PB 25 04 Application and Plans

com W=9 (Rev. March 2024) Department of the Treasury Request for Taxpayer Identification Number and Certification Go to www. irs.gov/FormWw9 for Instructions and the latest Information. Give form to the requester. Do not Send to the Ins, Inlemal Revenue Service Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form below. 1 Name of entity/indwidual. An entry is required. (For a sole propnetor or disregarded enlity. erter tha owner's name on ling !, ang Blue. Viokt Gtoly LLe ‘onlter the GusineWagee businets/ditregarieq 2 Business name/disregarded entity name, if different from above. Lone of the following seven boxes. Individual/sole propnetor > [_] C corporation box for the tax classification of its owner. © other (see structions) ‘Ja Check the appropnate box for federal tax classification of the entity/individual whose name 's entered on hine 1, Check J Scorporstion LLC. Enter the tax dlassification (C = C corporation, $ = § corporation, P = Partnership) Note: Check the *LLC* box above and, in the entry space. enter the appropnate code (C. S. or P) lor the tax classification of tne LLC, unless itis a disregarded entily. A disregarded entity should instead check the appropniate T 4 Exemptions (codes apply any @ | certam entities. not mdwduae see instructions on page 3) CO Partnership = [[) Trusvestate F Exempl ayes code i any) Exemption trom Fore | 1m Foreign Account T | Compliance Act FATCA reporting code if any! Print or type. and you are providing this form to a partnership, trust, 0 3b If on line 3a you checked "Partnership" or “TrusVestate.” or checked “LLC” and entered “P” as ts tax classification, fate in which you have an ownership interest, check this Box if you have any forsign pariners, owners, or beneficiaries, See instructions (Applies to accounts mantaned x . >. . ol outside the United States } 2 S 6 2 é 3 g 2 & a & g o 3 3 o 2 ° C7) 5 Address (number. street. apd apt. or suite no.). See instructions. (93 £i le ANe | Requester’s name and address (cptional) 6 City, slate, and JP code | Elpcham Pac. NI 07932 } [7 List account number(s) here (optional) Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given online 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN).

ber (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given online 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 instructions for Part |, later. For other | Social security number entities, it is your employer identification number (EIN). If you do not have a number, see How togeta Gy TIN, later. Employer identification number) Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. UI-L ETI LL | Part i Certification Under penalties of penury, | certity that: 4. The number shown on this form is my correct taxpayer identification number (or | am waiting for a number to be issued to me): and 2. 1am not subject to b Service (IRS) that | am subject to backup withholding as a result of a failure to report all interest or dividends, or no longer subject to backup withhelding; and 3.l amaU.S. citizen or other U.S. person (defined below); and ackup withholding because (a) | am exempt from backup withholding, or (b) | have not been notified by the Internal Revenue (c) the IRS has notified me that | am 4, The FATCA coce(s) entered on this form (if any) indicating that | am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 abs because you have failed to acauisition or abandonment of secured property, cancellation a! other than interest and dividends, ypu are nolyeauired 10 sign the certification, but y report all interest and dividends on your tax return. For real estate transactions, item 2d f debt, contributions to an individual retirement arrangement (IRA), and, generally, payments ove if you have been notified by tne IRS that you are currently subject to backup withnolding joes not apply. For mortgage interest paid /ou must provide your correct TIN. See the instructions for Par Il, later. Sign | signature of Here | Us. person ie Date S-alas General Instructions Section references are to the Internal Revenue Code unless atherwise noved. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted atter they were published, go to

Code unless atherwise noved. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted atter they were published, go to www.irs.gov/FormW/9, What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that 1s a disregarded entity should check the appropnate box tor the tax classification of its owner. Otherwise, It shoula check the "LLC™ box ano enter its appropriate tax classification, New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has airec: or mowrect foreign partners, owners, or beneficiaries wnen it provides the Form W-2 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foregn partners, owners. oF beneficianes, so that «can satsty any applicable reporting requirements. For example. a partnersnip that has any indirect foreign partners may be required to complete Schedules K-2 and K-3, See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065), Purpose of Form An individual or entity (Form W-3 requester) who Is required to file an information return with the IRS is giving you this form because they Cat Na, 10231X Form W-9 fav. 3-2024)