W-9 Request for Taxpayer Identification

FormW-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service 1 Name (as shown on your income tax rehum Name is required on this line do not leave this line blank.

Request for Taxpayer Identification Number and Certification Go to www.irs.gov/FormW9 for instructions and the latest information.

Give Form to the requester. Do not send to the IRS.

1 Name (as shown on your income tax rehum). Name is required on this line do not leave this line blank.

3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the4 Exemptions (codes apply only to following seven boxes. certain entities, not individuals: see instructions on page 3) individualisole proprietor orGCorporation $ CorporationPartnershipTrust/estate single-member LLC Exempt payee code (f any) Limited liability company. Enter the tax classification (C-C corporation, S-S corporation PaPartnership) Note: Check the appropriate box in the line above for the tax classification of the single member owner. De not checkExemption from FATCA reporting LLC if the LLC is classified as * single-member LLC that is disregarded from the owner uniess the ewner of the LLC is code @ any) another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-menber LLC that isdisregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) - accounts - USJ 5 Address (number, street, and apt. or suite no See instructions. Requester's name and address (optional)

2 Business name/disregarded entity name, a different from above

Enter the tax classification (C C corporation, S S corporation PaPartnership)

Exempt payee code (f any)

code @ any)

(see instructions)

Address

5 Address (number, street, and apt. or suite no.) See instructions.

Street Address Line 2

6 City, state, and ZIP code

7 List account number(s) here (options)

Requester's name and address (optional)

PartTaxpayer 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 gonerally your social security number (SSN However, fora resident alien, sole proprietor, or disregarded entity, see the Instructions for Part I, later. For other entities, it is your employer identification number (EIN If you do not have a number, see How to geta 7IN, later. or 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 Requestor for guidelines on whose number to enter.

Employer identification number

Part II 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. am not subject to backup withholding because: (a) am exempt from backup withholding, or (b) have not been notified by the Internal Revenue 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 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 of 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 IRS that you are currently subject to backup withholding 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 interest paid, acquisition or abandonment of secured property. cancellation of debt. contributions to an individual retirement arrangement (RA and generally. payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part il later. Sign Signature of Here U.S. person Date

General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legistation enacted after they were published, go to www.irs.gow/FormW.93. 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 taxpayar 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 return. Examples of information returns include, but are not limited to, the following. Form 1099-INT (interest earned or paid)

Signature of U.S. person

Form 1099-DIV (dividends, including those from stocks or mutual funds) 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) Ferm 1099-c (canceled debo 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.

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