EFTA Document EFTA01365762

IV. TAX ELECTION/DECLARATION OF TAX STATUS This Account Agreement is designed for use by both US, Persons and Non-U.S. Persons. Please check the box next to the applicable item below. Client codifies that Client will notify °Nilo writing Immediately II the represeMation codified to below ceases to be true and correct. 1.0 U.S. Citizen or U.S. Resident Allen Form W9 ....Request for Taxpayer Identification Number and Certification subamot• c ry % 41t, viv'k %;\ i Name laa shown on your Income tax return) fits nose nemertherogarded entity name, R ditterenf from above Chock appropriate box for federal tax Massif kotion (required): 0 individual/sole proprietor K C Corporation 0 S Corporation 0 PtetneniNp K Trust/estate Ej Limited liability company. Enter the tax ciassifkation (C.0 corporation. 5.5 corporation, Pepannerehip) ......... Other P Address (number. street. and apt. or suite no.) K ExeMPtPSyaa City. Stew and ZIP code I ...tit I Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box. The TIN provided must match the name given on the "Nemo" line to avoid backup withholding. For individuals. thesis vote soda I security number (SSNI. For other entitles. k b your employer Identification number (EIN). Sign Here Certification Under penalties of perjury, I certify that: 1. The number shown on this form la my correct taxpayer Identification number for I am waiting for a number to be issued to mot and 2. I am not sublect to backup withholding because: oil am exempt front backup withholding. or IA) I have not boon notified by the Internal Revenue Service (IRS) that I am subject to backup withholding ass result of a failure to report MI Interest or dividends, or (c) the IRS has notified ma Mal I am no longer subject to backup withholding. and 3. I am a U.S. citizen or other U.S. person (defined In the instruct ens). Certifloadon instructions. You must ansiTain gem 2 above If you have bean the IRS that you are currently subject to backup withholding because you have failed to report en Interest a dividends on yew • n. Seoul Security Number Signature of U.S. person ► / 2.0 Non-U.S. Person I am not a U.S. person (Including a U.S. resident anent I em submitting the applicable Form W-8 with this form to canny my foreign status and. ti impartable, claim tax treaty benefits. For example: Client Is not a U.S. person (Including a U.S. resident silent Client agrees to provide DliSi with this application the applicable Internal Revenue Service ORS) Form W-8 to certify the client's foreign status. W-8 forms and instructions are available on the IRS web*, at vnywirs.gov. Date ► 7 - 9-1-Fi 13-AWk40188 6 0,2145.032813 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0056836 CONFIDENTIAL SDNY GM_00203020 EFTA01365762