the requester. Do not Dspartimmt ce Pa Treassy Identification Number and Certification send to the IRS. IN.anal Rovers* Se'tco I Name (as shown on your income tax return) Name is reo mreo on this lino: do nal led.: his linr bSeli Prytanee, LLC 2 &Airless name/disregarded entity name. If different from above See Specific Instructions on page 2. 3 Check appropriate box la federal tax classificatbrx check only one oi the foacninng seven boxes, 4 Exemptpoi's cedes noir oniy to certain on on one not indencluais, see EI 0 0 s Corporaton 0 Partnership 0 postroetate inemzbone 3.3: Print or type..Ir Individual/sole proprietor Or C Corporation single-member LLC ExerrePt payee code Of fel' o Lirnited lialstity company. Enter the lax classification (C.0 caporal'ion, S•S corporation. Pi:partnership) le Note. For a single-member LLC that a disregarded. do not check LLC: Heck the appropriate box in the line above lor Fxemptich • from FATCA reporting the tax classification of the singet-menter owner. code (4 any) 0 Other (see instructiOrd).. gimlet w.),,,e{orninetl.xer.." ,.0 Us; 5 Address (number, street, arld apt. Or suite no.' Recuestet's nee* and address (optional; 6100 RED HOOK QUARTER, 63 6 City, state. and ZIP code ST. THOMAS, USVI 00802 7 List account numbers) here (optional) 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 enemy number backup withholding. For individuals, this is generally 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 TIN on page 3. or Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for Employer idendficatiore number guidelines on whose number to enter. 6 6 0 8 6 5 9 2 5 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 ern 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, or (bl I have not been notified by the Internal 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: and 3. I ton a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if 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 paid. acquisition or abandonment of secured property. cancellation of debt. contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends. you are not required to sign the certification, but yOu must provide your correct TIN. See the instructions on page 3. Sign Signature of g) Here U.S. person a- Date ► f • Rent 1038 mom. inwmago merest). 1098-E %ardent loan intent), 10914-T General Instructions Section rely:en:4G ate IC the Interne' Revenue Coee unless other rule noted • Form 1099-C 'canceled Cobb Future developments. Information etc../ developments atlectirg Form W-9 Muth • Form 1099-A (coulamon or abandonment of secured properly) as legislation enacted after we release ia is at we gordwg. Use Form W-9 only if you are a U S. person (Including a redden( Men). to Purpose of Form provide your correct TIN An individual or entity (Form W-9 requester) who is mouved to tee an information If you do rot return Forth W-9 to the feQuester wen a TIN, you fright be submcf to backup kasthholdetg. See What es backup TedhleedhOT on page 2. ream with the RS must obtain your correct taxpayer identification number (TIN) which may be your social security number ISSN). individual taxpayer identification By signing me teedoot form. you: number (ITIN). adoption taxpayer identification number MTN). or employer I. Certify mat the Tel you are Own° is correct (or you are waiting 'prank:rater identification number (EN). to report on an infcrmation return the amount paid to to be issacii. you, or other amount reportable on an information return. Examples of information returns include. but are not limited to. the Meowing: 2. Certify that you aid not suCeice to backup withholding, or • Form t099-INT (interest tamed or paid) 3. Clam exempriOn from backup Withnoiding if you are a U.S. exempt payee. If appiicabie. are also certifying that as a U.S. person, your allocable share of • Fenn 109a-CIV latvidands, including those from stocks or mutual funds) any pannership income nom a U.S. trade or business is rot subject to the • Form torrarose (various types of income. prizes. awards. or gross proceeds) nutenceding tax on Veer partners' snare of effectively connected hcome. and • Form 1099-8 (stock or mutual fund sales and certain odier transactions by 4 Certify that FATCA wef(s) entered on this form pi any) end/sating that you are brokers) exempt from the FATCA reporting, is correct. See What h FATCA repOlting7 on • Form 1099-5 (proceeds from real estate transactions) cage 2 for lures information. • Form 1099-K (merchant card and third party network transactions) Cat. Nc. l023IX Form W-9 (Rev. 12.2014) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0053083 CONFIDENTIAL SONY GM_00189267 EFTA01363180