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w-9
<br />(Rev. Ocbber2018)
<br />Deparhent of th6 Tressury
<br />lnlemal Rwenue Selvice
<br />Forfir
<br />on your tax on
<br />Hall of Fame
<br />2 Business nan9,
<br />7 List account number(s) here
<br />Enter yourTlN in the approFriate box- The TIN provided must match the name given on line 1 to avold
<br />backup withholding. For individual$, lhis is genorally your social security number (SSN). Horever, for a
<br />resident alien, sole propn-etor, or disregarded entty, see the insbuctions for Part l, later. For other
<br />enliU€s, lt ls your employer identificatllon number (ElN). lf you do not have a number, seo How to get a
<br />77M later.
<br />Note: If the account is in more than one name, see the insfuctions for line 1 . Also see Wmt Name and
<br />Numbw To Giye the Reg.J€ster for guidelines on whose number to enter.
<br />Request for Taxpayer
<br />ldentification Number and Gertification
<br />) Go to nnrw.irs.gotrlFormrfl9fo' ins'tructions and the latetrt inSormatbn.
<br />Give Form to the
<br />requester, Do not
<br />send to the IRS-
<br />4 kemptkms (codes applyonly to
<br />cerlain entities, not irdividuals: see
<br />instsuctions on page 3)r
<br />ErGifipt payee code (if any)
<br />EKemption ftom FATCA reportlng
<br />code ff any)
<br />(,pt6to'@fr/ffi d6ue ffeU.S.)
<br />narne and addrcss
<br />ci
<br />o
<br />ct)({
<br />o-co
<br />.atoccLo>rEfiJotr
<br />faD
<br />O-s
<br />=.)oeg,
<br />{,ll)qt
<br />or
<br />Under penalties of periury, I oefiify that
<br />1 . The number shown on lhis form is my conect taxpayer identiffcadon number (or I am walting for a number to be issued to me); and
<br />2. I am not subject to backup withholdirg because: (a) I am e,rempt from backup withholding, or (b) I have not been not?fied by tie lnternal Rovenue
<br />Servt'ce {RS) that I am subject to backup withholding as a result of a failure to report all intersst or dividends, or (c) the IRS has notilied me that I am
<br />no longer subject to backup witfrholding; and
<br />3. I am a U.S- citizen or other U.S. person (defined below); and
<br />4. The FATCA code(s) entered on this form (f any) indicating that I am exempt lrom FATCA reporting is conect.
<br />Gertification ilnstruction$. You must cross out item 2 above if you have been notified bytlF IRS that you are
<br />you have failed to report all interest and
<br />acqulsition or abandonment of seqrred
<br />dividends on your iax retum. For real estate lransactiong ilem 2 does
<br />prop€rty, cancellatlon of debt, contrlbullons to an individual retirement anangement gRA), and generdly, payments
<br />must ptovide )rour conect TlN. See the instruclions for Part ll, later-otherlhan interest and dividends, you are not to sign the certi{ication, but you
<br />currently subject to backup wlthholding bocauee
<br />not apply. For mortgage interest paid,
<br />/2- / / -;aSignrtura of
<br />U.g Fcr$on>fizr-
<br />General ns
<br />Section references are to the lntemal Revenue Code unless otherwise
<br />noted.
<br />Future developmenb. Forthe latest inlormation about developments
<br />related to Form W-9 and its instructions, such as legislation enacted
<br />aft€r they w6re published, golo www.its.gavlFormW9.
<br />Purpose of Form
<br />An individual or entity (Fom W€ requester) who is required to file an
<br />information refum with the IRS must obtain your correct taxpayer
<br />identifcation number filN) which may be your social secudty number
<br />(SSltI), lndividual taxpayer identification number (lTlN), adoption
<br />taxpayer identification number (ATIN), or employer idenffication number
<br />(ElN), to rsport on an information refum the amount pald to you, ol other
<br />amount reportable on an information retum. E:<amples ol information
<br />retums include, but are not fmited to, the following-
<br />. Fom 109S1-INT 0nterest€am€d or paid)
<br />Date >
<br />. Form 1099DlV (dividends, including those from stoc*s or mutual
<br />tunds)
<br />r Form 1099MISC (variou$ types of income, prizes, awards, or gross
<br />proceeds)
<br />. Form 109S8 (stock or mutualfund sales and certain other
<br />hansac-tions by brokers)
<br />. Form '1099-5 (proceeds from real estate transactions)
<br />. Fom 1099-K (merchant card and third party network transactions)
<br />. Fom 1098 (home mortgage hterest), 109&E (shrdent loan interest),
<br />t098-T (tuiton)
<br />. Form 1099-C (canceled debt)
<br />' Form 1 099-A (acquisition or abandonment of secured property)
<br />Use Form W-9 only if you ar€ a U.S. person {including a resident
<br />alien), to provide your coft€ct TIN-
<br />lf you do rrrclt refttm Form W-9 to tle rcqrrrlster with a TlN, you might
<br />be srbjec,t to bectup withholdtng- See t rhat is backup withholding,
<br />later-
<br />3 Check appropriate box for fudeal tax classification of ttp person wlbse ndme is entered ofl line 1. Check only one of lhe
<br />folloltvirg sa/en boxes.
<br />n tnoiuid*y*te proprietor or E] c cotporation I s corporatlon I partnersnip I rr"t/oat"
<br />single-member LLC
<br />I t-imiteC lialitity oompany. Enter the tax classifioation (G=C corporaiion, S=S corporation, P=Partnechip) >=
<br />Nots Check the appropriate box in the line above lor the tax classmcation of the single-member orvner. Do not check
<br />LLC if the LlO Is classified as a single-member LLC that is disregarded ftorn the owner ur{ess the owner of the LLC is
<br />anothet LLC that is not disrcgatded fiom tte owner for U-S. federal tax purposan Othwise, a sirrgle-member LLC
<br />is disregarded fiom the owner should check the approFiate box for tne tax classfication of its owner"
<br />Other (s€e instructions) >
<br />ot5 Ad<ltess (number,
<br />W6th Ave.
<br />6 state, and
<br />wA 98926
<br />Nurnber
<br />nunter
<br />Part I
<br />I 1 1 8 I 3 I 4 0
<br />Pad ll
<br />Cat No.10231X Form UY-9 (Rev. 10-2018i
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