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Form Wg ielev.3-2024)eage 4l 2- The U nited States or any of its agencies or instrumentalities 3-A state. the District of Columbia a U.S. commonwealth orterritory. or any of their political subdivisions or instrumentalities. 4-A foreign government or any of its political subdivisions, agencies or instrumentalities. 5-A corporation. o-Adealer in securities or commodrties required to register in the United States, the District of Columbia, or a U S commonwealth or terntory. 7-A futures commission merchant registerecl with the Commodity Futures Trading C-Ommission. 8-A real estate invesiment trust. 9- An entity register,ed at all times during the tax year underthe lnvestment Company Acl of 1940. 1o-Acommon trust fund operated lry a bank undersection 584(a) l'l-A financial institutron as defined under section 53'l 12-A middleman known in U1e rnvestnlent communily as a nonilnee or custcxlran. I 3-A trust e,cempt from lax under sectlon 664 or described rn section 4947. The following chari sholvs types 01 payments that may be exempt from backup withholding. The chart applies to th e exempt payees listed above, 1 through 13. lF the payment is tbr THEN the paymeni is exempt for .. - lnterest and dlvidend payments All exempt payees except for 7 . Broker transactions Exempt payees 1 through 4 and 6 through 1 1 and all C corporatrons. S corporations musl not enter ar] exempt payee code because theY are exempt only for sales ol noncovered securitres acquired ilot to 2012. . Barter exchange transactrons Exempt payees 1 through 4. and dividends . Payments over$600 required to be reported and direct sales over $5.ooo . Paymenis made in settlement of payment card or lhird-party netlvork transactions Exempt payees 1 through 4. 1 See Forrn 1099-ivllSC Miscellaneous lnformalion and its instructions 'However the following payments made to a corporation and reportableon Form i099-il,4lSC are nol exempt f.om backup withholcling, medicai and health care payments attorneys'fees gross proceeds paid to an attorney reportable under seciion 604!5( , ancl payments for services paid by a federal executive agency Exemption from FATCA.reporting c ode. The foilowing codes identify payees that are exempt from reporting under !'ATCA. These codes apply to persons submitting lhis form for accounts matntained outside ofthe United States by certain foreign financiai instiiutions. Therefore. rf you are only submittrng this lorm for an account you hold in the United Slates. you may leave this field blank. Consult with the person requesting thls foam if you are uncertain if the financial tnstitutiotr rs sublect lo these iequarements. A requester may rndicate that a ccxle is not requared by providing you with a Fornl W-9 with 'Not Applicable ' (or any srnlilar indication) entered on the iine for a FATCA exemption code A-An organization exempt from tax under section 501 ia) or any individual retirement plan as defined in section 7701\a)1.37L B- The Uniled States or any ol its agencies or rnstrumentalities. C-A state. the District of Columbia. a U S. commonwealth or ierritory or any of their political subdivisions or instrumentalities D-A corporation the stock of which is regularly traded on one or more established securities rnitrkets as described in Regulatior]s section 1.147 2-1 (c)(1)(i) . lE-A corporatjon thai is a member o.fthe same expanded affiliated group as a corporation desoribed in Regulations sectiot'l 1 14172-1ic)(1)liJ. F-A deale. in securities, comnlcxlities or derivative financial instrumenls ncludrng notional principal conlracts futures. foMaids and options) that is registered as such under lhe laws of lhe United States or any state. G-A real estate investment trust. H-A regulated investment company as defined in section 851 or an entity registered al all times during the tax year under ihe lnvestment Company Act oi i 940 l-A common trustfund as defined in section 584(a). J-A bank as defined in section 531. K-A broker. L-A trust exempt from tax L,nder section 664 or described rn section 4947 @\(1). M-A lax-exempt trusl under a section '+03(b) plan or section 4157(g) plan Noie: You may urish to oonsult with the financial institution requesting this form to determrne whether the FATCA oode andfor exempt payee code should be completed. Lines Enter your address (number. street and apartme{lt or suile number) This is where the requester cf this Form tAr-9 willmail your information returns lfthis address differs fronr ihe one the requester already has on file enter "NEW' al the top. lf a new address is provided lhere is still a chance lhe old address wlll be used until the payer changes your address ir.r their records Une6 Enter your city, state and ZIP code. Part l. Taxpayer ldentification Number (TlN) Enter your TIN in the appropriate box. lf you are a resident alien and you do not have, and are not eligrble to get an SSN you.TlN is your IRS lTlN. Enter it in the en{ry space for lhe Socral securlty number..lt you do not have an lTlN see /-lo\N to get a I//V below lf you are a sole proprietor and you harre an lElN vou may enter either your SSN or !:::lNl lf you are a single-member LLC that rs disregarded as an entity separate from its owner enter the owne.'s SSN icrElN if the owner has one) If the LLC is ciassified as a corporation or partnership enler the entity's lElN Note: See vvhat Name and NurnberTo Give tre Requester later lor further clarification of name and TIN combinatlons. How to get a TIN tfyou do not have a TIN apply for one immediately To apply for an SSN, get Form SS-5 APplication fora Social Secunty Card, from yout local SSA office or get this form online at www.SSA.gott You nray also get lhis iorm by calling 8oo-772- 1213 Use Foim V1j-7 Application for IRS lndividual Taxpayer ldentification Number lo apply for an.lTlN or Form SS-4 Applicatton for Employer ldentification Nurnber to apply for an ElN. You can apply for an lElN oniine by accessing the IRS website al vtww rs gov/ElN. Gota ww,tt.irs.gov/Forms lo view download or print Forln \ /-7 and"oa Form SS-4. Or. you can go lo wwvt.rrs.gov/OrderForms io place an order and have Form W-7 an dlor Fcr'm SS-4 nrarled lo yotr'#ithin 15 busrness da'v's. lf you are asked to complete Fonm \l/-9 but do nol have a TlN, apply foraTIN and enter"Applied Fof in the space fortheTllNl sign and date the form. and gtve it to lhe requesier. For interest and di'iidend payrnenls. and certain paymenls made with respect to readlly tradable instruments you will generally have 60 days to get a TIN and give ii to the requester before you are subject to backup wiihholding on paymenls. The 60cday rule does nol apply lo other types of payments You will be subject to backup withholding on all srtch payments until you provide your TIN to the requester. Note: Entering 'Applied fof' means that you have already applled for a TIN orthat you intend to apply foronesoon See alsoEstablish/rig U S status for purposes of chapter 3 arid chapter 4 withho/dirig. earlier, for when you may insteacl be subject lo withholding underchapter 3 or 4 of the Code Caution: A disregarded U.S entity that has a foreign owner must use the appropriate Fotm W-3. Generally, exempt payees 1 through 5 -