EFTA01282296.pdf

W-9
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Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided mutt match the name given en the lire rill rent t
to avoid backup withholding. For individuals, this a your social security number (SSN). NOSS for a
resident alien, sole proprietor. or disregarded entity. see the Part I instructions on page 3. For other
entities. it is your employer identitioation number (Flat). If you do not have a nember. see How to get a I
TIN on page 3.
Note. N the account is in more than one name, sot the chart on page 4 lot guidelines on whose Employer identleeetknnwnbr I
number to stet
Rai Certification
Under penalties of penury. I certify that:
1. The number shown on this lone is my correct taxpayer identification number Oxfam waiting fora number to be Sued to net s and
2. lam not subject to backup withholding because: (a) I am exempt from backup withholding. cc (b) I have not been notified by he Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or efnidends. Of (c) the IRS h. a notilkd me that I am
no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Certification instructions. You must cross out item 2 above it you have been notified by the IRS that you we currently subject s backup withholding
because you hive failed to report YI interest arid dividends on your tax return. For real estate transactions. hem 2 does not appl% For mortgage
interest paid, acquisition or abandonment of secured property. cancetation of debt contributions to an individual retirement am tigern s it (IRA). and
generally, payments other than interest and dnidends. you are not required to sign the certification, but you most provide your c :nett TIN. See the
instructions on page 4.
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General Instructions Nets. If a requester gives you a form other than f amt W.') to request
your TIN, you must use the isqueeter's form 4 il i substantially similar
Section references are to the Internal Revenue Code testers otherwise to this Form W-9.
noted.
Definition of a U.S. person. For federal tax puns; you em
Purpose of Form considered a V.S. person if you are:
A person who is required to fiat an information return with the IRS must • An individual who is a U.S. citizen or U.S. residi :t alien,
obtain your correct taxpayer identification number (TIN) to report, for • A partnership. ortPonthen, conPany or anon ion created a
example. income paid to you, real estate transactions, mortgage interest organized in the United Stales or under the laws. ' the United Slates.
you paid, acquisition or abandonment of secured propery cancellation • An estate (other than a foreign name). or
of debt or contributions you made to an IRA
• A domestic trust (as defined in Regulations sect on 301.7701-7).
Use Form W.9 only a you are a U.S. person (including a strident
alien), to provide your oared TIN to the person requesting it (the Special rtes for partnerships. Partnerships the ,itinduct a trade or
requester) and, when applicable, to butanes& in the United States we generally remit:id to pay a withholding
tax on any foreign partners* share of income from such business.
• I. Certify that the TIN you we giving is correct (or you are wading lor a Further, in certain cases where a Form W-9 has n Y beenreceived, a
number to be issued). partnership is required to presume that a partner) s a lore!gn person.
2. Certify that you we not subject to backup withholding, or and pay the withholding tax Therefore• if you are 1U.S.. reface that is a
a Claim exemption from backup withholding if you we a U.S. exempt partner in a partnership conducting a trade a but pax in the United
payee. If amicable, you aro also mortifying that as a US. Pelson. your States, provide Form W9 to the partnership to et :shish your U.S.
allocable share of any partnership Moans, from a U.S. trade or business status and avoid wrthhoiding on your sham of par monship incauo.
is not subject to the vrithholdfrig tax onifavign pannam share of
effectively conceded noorne.
Cat No.10231X W-9 trket. 12.2011)
SCINY_GM_C0037699
CONFIDENTIAL
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0000523
EFFA_00148308
EFTA01282296