EFTA Document EFTA01371168

Form W-9 (Rev. December 2014) Depxtment of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. g 0 a le N 1 Name (as n on your Income tax return). Name is required on this line; do not leave this line blank. 2 Business name/disregarded entity name, a different from above 3 Check appropriate box for federal tax classification; check oNyone of the following seven boxes: K Individual/sole proprietor or K C Corporation K S Corporation K Partnership K Trust/estate singlemember LLC K Limited lability company. Enter the tax classification (C•C corporation. S•5 corporation, P•pannership)► Note. For a se-vie-member LW that is disregarded. do not check LW: check the appropriate box in the hne above for the tax classification of the angle-member owner. 0 Other (see instructions) ► $ Address (number. street. and apt. or suite no.) 4 Exemptions (codes apply only to certain entities, not individuals: see instructions on page 3): Exempt payee code anT) Exemption from FATCA reporting code (if any) frophe to scOwnlis moveavioa °ado U U S City, state, and ZW code Requester's name and address (optional) 7 List account number(e) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally 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 (EIN). If you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for guidelines on whose number to enter. Part II I Social security number or Employer Identification number Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting 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 Service (IRS) that I am subject to backup withholcfing as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other V.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt fr0M FATCA reporting is correct. 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 you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. Sign Here Signature of U.S. person ► Date. General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. Information about developments affecting Form W-9 (such as legislation enacted after we release it) is at wivie'rs.goy/fw9. Purpose of Form M individual or entity (Form W-9 requester) who is required to Me an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN). individual taxpayer identification number ((TIN), adoption taxpayer identification number (ATIN). or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information rearm include, but are not limited to. the following: • Form 1099.INT (interest earned or paid) • Form 109943IV (dividends, including those from stocks or mutual hands) • Form 1099-MISC (various types of income, prizes. awards. or gross proceeds) • Form 10998 (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 109aK (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest). 1098-1 (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien). to provide your correct 11N. II you do not return Form W-9 to the requester with a TIN, you might be sublet( to backup withholding. See What is backup withholding? on page 2. By signing the filledbut form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued). 2. Certify that you are not subject to backup withholding. or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, yaw allocable share of any partnership income from a U.S. trade or business is not subject to the withholding fax on foreign partners' share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form Of any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting? on page 2 for further information. Cat. No. 10231X Form W-9 (Rev. 12-2014) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0064387 CONFIDENTIAL SDNY_GM_00210571 EFTA01371168