Form W-9 (Rev. December 2014) Depxtment of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. g 0 a le N 1 Name (as n on your Income tax return). Name is required on this line; do not leave this line blank. 2 Business name/disregarded entity name, a different from above 3 Check appropriate box for federal tax classification; check oNyone of the following seven boxes: K Individual/sole proprietor or K C Corporation K S Corporation K Partnership K Trust/estate singlemember LLC K Limited lability company. Enter the tax classification (C•C corporation. S•5 corporation, P•pannership)► Note. For a se-vie-member LW that is disregarded. do not check LW: check the appropriate box in the hne above for the tax classification of the angle-member owner. 0 Other (see instructions) ► $ Address (number. street. and apt. or suite no.) 4 Exemptions (codes apply only to certain entities, not individuals: see instructions on page 3): Exempt payee code anT) Exemption from FATCA reporting code (if any) frophe to scOwnlis moveavioa °ado U U S City, state, and ZW code Requester's name and address (optional) 7 List account number(e) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally 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 (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 instructions for line 1 and the chart on page 4 for guidelines on whose number to enter. Part II I Social security number or Employer Identification number Certification Under