EFTA01359521.pdf

Fri W'-9 December 2011) Request for Taxpayer Give Form to the requester. Do not (nov Deertinert al the Treaty Identification Number and Certification send to the IRS. Marl Revenue Santa Netts tes shwa en your InCOIDI isr rettrn) Mose t, „rite . • Business nernekrwedwded entity nom if different from stove Check *propels% box for federal be caseation: • Indlekluageole proprietor • C Coreoratica SCcepretion 0 Partneri/ OTrust/CIS O Ltd %bey earperry.. Enter the tea classicetion (fee catwalks\ S=S corporation, Pqminnenhip) e 0 Exanvi payee 0 Other isee Instructional► Requester's name and address fogeat li Us Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Marne line Sects seasity number to avoid backup withholding. For individuals, this is your tocial security number (SSN). However, for • resident alien, sole proprietor. or disregarded entity. see the Part I instructions on page 3. For other entities, it is your employer identification number (Eta). If you do not have a number, see How to get a 77N on page 3. Note. If the account is in more than one name, see the chart on peas 4 for guidelines on whose Employe. Idendleatitt Minton' number to enter. Part Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am 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 (till have not been notified by the Internal Revenue Service (IRS) that I am subject to backup eithholding as a result of a faun) to report all Interest or dividends, or (c) the IRS has notified me that I an no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below). Certiflo•lion 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. Fat real eetzdstratisectione, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of recureci. cancellation of d ccrirdribution to an individual retirement arrangement ink, and generally, payments other than intweet and dividoode4yo we not regi 4o pre the certification, but you must provide your correct TIN. See the instructions on page 4. Sign Scinetwe of Hero us. panon► / 7:7/3/ 3 General Instructions 'Note. II • requester giver. you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar Section references are to the Internal Revenue Code unless otherwise 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 are: A person who is required to file an information return with the IRS must • An individual who Its a U.S. citizen or U.S. resident alien, obtain your correct taxpayer identification number (TIN) to rethrt, for • A partnership, corporation, company. or association created or example, income paid to you, real 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, cancellaton • An estate (other than a foreign estate), or of debt or contrbutions you made to an IRA. • A domestic trust (as defined in Regulations section 301.7701.7). Use Form W-9 only if you are a U.S. person (ncluding a resident alien), to provide your correct TIN to the person requesting it (the Special rules for peetrierships. Partnerships that conduct a trade or 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 horn such business. 1. Certify that the TIN you are giving is cored (or you ere waiting for a Further, in certain cases whore 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 are not subject to backup withholding, or and pay the withholding tax. Therefore, if you we a U.S. person that is a 3. Claim exemption from backup withholding if 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 $ U.S. person, your States, provide Form W-9 to the partnership to establish your V.S. allocable share of any partnemhip 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 offect:yoy connected income. Cat No. 10231% Form W-90.v. 124011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0047605 CONFIDENTIAL SDNY GM_00193789 EFTA01359521