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<br /> Form W"9 Request for Taxpayer Give Form to the
<br /> (Pay.October 2018) identification Number and Certification requester.Do not
<br /> Departmontof:heTreasury send to the IRS.
<br /> Internal Revenue Service ►Go to www.lr3.9cv1FdrrrjW9 for instructions and the latest information.
<br /> 1 Name(as Shown on your Income tax roturn).Name is r*gVked on this line:do not leave this line blank.
<br /> Kiana Holdings II LLC
<br /> 2 Business nama/dlsregarded entity name,if different from above
<br /> 3 Check appropriate box for federal tax classifleadon of the person whose nome is ertered on line 1.Chock only one of the 4 Exemptlona(codes apply only to
<br /> at following seven boxes. certain entitles,not individ(als,see
<br /> Instructions on pago 3);
<br /> ❑ Indlvidual/sols prcprietor or ❑ C Corporsticn Cl S Carporatlon ❑ Partnership ©Trustiestate
<br /> ei
<br /> 0 single-member LLC Exe'Tpt payee code fn any;
<br /> '� ❑ Limited liability company.Enter the tar classification(C-C corporation,S=S corporation,P=Partnership)► C
<br /> Note:Check the appreprlalo box n the tine above for the taw classification of the singfo•member owner, Do not check Exemption from FATCA reperting
<br /> LLC If the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is code(if any)
<br /> another LLC that is not disregarded from the owner for U.S,federal lax purposes.Otherwise,a single-memb7 LLC that
<br /> d o is d:°regsrded from the owner should shack the appropriate box for the tax classification of its owner.
<br /> ❑ Other(see instructlorai► v�o+. axe r m«vm.0 owsaYe m•u.^.!
<br /> 6 Address(number,street,and apt.or aui-e no.I See Instructions. Requester's name and address;op:ionell
<br /> 3450 Sia Bear Drive
<br /> e City,state,and ZIP code
<br /> Sedalia,CO 80135
<br /> 7 Ust account rumber(a)here(cplional)
<br /> Taxpayer Identification Number(TIN)
<br /> Enter your TIN in the appropriate box.The TIN provided must match the nanta given online 1 to avoid I Social security number
<br /> backup withholding,For individuals,this Is generally your social security number(SSN).However,for a
<br /> resident alien,sole proprietor,or disregarded entity,see the instructlons for Part I,later.For other
<br /> entif,es,it Is your employer Identification number(EN).if you do not have a number,see Now to get a
<br /> TIN,later. or
<br /> Note:If the account is in more than one name,sea the instructions for lire 1.Also see What,Name and -Employer Identification number
<br /> Number To Give the Requester for guidelines on whose number to enter,
<br /> FUMM Certification
<br /> Under penalties of perjury,I certify that:
<br /> 1.The number shown on this form is my corract taxpayer identiflcatior number(or I am waiting for a number to be issued to me);ana
<br /> 2.1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not beery notified by the',ntemal Revenue
<br /> 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 notlf:ed me that I am
<br /> no longer subject to backup withholding;and
<br /> 3.1 am a U.S.eltizen or other U.S.person(defined below);and
<br /> 4.The FATCA coda(s)entered on this form(if any)indicating that I am exempt from FATCA reporting Is corrW,.
<br /> 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
<br /> you have failed to report all interest and dividends on your tax mtum.For real estate transactions,ftem 2 does not apply,For mortgage interest paid,
<br /> acquisition or abardorment of secured pro arty,cancellation of debt,contributions to an individual retirement arrargament(IRA),and generally,payments
<br /> other than interest and dividends,you r .ot required to sign the certification,but you must provide your correct TIN.See the Instructions for Part 0,later.
<br /> Sign signature of
<br /> Here U.S.person► [late I.
<br /> General instructions •Form 1099.CIV(dividends,Including those from stacks or mutual
<br /> funds)
<br /> Section references are to the Internal Revenue Code unless otherwise .--orn 1099-MISO(various types of income,prizes,awards,or gross
<br /> noted. proceeds)
<br /> Future developments.For the latest information about deveiopmenta •Form 1099-B(stock or mutual fund safes and certain other
<br /> related to Form W•9 and its instructions,such as legislation enacted transactions by brokers)
<br /> after they were published,go to wwwdrs.gov1FonnVV9, •Forrr 1099-5(proceeds from real estate transactions)
<br /> Purpose of Form •Form 1099-K(merchant card and third party network transactions)
<br /> An indkviduat or entity(Form W-0 requester)who Is regt,ired to file an •Form 1098(home mortgage interest),1098-E(student loan interest),
<br /> information return with the IRS must obtain your correct taxpayer 1098-T(tuition)
<br /> identification number(TIN)which may be your social security number •Form 1099-0(canceled debt)
<br /> (SSN),Individual taxpayer identification number(I71N),adoption
<br /> taxpayer Identification number(ATIN),or err ployer!dentr6cation number •Form 1099 A(acquisition or abandonment of secured preoerty)
<br /> (EIN),to report on an information return the amount paid to you,or other Use Form W-9 only If you are a U,S,person Qrcfuding a resident
<br /> amount reportable on an Information return.Examples of information alien),to provide your correct TIN.
<br /> returns include,but are not limited to,the foGowing. if you do not retum Form W9 to the requester with a TIN,you might
<br /> •Form 1099-INT(Interest eared or paid) be subject to backup withholding.Sae What is backup witniholding,
<br /> later.
<br /> Cat.No.10231X Form W-9(Rev.10-2018)
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