EFTA01295222.pdf

Request for Taxpayer Give Form to the
Form W4
Ow. Decarter2011) Identification Number and Certification requester. Do not
Depstesol of liwTreeny send to the IRS.
eters RoenuoSevk•
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:
5 • kwirdowyeure proprietor • C Corporation 1g so:demotion O Postmen,* O TrusUestere
i a j ❑n r..., limited istaty concern Enter the tax desshaitron Pan corPonstien. SeS corporation, Prponnership), DExerpt pew,
o
I
I. O Other ley rat:ructions) e•
edema (numb., street, red opt. or sit no.) Re.aea stress end address loplioneir
6100 Red Hook Quarter B3
t City, state, end ZIP code
<7 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 Social washy nurnbee
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 Employer identifiestron number
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 D,.. ga--3O--tS
Here us. person •
General Instructions 40te. If a reputes, gives you a form other than Form W-0 to request
your TIN, you must use the requester's form If It S substantially similar
Section references are to the !Memel Revenue Code unless otherwise to this Form W-9.
noted.
Definition of a U.S. person. For federal tax purposes, you are
Purpose of Form considered a U.S. person if you we:
A person wrso is required to file an information return with the IRS must • An Individual who is a U.S. citizen or U.S. resident alien
obtain your correct taxpayer Identification number (TIN) to report. for • A partnership, corporation, company, or association created or
example. income paid to you, reel estate transactions, mortgage interest organized in the United States or under the laws of the United States,
you paid. acquisition or abandonment of secured property, cancellation • An estate (other than a foreign estate). or
of debt or contributions you made to en IRA.
• A domestic trust (as defined in Regulations section 301.7101-7).
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 Special Mee for parthersNps. Partnerships that conduct a trade a
requester) and, when applicable, to: business in the United States are generally required to pay a withholding
tax on any foreign partners' share of income from such business.
1. Certify that the TIN you are giving Is correct (or you we waiting for a Further, in certain cases where a Form W-9 has not been received, a
number to be issued). partnership is required to presume that a partner is a foreign person,
2. Certify that you we not subject to backup withholding. or and pay the withholding tax. Therefore, if you an a U.S. person that is a
3. Claim exemption from backup withholding k you are a U.S. exempt partner in a partnership conducting a trade or business in the United
payee. If applicable, you are also certifying that as a V.S. person, your States, provide Form W-9 to the partnership to estabteli your V.S.
allocable share of any pwtnership Income from a U.S. trade or business status and avoid withholding on your share of partnership income.
is not subject to the withholding tax on foreign partners' share of
effectively connected income.
OW Na 10231X Form W-9 (Roo. 12.2011)
SDNY_GM_00053984
.NEIDENTIAL
CONFIDENTIAL - PURSUANT TO FED_ R.QP DB-SDNY-0016808
EFTA_00164554
EFTA01295222

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SDNY_G/A_000539135
I DENTIAL
CONFIDENTIAL — PURSUANT TO FED R.QP DB-SDNY-0016809
EFTA_00164555
EFTA01295223