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Form W'9 Request for Taxpayer Give Form to the <br />(Rev. January 2011) Identification Number and Certification requester. o° not <br />Department of the Treasury send to the IRS. <br />IMemat Reverie Service <br />Name (as shown on your income tax return) <br />Atkins North America, Inc. <br />N <br />CL <br />c <br />0 <br />o <br />�CC <br />fi p <br />m <br />Business namddianigarded entity name, It different from above <br />(formerly Post, Buckley, Schuh it Jernigan, Inc. or PBS&J) <br />Check appropriate box for federal tax <br />classification (required): ❑ IndividuaVeole proprietor <br />✓❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate <br />❑ Umtted liability company. Enter the tax classification (C=C corporation, S-S corporation, P=partnership) ► <br />jJ Other (am Instructions) ► <br />Address (number, street. and apt or suite no.) <br />4030 W. Boy Scout Blvd., Suite 700 <br />City, state, and ZIP code <br />Tampa, FL 33607 <br />Ust account number(s1 <br />name and address <br />❑ Exempt payee <br />Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name" line 1 8ociaf secui ty number <br />to avoid backup withholding. For individuals, this is your social security number However, for a - m - <br />resident alien, sole proprietor, or disregarded entity, see the Part I Instructions on n page 3. For other <br />entities, it is your employer identification number (EIN). If you do not have a number, see ! -low to get a <br />TIN on page 3. <br />Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose <br /> <br /> <br />Certification <br />Under penalties of perjury, I certify that: <br />1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and <br />2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue <br />Service (IRS) that I 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 I am <br />no longer subject to backup withholding, and <br />3. 1 am a U.S. citizen or other U.S. person (defined below). <br />Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding <br />because you have failed to report all interest and dividends on your tax return. For real estate transactions, Item 2 does not apply. For mortgage <br />interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement ORA), and <br />generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the <br />instructions on page 4. <br />019" <br />ere s. .a«ro of <br />H n► A-&0 � Date► qN2411 <br />General Instructions <br />Section references are to the Internal Revenue Code unless otherwise <br />noted. <br />Purpose of Form <br />A person who is required to file an information return with the IRS must <br />obtain your correct taxpayer identification number (rIN) to report, for <br />example, income paid to you, real estate transactions, mortgage interest <br />you paid, acquisition or abandonment of secured property, cancellation <br />of debt, or contributions you made to an IRA <br />Use Form W -9 only 9 you are a U.S. person (including a resident <br />alien), to provide your correct TIN to the person requesting it (the <br />requester) and, when applicable, to: <br />1. Certify that the TIN you are giving is correct (or you are waiting for a <br />number to be issued), <br />2. Certify that you are not subject to backup withholding, or <br />3. Claim exemption from backup withholding if you are a U.S. exempt <br />payee. If applicable, you are also certifying that as a U.S. person, your <br />allocable share of any partnership Income from a U.S. trade or business <br />Is not subject to the withholding tax on foreign partners' share of <br />effectively connected income. <br />Note. If a requester gives you a form other than Form W -9 to request <br />your TIN, you must use the requester's form if it is substantially similar <br />to this Form W -9. <br />Definition of a U.S. person. For federal tax purposes, you are <br />considered a U.S. person if you are: <br />• An individual who is a U.S. citizen or U.S. resident alien, <br />• A partnership, corporation, company, or association created or <br />organized in the United States or under the laws of the United States, <br />• An estate (other than a foreign estate), or <br />• A domestic trust (as defined in Regulations section 301.7701 -7). <br />Speoial rules for partnerships. Partnerships that conduct a trade or <br />business In the United States are generally reputed to pay a withholding <br />tax on any foreign partners' share of income from such business. <br />Further, in certain cases where a Form W -9 has not been received, a <br />partnership is required to presume that a partner is a foreign person, <br />and pay the withholding tax. Therefore, If you are a U.S. person that is a <br />partner in a partnership conducting a trade or business in the United <br />States, provide Form W -9 to the partnership to establish your U.S. <br />status and avoid withholding on your share of partnership income. <br />Cat. No. 10231X Form W -9 (Rev. 1-2011) <br />