Form

Form Ow. Decarter2011) Depstesol eters W4 liwTreeny Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. of RoenuoSevk• ,_ 5 i j a o I O . I edema t <7 toms (se shown on your booms tax return) Spare, Inc. &eines mensideregarded entity nom I drawl eon above Check awroPnete box fa fearer tat ciessiRostion: DExerpt pew, • kwirdowyeure proprietor • C Corporation 1g so:demotion O Postmen,* O TrusUestere ❑n r..., limited istaty concern Enter the tax desshaitron Pan corPonstien. SeS corporation, Prponnership), Other ley rat:ructions) e• (numb., street, red opt. or sit no.) 6100 Red Hook Quarter B3 Re.aea stress end address loplioneir City, state, end ZIP code St. Thomas, U.S.V.I. 00002 (.Bt soocunt numbed.) hero (*Miens§ Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name line to avoid backup withholding. For individuals, this le 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 (E IN). If you do not have a number. see How to get a 77N on page 3. Not.. If the account is In more than one name. see the chart on page 4 for guidelines on whose number to enter. Iglu Certification Under penalties of perjury, I certify that: I. The number shown on this form is my correct taxpayer Identification number (or I am waking 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 Sande* (IRS) that I am subject to backup withholding as a result of a fauns to report all interest or dividends, or (c) the IRS has notified me theft am no longer subject to backup will-n*1(9ns, end 3. I am a U.S. citizen err other U.S. person (defined below). Certification Instructions. You must cross out Item 2 above if you have been notified by the IRS that you we currently subject to backup withisokling because you have failed to report WI Interest and diridends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage interest paid, acquisition or abandonment of twos property, cancellation of debt coMdbutions to an individual retirement arrangement (IRA), and genendly, payments other than Interest and d' you are not required to-sign the certification, but you must provide your correct TIN. See the Instructions on page 4. Sign I Signature of Here us. person • General Instructions 40te. If a reputes, gives you a form other than Form W-0 to request Section references are to the !Memel Revenue Code unless otherwise noted. Purpose of Form A person wrso is required to file an information return with the IRS must obtain your correct taxpayer Identification number (TIN) to report. for example. income paid to you, reel estate transactions, mortgage interest you paid. acquisition or abandonment of secured property, cancellation of debt or contributions you made to en IRA. Use FO1111 W-9 only If you are a U.S. person (induding a resident Wien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving Is correct (or you we waiting for a number to be issued). 2. Certify that you we not subject to backup withholding. or 3. Claim exemption from backup withholding k you are a U.S. exempt payee. If applicable, you are also certifying that as a V.S. person, your allocable share of any pwtnership Income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income. Social washy nurnbee Employer identifiestron number D,.. ga- -3O--tS your TIN, you must use the requester's form If It S substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you we: • An Individual who is a U.S. citizen or U.S. resident alien • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States, • An estate (other than a foreign estate). or • A domestic trust (as defined in Regulations section 301.7101-7). Special Mee for parthersNps. Partnerships that conduct a trade a business in the United States are generally required to pay a withholding tax on any foreign partners' share of income from such business. Further, in certain cases where a Form W-9 has not been received, a partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, if you an a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to estabteli your V.S. status and avoid withholding on your share of partnership income. OW Na 10231X Form W-9 (Roo. 12.2011) SDNY_GM_00053984 CONFIDENTIAL - PURSUANT TO FED_ R.QP .NEIDENTIAL DB-SDNY-0016808 EFTA_00164554 EFTA01295222 ---PAGE BREAK--- vO/ in 4uu a if zue nab 410 blo lood 09/10/28e3 14:34 ar-774-2030 pm_ Ws:9r Itá 004 Pá. e3 pon. 55-4 (Rte. Docerneer 70011 Owners* of it* inaary imemio asvin a...6o Application for.Employer MelltlfiCatIMI Number (Far use by enviers's, corporations, partnorshIpa, trusts estates. Chttrohtos gmemMent agencrot, Indian Mbar ontIne. certain indwirtuals, end otperui lo• Son disparate inatrodions for 'tech lino. lb- Koop a copy for your noords. • ENte r da it OMB Na 1146410X1 I s • h f- 1 Legal Puma of entity 'JtelAreirS, 2 Trade name of buskaas (or inchrldue) Ti, whom the EIN Is being nadis tod .roer-t_ Of different from ham on Orel) 3 Executer, trustee. "care vr non» ab Man adelros e (morn, opt. Mee CO. and Ma Ce N.O. hod P. of • 6 49 l< g i 7 o ea Sbeet address Of different) (Do not a P.O. timid Ale I- 'I. _z___Sears ____ Mt City. sea and ZIP code St_ _771.0•.‘" ..r, . Vr cc 9-4-7, 4b City. Mate, and ZIP coda nis ift t Pr.. 120t041- 9 County and stab I - where Mope busInaas b a en el S 7e. Nun* ol ptindpal office& ward paart. perm Mew. Or teen ...e) , ' •• I (514 1 ti t; 1 :, 4 . : ': th SSN. or EIN iv •• t; • € . i i • ea 'Typo 01 entity (chock only one U Sole proprietor pan) n Ponnnrxhlp p4Corptuatlan (enter form numbef to be am fr K Paragon' attract corp. 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