Form W m 9 (Rev. Decomber 20t4) Deportment o4 the Treasuy internal Revenue Se'Ace Request for Taxpayer ORIelisiA Identification Number and Certification Give Form to the requester. Do not send to tho IRS. Print or type See Specific Instructions on page 2. I Name (as Mown on your income tax Muri). Name a required cn thls the: do not haw Ire, inn bank. Southern Trust Company, Inc. 2 Oiliness fientekliNeterded entity name, V dinerem from above 3 Check appropriate box for federal tax ciasslficaten Check only one of the Wowing seven boxes: El rndoidualhOle VOOttettit or 0. C Corporation 0 s Corporation 0 Partnership 0 Trustkvalo single-member LLC 0 Urneed lability company. Ente• the tax classecalion paCcorparellon. SaS corcoralien, Picanneisno) a — Note. For a shoe member LL that is disregarded. do not check Lla check the aP0, 09elat• DCA in thq ine *On fa the lax classiest:an of the singtrymembra owner. 0 Oilier (see Instructions)... I 4 Exemptions I ca:(4,:tieonifhleg on'porecel t Exemp payee Exemption code fit and prow „• most NCidekhcivaProhly to 3): • see code Pf any) Imo FATCA reporting werawyonys es tew 5 Address (number, street, and apt. or stile r.o 6100 Red Hook Quarter 53 Requesters name and addrcre (optionie a City. alete end 2IP code St Thomas USIA ,00802 7 fist account number(s) here (optional Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. Te TIN provided must match the name given on the 1 to avoid backup withnotcang. For individuals, this Is generally your social security number ISSN). However. fo• a resident alien, sole proprietor, or disregarded entity, see the Pan I instructions on Page 3. For ether entities, it is your employer Identification number (EIN). If you do not have a number, see How to ger 2 TIM on page 3. Note. If the account is in more than one name. see the instrucfrons for Hie 1 and the chart on page 4 for guidelines on whose number to enter. kat