Supporting Documentation · Mar 26, 2024
104-24 Exhibits-Economic Development Counsultant - 2024.pdf
dc4c02fb6989450d95fc5bc5a3a9f7d3ba93ca12f95b7e441a424da00aadd14cIndexed text · page 107
Show all pagescom WE 9 Request for Taxpayer Give For to the (Rev. October 2018) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service > Go to www.irs.gov/FormW9 for instructions and the latest information. Nishuane Group, LLC T Name (as shown on your income tax return). Name Is requirad on this line; do not leave this Ine blank. 2 Business name/disregarded entity name, if different from above Note: Check the another LLC that is not, D1 Other (see instructions) > C1 Umited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) > ite box in the line above for the tax classification of the single-member owner. Do not check | Exemption from FATCA reporting LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is code fif eny) from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that| is disregarded from the owner should check the appropriate box for the tax classification of its owner. 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the | 4 Exemptions (codes apply only to following seven boxes. certain entities, not individuals; see instructions on page 3): 1 individuaysole proprietor or ©) C Corporation Corporation [1 Partnersnip —-L) Trusvestate single-member LLC Exempt payee cods (if any) epics 0 accounts mairtained cutee the US) 5 Address (number, street, and apt. or suite no.) See instructions. 105 Grove Street Print or type. See Specific Instructions on page 3. Requester’s name und address (optional) 6 City, state, and ZIP code Montclair, NJ 7 Ust account number(s) here (optional) Part A Taxpayer Identification Number (TIN) TIN, later. Entar your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid _| Social security number par 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 - - entities, it is your employer identification number (EIN). If you do not nave a number, see How to geta or [Employer identification number Note: If the account is in more than one name, see the instructions for
t is your employer identification number (EIN). If you do not nave a number, see How to geta or [Employer identification number Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Certification Under penalties of perjury, | certify that: 1, 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 ‘to backup withholding because: (a) | am exempt from backup withholding, or (b) | have not been notified by the Internal Revenue Service (IRS) that | am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that | am no longer subject to backup withholding; and 3. |am a U.S. citizen or other U.S. person (defined below): and 4. The FATCA code(s) entered on this form (if any) indicating that | am exempt from FATCA reporting Is correct. Certification instructions. You must cross out item 2 above if you have been notified by the Fes CE YON moe ean ECT Deck we iad bare: transactions, item you have failed to report all Interest and dividends on your tax retum. For real estate does not apply. For mortgage interest paid, toquisttion or abandonment of secured property, cancellation of debt, contributions to an individual titbased arrangement (IRA), and generally, instructions other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the payments for Part Il, later. Sign ‘Signature of US. person Wha BE cour A421 24 General Instructions Section references are to the Intemal Revenue Code unless otherwise Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www. irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an Information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or
individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information retum. Examples of information returns include, but are not limited to, the following. * Form 1099-INT (interest earned or paid) * Form 1099-DIV (dividends, including those from stocks or mutual * Form 1099-MiSC (various types of income, prizes, awards, or gross proceeds) * Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) * Form 1099-S (proceeds from real estate transactions) * Form 1099-K (merchant card and third party network transactions) * Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) * Form 1099-C (canceled debt) * Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018)
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- Sep 29, 2026
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