EFTA01282043.pdf

Farm (Rev. December 2011) W-9 Request for Taxpayer Certification Give Form to the requester. Do not Dipertriere er IS Pew Identification Number and None to the fl ame Awns SeMoe Name las tax NOM . f al. 9•iess erica deferent from oboe, Se. Specific Instructors on cape 2. Al 5 ch.d,apropist• box for WNW Um clareManiors re infivklueVaele propriMer 0 C Conwnson 0 S Corpsman 0 Pernershia • Trust/sew. Rid or type ❑0 EXOTP One 0 United iablity company. Freer rho tax oleastraten (C..--C arpason, SeS arena) PeterInereleol ►a 0 Clew Se frlibUCtkillil P• neribr, steel. Intin. a *amnia.) , Rasa. name end Sawa (Wend) 4/ 0 0 5r" Day, suet end ZIP code RE/) ti l k attbriet / 89 5rT Ur. ant (unbolt{hue kotion4 usto 00 g a t'' Part I Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box. The TIN provided must match the name given on the 'Name the Sects epory reerber to avoid backup withholding. For Individuals, this Is your social security number (SSN). However. for a resident alien, sole proprietor, or disreganded entity. ere the Part I instructions on page 3. For other ire .3 entities, his your employer identification number (EIN). If you do not have a number, see How to get • TIN on page 3. yyr Note PI the account is in more than one name, see the chart on page 4 for guidearries on whose Employes kkinescabal number number to enter. P II Certification Under penalties of perjury. I certify that 1. The number shown on this form is my correct taxpayer idendfloatkai number (or I am waiting for a number to be Issued to me), and 2. I am not subject to beat* withholding because: (a) I am exempt from backup withholding. or (b) I have not been notted by the internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividend., or (e) the IRS has notified me that Ian no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below). Cerlifflostlon inelnialions. You must cross out hem 2 above if you have been notified by the IRS that you we currently subject to backup withholding m dividends because you have failed to report all interest in s on your tax return. For reel estate transactions item 2 donna! apply. For mortgage Interest paid, acquisition or abandonment of sear property. cancellation of debt, °attributions to an individual retirement anangement (IRA). and generallY. Payrnenb other thartinfinest and d' . you are not n u paten the-certification. but you must provide yourconed TIN. Seethe Instructions on page 4. Sign s oma. of / ------"\ Here us. anent — / Det• e (0412 , General Instructions Net*. If a requester gives you a form than form W-9 to request your sIN, you must use the requester's form If M is substantially similar Section references are to the Internal Revenue unless otherwise to this Form W-9. noted. Definitien of • U.S. person. For federal tax purposes, you are Purpose of Form considered • U.S. person S you we: A person who is required to file an information return with the IRS must • An Individual who is • 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. real estate transactions, mortgage interest organized in the United Stales or under the laws or 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 tow IRA • A domestic trust (as defined In Regulations section 301.7701-7). Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TN to the person requesting it (the Special rules for parkterships. Pannerehips that conduct • trade a requester) and, when applicable. to business In the United States are generally required to pay • withholding tax on any foreign partners' share of income from such business. 1. Certify that the TIN you are giving is correct (or you are waiting for a Further, in certain cases where • Form W-9 has not been received, a number to be issued), partnership is required to presume that • partner Is • foreign person. 2. Certify that you we not subject to backup withholding, or end pay the withholding tax. Therefore, h you are • U.S. person that Is a partner in a partnership conducting a trade a business in the United 3. Claim exemption from backup withholding If you are • U.S. exempt States, provide Form W-9 to the partnershks to establish your U.S. payee If applicable, you are also certifying that as • U.S. person, your allocable share of any partnership income from a U.S. trade or business status and avoid withholding on your sham of partnership incase is not subject to the withholding tax on foreign partners' share of effectively connected Imams Cot No. 10231X tam W-OiRev. 12-2011) CONFIDENTIAL - PURSUANT TO FED. R.toNFIDEN-rIAL SDNY_GM_00037296 DB-SONY-0000120 EFTA_OO1479O9 EFTA01282043