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wL^ | <br />Form w-g <br />(Rev. Octobar 201 8) <br />Oepadrnonl ol lhe Treasury <br />lnlE(nsl Fl6venup Seruice <br />Request for Taxpayer <br />ldentification Number and Gertification <br />) Go to www.irc.govlFormWg tor instructions and the latest information. <br />Give Form to the <br />requester. Do not <br />send to the lRS. <br />4 Exemptioos (codes apply only 10 <br />cerlain entities, not individuals: s6e <br />instructions on page 3): <br />Exempt payee code (if any) <br />Exemption from FATCA reporting <br />code {if any) <br />(Applie' lo accounts maiotatred oilside ke U.S i <br />{as shown on your tax is r€quired on this line; do not <br />Rodeo Hall of Fame <br />name,from abovs <br />7 account numbsr(s) here <br />Here <br />Signature of <br />U,S. person )Oate > <br />I <br />E <br />di <br />oo)(!oco <br />aco <br />(, <br />e <br />os <br />.9 <br />ooaoooa <br />c;o <br />o <br />tr <br />o- <br />Requester's name <br />1' The number shown on this iorm is my correct taxpayer identification number (or I am waiting fot a number to be issued to me); and2' I am,not subject lo backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the lnternal RevenueService (lRS) that I am subject to backup withholding as a resuit of a failure to report all inieresi or dividends, or (ci ine IRS has notified me that I amno longer subject to backup withholding; and <br />3. I am a U.S. citizen or other U.S. person (defined betow); and <br />4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA repoding is correct. <br />Certification inslructions. You must cross out item 2 above if you have been notilied by the IRS that you are currently subject to backup withholding becauseyou have failed to report all interest and dividends on your tax return. For real estate transactions, itern2 does not apply. For mortgage interest paid,acquisition or abandonment of secured propeny, cancellation oi debt, contributions to an individual reiirement anangement 1|n4,inO generally, faymentsothor than interest and dividends, you are not required to sign the certification, bui you must provide your correct TlN. See the instructions for part ll, Iater. <br />General lnstructions <br />Section re{erences are to the lnternal Revenue Code unless otherwise <br />noted. <br />Future developments. For the latest information about developments <br />related to Form W-9 and its instructlons, such as legislation enacted <br />after they were published, go to www.irs.govlFormriVg. <br />Purpose of Form <br />An individual or entity (Form W-9 requester) who is required to file an <br />information return with the IRS must obtain your correct taxpayer <br />identification number [lN) which may be your social security number <br />(SSN), individual taxpayer identi{ication number (lTlN), adopiion <br />taxpayer identification number (ATIN), or employer identilication number <br />{ElN), to report on an information return the amount paid to you, or other <br />amount reportable on an informalion return. Examples of information <br />returns include, but are not limited to, the following. <br />. Form 1 099-lNT (interest earned or paid) <br />. Form 1099-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 1099-8 (stock or mutual fund sales and cerlain other <br />transactions by brokers) <br />r Form 1099-S (proceeds from real estate transactions) <br />r Form 1099-K (merchant card and third party network transactions) <br />. Form 1098 (home mortgage interest), 1098-E (student loan interest), <br />1098-T (tuition) <br />r Form 1 099-C (canceled debt) <br />. Form 1 099-4 (acquisition or abandonment of secured property) <br />Use Form W-9 only if you are a U.S. person (including a resident <br />alien), to provide your correct TlN. <br />lf you do not return Form W-g to the requester with a TlN, you might <br />be subject to backup withholding. See What is backup withholding, <br />later. <br />for federal lax classiliGation of the person whose name is entered on line 1, check only one of the <br />n lndiviouallsole proprieto, or Z c corporation I s Corporation I partnersrrip I TrusVestate <br />single-membar LLG <br />Other <br />3 Check appropriate box <br />following seven boxes. <br />Limitedn Enter laxtheliabililycompany.classification (c=c corporation,corporation,p=pannership) <br />Note:Check the tnbox linetheappropriate forabove taxthe ofclassiiication the Doowner.checknotsingle-memberifLLCLLCtheclassifiedaasLLCtsthatsingl6-member from ownerthe theunless ofownerdisregarded LLCthe isanotherLLCthatnotthefromdisregardedforownerfederalU.S.tax LLUpurposes.Otheroise,single-member <br />ts thefromdisreqarded shouldowner thecheck box lhelot classiticationtax itsotappropriate ownet- <br />110 West 5th Avenue PMB #374 , <br />5 Addlsss , stre6t, and api. or suile <br />state, and ZIP <br />, wA 98926E <br />Cat. No, 10?31X Form W-g (Rev. 10-2ois)