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DocuSign Envelope ID: CB479571-74E8-4DCC-8F07-F71D3249C902
<br />Form W-9 (Rev. 10.2018)
<br />1. Interest, dividend, and barter exchange accounts opened
<br />before 1984 and broker accounts considered active during 1983.
<br />You must give your correct TIN, but you do not have to sign the
<br />certification.
<br />2. Interest, dividend, broker, and barter exchange accounts
<br />opened after 1983 and broker accounts considered inactive during
<br />1983. You must sign the certification or backup Withholding will apply. If
<br />you are subject to backup withholding and you are merely providing
<br />your correct TIN to the requester, you must cross out Item 2 In the
<br />certification before signing the form.
<br />3. Real estate transactions. You must sign the certification. You may
<br />cross out Item 2 of the certification.
<br />4. Other payments. You must give your correct TIN, but you do not
<br />have to sign the cedlficatlon unless you have been notified that you
<br />have previously given an Incorrect TIN. "Other payments" Include
<br />payments made In the course of the requester's trada or business for
<br />rants, royalties, goods (other than bills for merchandlae), medical and
<br />health care services (Including payments to corporations), payments to
<br />a nonemployso for services, payments made In settlement of payment
<br />card and third party network transactions, payments to certain fishing
<br />boat crew mambers and fishermen, and gross proceeds paid to
<br />attorneys (Including payments to corporations),
<br />6. Mortgage interest paid by you, acquisition or abandonment of
<br />secured property, cancellation of debt, qualified tuition program
<br />payments (under section 629), ABLE accounts (undersectfon 629A),
<br />IRA, Coverdell ESA, Archer MSA or HSA contributions or
<br />distributions, and pension distributions. You must give your correct
<br />TIN, but you do not have to sign the certification.
<br />What Name and Number To Give the Requester
<br />For this type of account: Give name and SSN of:
<br />1. Individual The Individual
<br />2. Two or mare individuals fioint The actual owner of the account or, if
<br />account) other than an account combined funds, the first Individual on
<br />maintained by an FFI the account'
<br />3. Two or more U.S. persons
<br />Each holder of the account
<br />Qolnt account maintained by an FFI)
<br />4. Custodial account of a minor
<br />The mine?
<br />(Uniform Gift to Minoru Act)
<br />6. a. The usual revocable savings trust
<br />The grantor-trustea�
<br />(grantor Is also trustee)
<br />b. Swcalled trust account that Is not
<br />The actual owner'
<br />a legal or valid trust under state law
<br />6. Sole proprietorship or disregarded
<br />The owners
<br />entity owned by an Individual
<br />7. Grantor trust thing under Optional The grantor -
<br />Form 1099 Ring Method 1 (see
<br />Regulations section 1.671-4(b)(2)Q)
<br />(A))
<br />For this type of account: I Give name and EIN of:
<br />6. Disregarded angry not owned by an Theowner
<br />Individual
<br />9. A valid trust, estate, or pension trust Legal entky4
<br />10. Corporation or LLC electing Thecurporetion
<br />corporate status on Form 6832 or
<br />Form 2853
<br />11. Association, club, rellglous, Theorganlzation
<br />charitable, educational, or other tax-
<br />exempt organization -
<br />12,Parmerehlpormull-member LLC Thepartnerehlp
<br />13. A broker or registered nominee The broker or nominee
<br />Page 5
<br />Agriculture In the name or a public
<br />entity, (such as a state or local
<br />government, school district, or
<br />prison) that receives agricultural
<br />program payments
<br />15. Grantor trustfiling under the Form Thelrust
<br />1041 Fling Method or the Options!
<br />Form 1099 Flling Method 2 (see
<br />Regulations aectlon 1.671.4(b)f2)(II(9))
<br />' List first and circle the name of the person whose number you furnish.
<br />If only one person on ajoint account has an SSN, that person's number
<br />must he furnished.
<br />2 Circle the minor's name and furnish the minor's SSN.
<br />a You must show your Individual name and you may also enter our
<br />business or DBA name on the "Business name/disregarded entity"
<br />name line. You may use either your SSN or EIN (If you have one), but the
<br />IRS encourages you to use your SSN.
<br />4 List first and circle the name of the trust, estate, or pension trust. (Do
<br />not furnish the TIN of the personal representative or trustee unless the
<br />Is al entity Itself is not designated In the account title.) Also see Special
<br />rules for partnerships, earlier.
<br />'Note: The grantor also must provide a Form W-9 to trustee of trust.
<br />Note: If no name Is circled when more then one name Is listed, the
<br />number will be considered to be that of the first name listed.
<br />Secure Your Tax Records From Identity Theft
<br />Identity theft occurs when someone uses your personal Information
<br />such as your name, SSN, or other Identifying Information, without your
<br />permission, to commit fraud or other crimes. An Identity thief may use
<br />your 88N to get a job or.may file a tax return using your SSN to receive
<br />a refund.
<br />To reduce your risk:
<br />• Protect your SSN, -
<br />• Ensure your employer Is protecting your SSN, and
<br />• Be careful when choosing a tax preparer.
<br />If your tax records are affected by identity theft and you receive a
<br />notice from the IRS, respond right away to the name and phone number
<br />printed on the IRS notice or letter.
<br />If your tax records are not currently affected by Identity theft but you
<br />think you are at risk due to a lost or stolen purse or wallet, questionable
<br />credit card activity or credit report; contact the IRS Identity Theft Hotline
<br />at 1.800-908.4490 or submit Form 14039.
<br />For more Information, see Pub. 5027, Identity Theft Information for
<br />Taxpayers.
<br />Victims of identity theft who are experiencing economic harm or a
<br />systemic problem, or are seeking help In resolving tax problems that
<br />have not been resolved through normal channels, may be eligible for
<br />Taxpayer Advocate Service (TAS) assistance. You can reach TAB by
<br />calling the TASloll-free case Intake line at 1-877.777-4778 or TTYrrDD
<br />1.800.829-4059.
<br />Protect yourselffrom auspicious smalls or phlshing schemes.
<br />Phishing is the creation and use of email and websites designed to
<br />mimic legitimate business smalls and websites. The most common act
<br />Is sending an email to a user falsely claiming to be an established
<br />legitimate enterprise In an attempt to scam the user Into surrendering
<br />private Information that will be used for Identity theft. ,
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