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Farm w -9I tev.12-2[314) Papa 3 <br />Lina 2 <br />N you haw a bush= name. vada rtame. OBA name, or disregarded entity name. <br />you may enter h on Inn 2. <br />Line 3 <br />Clack the appropriate box In One 3 for the U.S. federal tax classification of the <br />person whose name h entered on Ina 1. Check any are box In ins 3. <br />Limited Uabllgr Ceunpmry p.LCF. It the name on Ina 1 Is an LLC treated as e <br />parbter * for U.S. federal tent purposes, check the "13mtted Uablly Conparyr <br />box and amer'P' In the space provided. B to LLC has Bind Form SIM or 2653 to <br />be taxed as a corporation. cheek the "Llmlted Liswihy Company" box and in the <br />space provided anter -C- for C oxporallon or -S- for 5 corporation. B it is a <br />lairum6er LLC that to a dkragmdad artily, do not dick the •L WAO WARY <br />Company' bmC kudand check the *A box In One 3 "kxbIduaVsofe proprietor or <br />airo"nember LL <br />Line 46 Exampdons <br />N you we axempt from bsckup witlttol ft andror FATCA npartfnp. enter In the <br />appimpriaha .peas In Ina 4 any COMA that May apply to you. <br />Exempt payee node. <br />• Genarsly. Individuals {including sok proprietors) am not exempt from bum, <br />withholding. <br />• Except as provided below, corporations ars exempt nom backup withholding <br />W cerufn payments, Incltudinp Inursat end Wdends. <br />a Corporations aro not exempt Tran backup wlkhlwldkp for payments made In <br />settlement at payment card or lift party network transactions. <br />• Corporations we not exempt fmm backup withholding with respect to attorneys' <br />fees or groes pmeseds paid to attomays, and corporations that provide medical or <br />hedth ars services we not exempt with respect to payments reportable an Form <br />1099-MISC. <br />The following coda Identity peyeas that an smw*l from backup withholding. <br />Enter On appmp&M code in the space In Ina 4. <br />1—An organization exempt tram tax under section 501(W. any IAA, or a <br />wstodW account under section 40*Xl) B the account sethfia the requirements <br />ori section 401NO <br />2—The United States or my of its agendas or Ir>sbnarxertaldee <br />3•-A slue, the Dlstdet of CMsnble. a U.S. Commonvraelh or possession, or <br />any of link political subdivisions or Instrumentalities <br />4—Afoelgnyovemmew or any of Its pdkkW subdKilons, agencies. or <br />lnetnuma MANDIS <br />5—A torporatlon <br />6—A dealer In sec rkks or commodities requI sd to register In the United <br />Slates, the Obtrica of Columbia, or a U.S. commonwealth or possession <br />7—A trioses commisslon mud" registered With tie Commodity Futures <br />Trading Cemr MMM <br />B—A rad estate hvestrnent tout <br />9—An +natty r"WwW at all linos during the tax year under tha krmtment <br />Com;" ACt of 1940 <br />10—A common trust fund operated by a bank under section 514W <br />t 1—A flnarxcW lutstitatlon <br />12—A nNddieman known In the Investment corrrramtity as a nominee or <br />custodian <br />13—A trust exempt tram tax under eecdoh 664 or dem bed len section 4947 <br />The folowlrg chert shows types at payments that may be exempt nom backup <br />Withholding. The dart apples to the exempt payees listed above, l through 13. <br />IF the psym ed Is for... <br />THM the payment Is exempt for... <br />Interest and dividend payments <br />Apr exempt payor except <br />far? <br />Broker transactions <br />Exempt payees f thmugtn 4 and 6 <br />ffuauph 11 and el C corporallom. S <br />Corporations must not enter an exempt <br />payee cods because they era exempt <br />only tar sales of noncovered securitles <br />acquired priorto2012. <br />seem "charge trees w"M and <br />pabonagadlMdanoda <br />Exempt payees 1 through 4 <br />Payments own 5600 reepkad to be <br />sported and died sales 66,000' <br />CiWW* exempt payees <br />1 through e <br />over <br />Payments made In sattlemera! of <br />FateltapI payees 1 through 4 <br />pent card or thkd parry network <br />aym <br />transactions <br />`See Form 10Ii kmtsC. MteeaUareous income. and its Mesb:wllona. <br />' However, the following payraanta mads to a corpontlon and reportable m Form <br />1OHWISC are not exampt horn backup wtWtalding: medical and haft an <br />payments, attorneys' toss. gross proceeds paid to an attorney reportable under <br />awdort 6045(1), and payments for services paid by a taotend executive agency. <br />Exuaption pthmn��AIThe f6bywft � Idainifily o <br />00 am exempt reporting CAThass cndeaSpersons <br />subwAnthis fom for accounts maintained roeiof the United sat" <br />by <br />certain foreign lnaneW