EFTA01385750.pdf

Form (Rev. December 2014) W-9 Request for Taxpayer Give Form to the requester. Do not Chwrirrant of theServi Treace sury Identification Number and Certification send to the IRS. !Memel fithenue I Name Os shown on your income tax return). Name 4 required on Ns Inc do not lean this Lee tame The Haze Trust 2 Business nameldleregarded entity name, If different from above See Specific Instructions on page 2. 3 Check mercer:ate box for federal tax classification: check only one or tris followiiq seven boxes: 4 Exemptions (codes )ply only to s. rid Indviduais: see certain entitles. O IndivSduellitsfer proprietor or O C Corporation O 5 Corporation O Partnerstep 0 That/estate on page 3): Print or typo single-member LLC Exempt payee code (14w) O limited liability company. Enter the tux classification (C•C corporation. SS corporation. O.portnergesr) a. Note. Fora single-member LLC that is esrogarciod, 00 not check LIG; check the appropriate box in the line show for Exemption from FATCA reporting the tax dassificadon of the tingle-member owner. code Of any) • Other (tee insteucTalePfr Avow ro neva wrinroveranrown• us) inlINIIIIIIMP3i) Requester's name and address (oPtiona0 6 Gay. Stele. and 7P code St, Thomas 0 ,00802 7 List account rwenter(s) here foment' Part I Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box. The TIN provided must match the name given on ;ins 1 to avoid Social security 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 pege 3. or Note. If the account Is in more than one name, see the instructions for line 1 and the chart on page a for guidelines on whose number to enter. Part H Certification Under penalties of perjury, I certify that: 1. The number shown on this tom Is my correct taxpayer identification number (or tarn 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 withholdmg as a result of a failure to report ail interest or dividends, or (c) the IRS has notified me that 1 am no longer subject to backup withholding; and 3. I am a US. citizen or other U.S. person (defined below): and 4. The FATCA code(s) entered on this form (rf 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 tailed to report all interest and dividends on your tax return. For reel estate UW98060,15. item 2 does not apply. For mortgage interest paid, acquisition or abandonmen f *emu d property, cancellation of debt, co Pone to an individual retirement arrangement plik), and generally. payments other than in and divider, • you are not required to • • e certification, but you must provide your correct TIN. See the Instructions on page 3. Sign Signature of Here U.S. personK2' Datn" arnit0 11 - General Instructions Om 1095 (borne mortgage kiltreSg. 1099-E (Student loan interest), 10984 oration) Section referenCe5 we to the Internal Revenue Code unless othe se noted. • Form 1099-C (canceled debt) Future development& Information Bout developments affecting Fo h • Form 1099-A (acquisition or abandonment of secured properbi as 'egoist:Won enacted after we release It) is at www.la-Cloeltwt. Use Form W-9 only if you area U.S. pence (inducting a resident eke). to Purpose of Form provide yOUr correct TIN, An Individuel or entity (Form W-9 requester) who Is required to Re an ink:rotation u you do nor Mum Form VA9 re the requester with a TIA4 you mgtl be eubiecl return with the IRS must obtain your contact taxpayer Identalcation number Map to b&s'p withholding. See Whet 4 backup withhokeng? on page 2. which may be your social security number (SSN). inenicluet taxpayer identification Sy signing the tilled-out form, you: number (Inall, ard00tion taxpayer Identification number (ATINI, or emuoyer identification number tan). to report on an information return the amount paid to 1. Certify that theTIN you are giving is correct for you are wading for a number to be Issued). you. or other amount reportable on an information return. ExaMple3 of information returns Include, but are not limited to, the ft:Cowing: 2. Certify that you are not subject to backup withholding. or • Form loge-INT (interest earned or paid) 3. CLOT exemption from backup withholding if you are a U.S. exempt payee. If applicable. you we also unifying that as a U.S. parson your allocable shwa or • Form 1099-DIV (dividends. including those from stocks or mutual funds) any partnership ;morns from a U.& trade or business is not ambler.* to the • Form 1099-MISC (various typos of income. Prize, awards, or gross proceeds) withholding tax on foreign partnere' share of effectively connected Income, and • Form 1099.8 (stock or mutual fund sales and Certain other transactions by & Certify het FATCA codes) entered on this fOrm p any) indlCating that you are brokers) exempt from the FATCA reporting, is correct. Soo What is FATCA reporting? on • Form 1099-13 (proceeds from reel estate transactions) page 2 for further information. • Form 1099-K (Merchant card and third party network transactions) Cat. No 10291% Form W-9 Ny. 12-2011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0087088 CONFIDENTIAL SDNY GM_00233272 EFTA01385750