F..., W-9 (Rev. December 20111 Depertnere dee Tniessy Sorrel Revenue Sava Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not sand to the IRS. c: t f Su / Name Ws Was return) bet tieYllae Me My , a Waren from above ye." l.._ box for federal tax deleficarion 0 Irdivkkalneole proprietor O C Cap:ration O 8 G_ ..&.. O Petnorship O Tnatmatata • United eabity company. Enter Ow tax deeelfizetka (CC caparetkin, 84 capes." Isapennerhip) • O Other (see IntructiOnelle O Earn payee #47; exeilbe k 7 r end Sr. 4 . a • ItO 6 40 rg 3 Moquettes mine end edctera (COWS) airy, sate and ZIP ST 7 oods Os GI voio -1.- . ..„< /ti Us meant rinse-le) hem lemma Post I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the 'Name' ins to avoid backup withholding. For Individuate, this Is your social security number (SSN). However, for a resident ellen, sole proprietor, or disregarded entity. en 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 chart on page 4 for guidefines on whose number to enter. Social washy nwnber Employer Identfimeldon number T1 - j Part II Codification Under penalties of perjury. I certify that 1. The number shown on this form Is my correct taxpayer Identification number (orlon, wading for a wags to be Issued to me), and 2. lam not subject to backup withholding because: (idiom exempt frorn backup withholding, or (b) I have not been nodded by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of • failure to report WI 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 U.S. person (defined below). Cer