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<br />(Rev. November 201 7)
<br />Dsoarlment of the Treasurv
<br />lntemd Rovenue Seruice
<br />Request for Taxpayer
<br />ldentification Number and Certification
<br />> Go to www.i6.gavlFormWglor insbuotions and lhe latest information.
<br />'l Name (as shown on your tax relurn). Name is requlred on this llne;
<br />KITTITAS
<br />2 Business enlity name, lf from
<br />EVENT
<br />4 Exemptions (codas apply only to
<br />cerlain entities, not individuals; see
<br />instructions on pag€ 3):
<br />Exempt payoe code (if any)
<br />Exsmptim lrom FATCA repoding
<br />code (if any)
<br />(rpplias lo accohts malnlalned o,side lhe U.S)
<br />name
<br />accounl
<br />Enter your TIN in the appropriate box. Th€ TIN provided must match the name given on line 1 to avoid
<br />backup withholding. For lndividuals, thls is generally your social security numUer 1ssN1. However, for a
<br />resident alien, solo proprietor, or disragarded 6ntily, s6e the instructions for Part l, later. For other
<br />entities, it is your employer identification number (ElN). lf you do not have a number, see How to gel aIlN, later.
<br />Note: lf the account is in more than one name, s€a the instructions for line 1. Also see What Name and
<br />Number To Give the Feguesler for guidelines on whose number to enter.
<br />Under penalties of perjury, I certify that:
<br />1. The number shown on this form is my correct taxpayer identilication number (or I am waiting for a number to be issued to me); and
<br />2' I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the lntemal Revenue
<br />Seruice (lRS) that I am subiect lo backup wiihholding as a result of a failure to report all inierest or dividands, or (c) the IRS iras notified me that I am
<br />no longer subject to backup withholding; and
<br />3. I am a U.S. citizen or oiher U.S. person (defined below); and
<br />4. The FATCA oode{s) entered on this form (if any) indicating that I am exempt irom FATCA reporting is coffect.
<br />Gertification insbuctions. You must oross out item 2 above if you have been notified by the IHS that you are cunontly subject to backup withholding because
<br />Give Form to the
<br />requester. Do not
<br />send to the lRS.
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<br />or
<br />you have failod to r€port all interest and
<br />acquisition or abandonment of secured
<br />dividends on your tax retum. For r€al estats transactions, item 2 does intorsst paid,
<br />propsrty, cancellation oi debt, contributions to an individual retirement generally, paymonts
<br />other than interest and dividends, you are not required to sign the certification, but you must provide your correct TlN. Sea the instructions for Part ll, later.
<br />Sign
<br />Here
<br />General lnstructions
<br />Section references are to the lnternal Revenue Gode unless otherwise
<br />noted,
<br />Future developments. For the latest inlormation about developments
<br />related to Form W-9 and its instructions, such as legislation enacted
<br />after they were published, go to www.its.govlFormWg.
<br />Purpose of Form
<br />An individual or entity (Form W-9 requester) who is required to {ile an
<br />iniormation return with the IRS must obtain your correct taxpayer
<br />identilication number [lN) which may be your social security number
<br />(SSN), individual taxpayer identifioation number (lTlN), adoption
<br />taxpay€r identification number (ATIN), or employer identification number
<br />(ElN), to report on an information return the amount paid lo you, or other
<br />amount raportable on an information return. Examples of infotmation
<br />returns include, but are not limited to, the following.
<br />. Form 1099-lNT (interest earned or paid)
<br />not apply. For mortgage
<br />arrangement {lRA), and
<br />. Form 1 099-DlV (dividends, including those from stocks or mutual
<br />funds)
<br />. Form 1099-MISC (various types of income, prizes, awards, or gross
<br />proceeds)
<br />. Form 1 099-8 (stock or mutual fund sales and certain other
<br />transactions by brokers)
<br />. Form 1 099-S (proceeds from real estate transactions)
<br />. Form 1 099-K (marchant card and third party network transactions)
<br />e Form 1 098 (home mortgage int€rest), 1 098-E (student loan interest),'.l098-T (tuition)
<br />. Form 1 099-C (canceled debt)
<br />. Form 1 099-A (acquisition or abandonment of secured property)
<br />Use Form W-9 only if you are a U.S. person (including a r6sid6nt
<br />alien), to provide your correct TlN.
<br />lf you do not retum Fom W-g to tha tequester with aTlN, you might
<br />be subject to backup withholding. See \rVhat is backup withholding,
<br />leter.
<br />3 Chsck appropriaie box for federal tax classillcation of tha person whose name is enterod on line 1. Check only one ol the
<br />following seven boxes,
<br />n tndividuausoleproprietoror ! ccorporation X scorporation fl Partnership n Trusvestato
<br />single-member LLC
<br />! t-imitea liability company. Ent€r the lax classification (G-C corporation, S=S corporation, P=Partnership) > _
<br />Other
<br />CheckNole:lhe tnbox linetheappropriate forabov€laxthe ofclassificalion lhe Doowner.checknotsingle-member
<br />itLLC LLCihe classifledls aas LLC tslhalslngl6-memb6r from ownerlhe lh€unless ofowner tLcthe tsdisregarded
<br />LLCanother tsthat not frm the forowner cU taxfederaldis{egarded Othenarise,purposes.LLCsingle-member
<br />ls thelrom shouldown€t check box th6tordlsregardedlhe classificationtax itsof owner,approprialo
<br />apt. or
<br />I
<br />5 , street, and
<br />AVE,
<br />6 City, slat6, and ZIP
<br />Social number
<br />Part I
<br />I 1 6 0 0 1 3 4 I
<br />Part ll
<br />Signature ot
<br />U.S. person )Date >u
<br />Cat. No.10231X Fom W-9 (Bev. 11-2017)
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