EFTA Document EFTA01390338

Farm W-9 (Rew. Dania 2011) Othathiental the Teary mime Rear Swam Request for Taxpayer Identification Number and Certification Give Form to the reqUeSter. Do not Sand to the IRS. ni • c oweiraseroprieta a ii 1 I 2 (75 *we ois mown on yew now* rax sauna Southern Trust Company. Inc. awns fahlaflart9artlecl waxy none. x dikeent ken aeon Southern Financial LLC ear la felony to elessilkeeort 0 inelvklusesolectoprislor 0 C Caporation CI 6 Careasterri 0 Paean* 0 Tnalrestale n - „„_, t WINO Hatay company. Fluorinates Mastication (C•C weereflon.S.8 cormeetket Pannereheeill 0 Othir two risinxtionsi• 0 Exempt eaves Mows inanter. stem we am. or toss no) 6100 Red HOOk Quarter B3 Requerriers owe and saws Iowa* City. an. tad ZIP ewe St. Themes, USV1 00802 Usi account nianbang has (oWon* Pawl I Taxpayer Identification Number (TIN) Enter your TIN.in the speroalate box. The TIN provided must match the name given on the *Name" line foamed backup withholding. For individuals, this rs your said security number ISSN). However. for a resident alien, sole papaya, or disregarded entity, sae the Pod I nstructions on page 3. For other entitles, h Is your employer identification numbur (El N) If you do not have a number, see How to get a 7W on page 3. Note. If the account is in more than one name. see the Chad on page 4 for guidelines on whose number to enter. &dal smaarity number Employer IMintillealem 'lmber Part II Certification Under penalties at perjury, I caddy that: 1. The number shown on this form is my correct taxpayer identification number (atom waiting fore number to be issued to me). and 2. I em not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been Waded by the Internal Revenue Service gRS) that I ern subject to backup velthholding as a result or a failure to report WO intexeSt or dividends, a (e)the IRS Pas notified me Malian no lave sublect to backup withholding. and 3. I am a U.S. citizen or other U.S. person (defined bellow). Certification insbuctlern. You must aces out item 2 above it you have been notified by the IRS that you are aunty stbjea to backup withholding beowse ydu have failed Is report al Interest and dividends on your tax return. For real estate transactions. hen 2 does not apply. For mortgage Intermit paid. acquisition or attandonment secured property. cancellation of debt, contributions to an individual retirement arrangement gRA), and generally. payments otherthen Interest and (vidands, you we not (Nuisnfi to alga the eereSeeeen• but you must Provide your correct 11N. Seethe instructions on page 4. Sign teener/es Here us. penal General Instructions Section references we to the Internet Revenue noted. Purpose of Form A person who Is requIred to Me w information return with the IRS must obtain your correct lax payer Identification number friN) to report, far example, income pied to you, real estate transactions, mortgage interest you paid. acquisition a abandonment of secured property. cancellation of debt. or contributions you made to an IRA. Use Form W4 only if yoo are a U.S. person (Indming a resident alien). to provide your correct TIN to the person requesting It (the requester) and, when applicable. to: 1. Certify that the TIN you we giving is correct (or you are waiting for a number to be issued). 2. unify that you we not subject to backup withholding. or 3. Claim exemption from backup %withholding if you are a US. exempt payee. If applicable, you are also certifying that ass U.S. person. your allocable share of any partnership Income from a U.S. trade or business Is not satieci to the withholding tax on foreign partners' Share of effective!), connested &cc OMO. ono. 1-a-13 Note. If a requester gives you a form other than Form W-9 to request yew TIN, you must use the requester% kern If It is substandelly slinear to this Form W4. Definition of a US. person. Fa Mon tax parpoSat you are Considered e U.S. person if you we: • An individual who is • U.S. Oaten or U.S. resident alien, • A partnership. corporation, company, or association created a agonized In the United States or under the laws of the United States. • An estate (other then a foreign estate), or • A domestic trust (as defined in Regulations section 301.77(11-7). Special notes for partnerships. Partnerships that conduct a aide or business In the United Sates are generally required to pay a we nhowng tax on any foreign partners' share of Ino0me trap such business. Further, in certain cases where a Form W9 has not been received, a partnership is required to presume that a per is a foreign person. and pay d*withhokling tax. Therefore, If you area U.S. person that Is a partner in a partnereNp conducting a trade or business In the United •• Stales, provide Form W-9 to the partnership to estabish your U.S. status and avoid withhOding on your stutre of partnership income. Can No. 'Mgt% Earn W-9 (Ref. 12.2011) CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0094814 CONFIDENTIAL SDNY_GM_00240998 EFTA01390338