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Farm -9 Request for Taxpayer Give Form to the
<br /> (Rev.Cctober 2018) Identification Number and Certification requester.Do not
<br /> Department of the Treasury send to the iRS.
<br /> Internal Revenue Service ►Go to www.irs.gov/FormW9 for instructions and the latest information.
<br /> 1 Name(as shown on your income tax return).Names required on this line;do not leave this line blank.
<br /> KIANA HOLDINGS II,LLC
<br /> 2 Business name/disregarded entity name,if ditferent from above
<br /> M 3 Check approprate box for federal tax classification of the person whose name is entered on fine 1.Check only one of the 4 Exemptions(codes apply only to
<br /> tifollowing sever)boxes. certain entities,not individuals;see
<br /> a instructions on page 3):
<br /> p ❑ Individuallscle proprietor or ElC Corporatior Elrp S Coora El Partnership ❑Trusvestate
<br /> as single-member LLC Exempt payee code(if any)
<br /> ai c
<br /> ao
<br /> o ✓❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P_Partnership)► P
<br /> `o 2 Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting
<br /> LLC if the.LLC is class.fied as a single-membe,LLC that is disregarded from the owner unless the owner of the LLC is cede(if any)
<br /> another LLC that is not cisregarded from the owner for U.S,fedexal tax purposes.Otherwise,a single-member LLC that
<br /> tl a is disregarded from the owner should check the appropriate box for the tax classification of,ts owner.
<br /> u ❑ Other(see instructions)► a s,
<br /> Q,
<br /> H S Address(number,street,and apt or suite no.)See instructions. Requester's name and address(optional)
<br /> T 3450 BIG BEAR DRIVE
<br /> crl
<br /> B City,state.and ZIP code
<br /> SEDALIA,CO 80135
<br /> 7 List account numbers)here(optional
<br /> Taxpayer Identification Number(TIN)
<br /> Enter your TIN in the appropriate box.The TIN provided must match the name given or,line 1 to avoid FTU
<br /> Sociall��1 number
<br /> backup withholding. o r individuals,this is generally your social security number(Sate However,other fora _m _[--�
<br /> resident alien,sate proprietor,or disregarded entity,see the instn:ctions for Part I.later.For ether
<br /> entities,it is your employer identification number(EIN).if you do not have a number,see How to get a
<br /> TIN,later. or
<br /> Note:if the account is in more than one name,see the instructions for line 1.Also see What Name and I Employer identification number
<br /> Number To Give the Requester for guideiires on whose number to enter.
<br /> F8_� i
<br /> _ — 4 2 4 5 9 4 2
<br /> JjM Certification
<br /> Under penalties of perjury,i certify that:
<br /> 1.Tne number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and
<br /> 2.1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the intemai 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 notified me that I am
<br /> no longer subject to backup withholding;and
<br /> 3.1 am a U.S.citizen or other U.S.person(defined below);and
<br /> 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct.
<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 faded to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,
<br /> acquisition or abandonment of secured property,cancellation of debt,contributiors to an individual retirement arrangement(iRA),and generally,payments
<br /> other than interest and dividends,ycu are not required to s.gn the certification,but you must provide your correct TIN.See the instructions for Part i1,later.
<br /> Sign signature of too
<br /> •
<br /> Here U.S.person► t✓ �i`�i 1. Date►
<br /> General Instructions •Form 1099-DIV(dividends,including those from stocks or mutual
<br /> funds)
<br /> Section references are to the Internal Revenue Code unless otherwise -Form 1099-MISC(various types of income,prizes,awards,or gross
<br /> noted. proceeds)
<br /> Future developments.For the latest information about developments -Form 1099-8(stock or mutual fund sales 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 www.irs.gov1Fom7W9.
<br /> •Form 1099-5(proceeds from real estate transactions)
<br /> Purpose of Form -Form 1099-K(merchant card and third party network transactions)
<br /> An individual or entity(Form W-9 requester)who is required 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(ITIN),adoption •Form 1099-A(acquisition or abandonment of secured property)
<br /> taxpayer identification number(ATIN),or employer identification number
<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(including a resident
<br /> amount reportable on an information retum.Examples of information alien),to provide your correct TIN.
<br /> returns include,but are not limited to,the following. if you do not retum Form W-9 to the requester with a TIN,you might
<br /> •Form 1099-INT(interest eamed or paid) be subject to backup withholding.See What is backup withholding,
<br /> later.
<br /> Cat.No.10231 X Form W-9(Rev.10-2018)
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