For, W-8BEN (Rev. Februay 2035) Depanment of the Treasury Internal Revenue Service Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding 110 Section references are to the Internal Revenue Code. P See separate instructions. ► Give this form to the withholding agent or payer. Do not send to the IRS. OMB No. 1545-1821 Do not tea this form for • A U.S. citizen or other U.S. person, including a resident alien individual W-9 • A person claiming that income is effectively connected with the conduct of a trade or business in the United States W-8ECI • A foreign partnership, a foreign simple trust, or a foreign grantor trust (see instructions for exceptions) W-8ECI or W-8MAY • A foreign government, international organization, foreign central bank of issue, foreign tax-exempt organization, foreign private foundation, or government of a U.S. possession that received effectively connected income or that is claiming the applicability of section(s) 115(2), 501(c), 892.895, or 1443(b) (see instructions) W-BECI or W-8EXP Note: These entities should use Form W-St3EN if they are claiming treaty benefits or am providing the form only to claim they are a foreign person exempt from backup withholding. • A person acting as an intermediary W-8IMY Note: Soo instructions for additional exceptions. Instead, use Form: Part I Identification of Beneficial Owner (See instructions.) 1 Name of individual or organization that is the beneficial owner 2 Country of incorporation or organization 3 Type of beneficial owner: O Incfrodual O Corporation O Disregarded entity O Pannershp LI Simple trust O Grantor trust O Complex trust O Estate O Government O International organzaton O Central bank of esue O Tax-exempt organization O Private fourxlation 4 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address. City or town. state or province. Include