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📄 Extracted Text (871 words)
F. W-9
Ow December 2011)
Request for Taxpayer :live I 'form to the
squoster. Do not
Dior:roe al tte Treasury
Identification Number and Certification ;and 1:0 the IRS.
Menal Revue. Serie
Name* shoe" at se name tax return)
Butterfly Trust
Busieserernarderogreded entryrem i afferent flan above
Check recroperte box for laded to classification
° 0 Indrricustesore prooneror ❑ C CaPereen 0 S Corporate 0 thertnershe 0 Tnestrectre
0 Exempt * fee
0 timed ashen cormany. Enter the to essaicatisi (GC oorporstlon. SeS =pore" Paperthenthipi►
0 Other tree reseuctions)
eaten(nenber. street. and ape a sate no.) Fillgateef norm end edemas plora
1 6100 Red Hook Guider, S3
lily, stew end ZIP code
0)S St. Thomas, sot=
Lei sown mnbegansee Mein,
to Taxpayer Identification Number (TIN)
Enter your TIN In the appropriate box The TIN provided must match the name given on the Nene re Sorel esarity
to avoid backup withholding. For individuals, this is your social security number (SSN). Flowerer, for a
resident alien. sole proprietor, or disregarded entity, se the Part I instructions on page 3. For other
entities, it is your employer identification number (E W). If you do not have a nimber, see How to pet a
Mon page 3.
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employe rdentificath n numbs
number tom*.
216 6 6 9 7 1 1
Part Certification
Under penalties of perjury. I certify that:
1. The number shown on this form is my correct taxpayer identification number (dram waiting fora number to be issued to car c and
2. I am not sublet to backup withholding because: (a) I am exempt from backup withholding. a (b) I have not been notified by: he Intense Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report alt interest or drvidends. or (c) the IRS hi I) notifkd me that I am
no longer subject to backup withholding and
3. I ern a US. citizen or other U.S. person (defined below).
Certification instructor's. You must cross out item 2 above if you have been notified by the IRS that you are currently subject 1 backup vrithhoiding
because you have failed to report it interest and dividends on your lac return. For real estate transactions, hen 2 does not appl For mortgage
interest paid, acquisition or abandonment of secured property. cancellation of debt, contnbutions to an individual retirement an regiment (RA). and
generally, payments other than interest and dividends. you are not required to sign the certification. but you mast provide your c net TIN. See the
instructions on page 4.
Sign SIgnetureol r j ...2.1„442 .4
Here U.S.persioner Octet R R.o I HI
General Instructions U Note. If a requester gives you a them ether than F arm W4to request
your TIN. you must use the requester's town substantmity similar
Section references are to the Internal Revenue Cede unless otherwise to this Form W-9.
noted.
Deletion of a U.S. person. For federal tax pulp 'ea you are
Purpose of Form considered a U.S. person if you We:
A peen who is required to tile an information return with the IRS must • M individual who is a U.S. citizen or U.S. reside r.t alien,
obtain your cared taxpayer identification number (TIN) to report, for • A partnership. corporation, company. or smock •ion created a
example, income paid to you, real estate transactions, mortgage interest organized in the Linked States or under the laws..! the United States.
You pad. acquisition or abandonment of secured property, cancellation • An estate (other than a foreign estate), or
of debt, or contributions you made to an RA.
• A hornestic trust (as defined in Regulations zed on 301.7701-7j.
Use Form W-9 only if you are a U.S. person finduding a resident
alien), to provide your correct TIN to the person requesting h (the Special nelies for partnersNps. Partnerships undue a trade a
coquette) and, when applicable. to business in the United States are genteelly retain el 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 ere waning for a Further. in certain cases where a Form W-9 has n betn recemad. a
number to be issued), partnership is required to presume that a partneri a a foregn person.
2. Certify that you are not subject to backup withholding, or and pay the vrithhokfirg tax Therefore, if you are 5 U.S. semen that is a
3. Claim exemption from backup withholding if you are a U.S. exempt partner in a partnership conducting a trade or bur bees in the United
payee. II appicable. you are also certifying that as a U.S. person, your State, provide Form W.9 to the partnership to ee :ISM your U.S.
allocable share of any partnership income from a U.S. trade or business status and avoid withholding on your share of par reship intorno.
is not subject to the withholding tax onloreign partners' there of
effectively conoected income.
Cat No. tonty I Lim Ws9OUV. 12.2011)
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0065909
CONFIDENTIAL SDNY_GM_00212093
EFTA01372254
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