EFTA01252885.pdf

9 I Request for Taxpayer Give Form to the Form Wa Pm Dicernber2011) requester. Do not ee Senate Depertinen de Treasury Identification Number and Certification send to the IRS. Nana Pew Nerve Oa yew mane k t.n of saMa tray lefirwit horn above e NQ-, C. , Chick spar • box for federal tit closer 3 ni iza Inceektualhole proprietor 0 c DePorshon 0 S Corporston 0 nonnership • Trusueetste I g • linked fiebtin company. Enter the tat Cierakaticn (C-C corporation. S=S capons cn, nemrtnersho) re Early! payee X i 0 Dew M. instructions) p R.,.....,,,..,,,,,,,x,.,dr.,..opormo I Ackra inints„ , krat-x,r1:AO Oty. efte, Arid 311b _cris 4.4 e 63 a . ...,.... US t.4 ST / K.0-,./t1 DOI° 2.- LS meant nurbrns)hwe erne P rat I Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box The TIN provided must match the name give on the 'Name' line i geoid seamy tiny to avoid backup whhholding. For indivkluals. this Is your social security number (SSN). However, lora ( VI 9 resident alien, sole proprietor. or disregruded entity. see the Part I instructions cm page 3. For other entities. h is your employs identification number (EIN). If you do not have a number. see How to oat a TIN on page 3. ?VI - .2- ils-I Nobs. If the account Is in more than one name, see the chart on page 4 for guidesnee on whose Employer klanefioetica number number to enter. PI II Certification Under penalties of perjury. I catty that: -n 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 mete 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). Cerecirtion instructions. You out Item 2 above It you have been notified by the IRS that you me a rrently subject to backup withholding because you have failed to all Into and dividends on your tax ce real estate transactions, item 2 does not apply. For mortgage Interest paid, acquisition or rneM secured property tion of debt, contributions to an individual retirement arrangement (IRA). and generey. payments other interest and ividenda. net required to sign the certification, but you must provide your correct TIN. See the Instructions on page 4. Sign Hire elensture of U.S. person e Date e /40/0//3 General instructiohs Note. PI a requester gives you a form other than PPM W-9 to request your TIN, you must use the requesters form If It Is substantially similar Section references are to the Internal Revenue Code unless Me to this Form W.40. noted. Definition of a U.S. person. For federal tax purposes you are Purpose of Form considered a U.S. person if you arc A porton who is required to fire an information retum with the IRS must • M individual who is a 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 :Merest organized in the United States or under the lees of the United States, you paid. acquisition or abandonment of secured property. cancellation • M estate (other than a foreign estate), or 01debt, or contributions you made to an IRA • A domestic trust (as defined in Regulations section 301.7701.7). Use Form W-9 only it you are a U.S. person (Including a resident alien), to provide your correct TIN to the person requesting it (the Special mks for partnerships. Partnerships that conduct a trade or requester) and, viten applicable. to: business In the United States am generally required 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 are waiting for a Further, in certain cases Where a For., W-9 hoe 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, h you are a U.S. person tint his 3. Claim exemption horn backup withholding if you we 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 pourers* to establish your U.S. allocable share of any parineralep 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 effectively connected Income. Cat No, 10231% Fenn W-9 Olev. 12-2011) CONFIDENTIAL - PURSUANT TO FED. R. CC oNFIDENTIAL SDNY_GM_00037295 OB-SDNY-0000119 EFTA 00147908 EFTA01252885