EFTA01384742.pdf

HUBUS133 Alpha Group Capital Fonn W - 9 Request for Taxpayer 0Ne Form to the (Rev. November 2017) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Samos . Go to www.irs.gov/FormW9 for Instructions and the latest information. 1 Name (as shown on your income tax return). Name Is required on this line do not leave this lino blank. 2 Business name/disregarded entity name, if different from above See Specific Instructions on page 3. 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to following seven boxes: certain entities, not individuals; see instructions on page 3): ❑ IndividuaVsole proprietor or ❑O C Corporation O 5 Corporation ❑O Partnership 9 Trust/estate singlemember LLC Exempt payee code (deny) Print or type ❑ Limied liataity company. Enter the tax classification (CC corporation. 54 corporation, Pypartnorship) ► Note: Chock Ihe:ippiopriato box in the line above for the tax classification of the single-member owner. Do not Medi Exemption from FATCA reporting LLC d the LLC is classified as a single•member LLC that is disregarded from the owner unless the owner of the LLC Is cod, of any) another LLC that is not disregarded from the owner for U.S. federal lax purposes. Otherwise, a single.member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. ❑ Other (see instructions) e Argos toaccorts MINSP•40110101IVIOS . 6 Address (number, street. and apt. or suite no.) See instructions. Requeslels name and address (optional) 6 City, state, and ZIP code 7 List account number(s) hero (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 ave.h Social securitynumber backup withholding. For irdMduals, this is generally your social security ntmber (SSN). 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 get I TIN, 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 Give 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 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 (b) 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 am 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 abandonrnent 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 for Part II. later. Sign Signature of Here U.S. person ► Date ► • Form 1099-DIV (dividends, including those from stocks or mutual General Instructions funds) Section references are to the Internal Revenue Code uNess 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.irs.govffionnW9. • Form 1099-S (proceeds from real estate transactions) Purpose of Form • Form 1099•K (merchant card and third party network transactions) An individual or entity (Form W-9 requester) who is required to fife an • Fonn 1098 (home mortgage interest). 1098-E (student loan interest). information return with the IRS must obtain your correct taxpayer 1098-T (tuition) identification 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 orgy if you are a U.S. person (including a resident alien), (EIN), to report on an information return the amount paid to you. or other to provide your correct TIN. amount reportable on an information return. Examples of information returns include, but are not limited to, the following. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, • Fonn 1099-INT (interest earned or paid) later. Cat. No. 10231X D0C ID -9978674.66 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0085238 CONFIDENTIAL SONY GM_00231422 EFTA01384742