Isttullors. Therefon. B you are only submitting M form <br />for an arxornt you hold In the United States. you may leave this Bald b1snIL <br />Coarsely with the person a questing tit@ form If you ars ucernlala N the financial <br />Institution is subject to thaw ngWrsmerds. A requester may indbais inti a coda Is <br />not ragdrad bif prwAdkg you with a Form W -D with 'Not Applicable* (or am <br />similar Incdkadot) written or printed on the Ina for a FATCA exemption cods. <br />A—An organization exempt farm tax under section 501(@) or any Indhddud <br />ndkamsnt plan as defied In section 770t(eM <br />B—fie United States or any of Its egeneles err tnslnarterntellks <br />C—A strte, the District of Colunbie, a U.S. commonwaallh or possession. or <br />any of their polUcd siMMalors orIrstnumentdbas <br />D—A Corporation the stock of which Is n oularly boded on one or more <br />established securities markets, m dacribsd In Regulations section <br />1.1172-1"1)p) <br />E—A corporation that Is s member of the same axparrdsd siAfated group as a <br />corporation described in PAguletloru section 1.1472.1(oj(1)6 <br />F—A dealer In saeuritla, commodltia, or derivative financial k:strumar:ts <br />pncludingl notional prNdpd coreacb, pukes, knvards, and options) that Is <br />regiateead as such undo the Im of the UrAsd States or any state <br />a --A real estate inwsbmnt trot <br />H—A regulated bwasbneal company as OW -ad In section 151 oran aft <br />registered at all lines during the tax year under the Inveskn t Company Act of <br />1040 <br />l—A common trust fund as defined In section 584(x) <br />J—A bank as dall ed In section 5111 <br />K—A broker <br />L—A trust exarnpt kom tax under section 664 or described In sectim 4947(x1(1 f <br />M—A lax exempt boat under a sedkm 403M pban or aacfkon 4570 plan <br />Note. You may wish to roto* with the fYsneiel Institution retreating this form to <br />determine whether the FATCA code and/or exempt payee code should be <br />corrplated• <br />Line 5 <br />Enter yaw address #amber. street, and apartment or suite number). This Is wham <br />the naqueetar of this Form W-9 will mei your Inlormetion returns. <br />Line 6 <br />Einar your city. state. end ZIP cods. <br />Part I. Taxpayer IdellfifimUcin Number (TIN) <br />Enter your TN in aha appropriate lam If you we it resident ellen and you do not <br />have and ars not alolble to get an W4, your IN Is your IRS kedlvldual taxpayer <br />Identification number f Mlq. Enter It In the social security number box. B you do not <br />have an RUN, sae How m get TW below. <br />N you are a sok pr op k for and you have an EIN, you may araw ekhar your SSN <br />or EIN. Howauer, the IRS platers that you oa your SSN. <br />N you are a alnple-member LLC that Is dbngarded as an entity separate ham its <br />owner (see LhrWW Lkbg ry Com iowy ILLO an tits ps". enter are owners SSN <br />(or EIN. if the owner hes ons}. Do rat enter the disregarded aril a EIN. N the LLC <br />Is clessilled as a corporation or partnership, anter fns enUy's EIN. <br />Nene. Sas the chart an page 4 for prince darfficatlon of name and TIN <br />combinations. <br />Now to get a TK If you do riot haw a TIN, appy for ane Immediately. To —ply <br />for an WK tat Fore SS -5. Application for a Social Security Card. nom your lord <br />SSA 0010 orgel fhb tom aNma at www ssa.gov. You may aho got this form by <br />caeng 1 -BOD -772-1x13. Use Farm W-7. Application for IRS Individual Taxpayer <br />IdsntidaN <br />tian umber, to appy tar an MN, or Form SS4. Application for Erpkriw <br />Ide�lcallm Number, to appy for an EN. You can appy for an TSN wdne by <br />accnft the VIS webalts at vrwwkLgo%*xn*w=w and ekkbq an Employer <br />Idardi6callan Number 6Nr} under Starting as Business. You am got Fore W-7 W <br />SS -4 from alta IRS by vis" IRS gov or by calling 1 -BOT] -TAX -FORM <br />(1- W4129.3676). <br />N you are asked to complete Form W-9 but do riot have a TIN. apply for a TIN <br />and writs'Appkd For' to aha @pato forthe TIK sign and data the form, and olive 8 <br />to fte mWedw. For inlarest and dividend payments. and autain payments made <br />with respect to nadiy tradable i sbutents. generally you YAN haw OD days to got <br />aTIN and ghvs Rio tie requester bslane you areaubjaM to b@ckup withfiddlag on <br />olnot spplyloother be <br />su!>�ttobadosp withholdnng on al such pWnuets u�i til you You will <br />to <br />alta ngwsur. <br />Note. Snterkg ed Far• neem that you have already applied for a TIN orthat <br />you Intend In apply for one soon. <br />Coullm A d awarded U.S. antly that has a l vWp ownerm st roe the <br />gW prhfa Form W41. <br />