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<br />(Rev. March 2024)
<br />D€partment of the Treasury
<br />lntemal R€venu€ Service
<br />Before
<br />General Instructions
<br />Section references are to the lntemal Revenue Code unless otherwise
<br />noted.
<br />Future developments, For the latest information about developments
<br />related to Form W-9 and its instructions, such as legislation enacted
<br />after they were published, go lo www.irs.govlFormW9'
<br />What's New
<br />Line 3a has been modified to clarify how a disregarded entily completes
<br />this line. An LLC that is a disregarded entity should check the
<br />appropriate box for the tax classification of its owner. Otherwise, it
<br />shbuH check the "LLC" box and enter its appropriate tax classification'
<br />Request for Taxpayer
<br />ldentification Number and Certification
<br />Go to www.rins. govlFo,a'',wglor instructions and tho latest information.
<br />or
<br />Give form to the
<br />requester. Do not
<br />send to the lRS.
<br />New line 3b has been added to this form. A flow-through entity is
<br />required to complete this line to indicate that it has direct or indirect
<br />foreign partners, owners, or beneficiaries when it provides the Form W-9
<br />to an-otlier flow-ihrough entity in which it has an ownership interest. This
<br />change is intended to provide a flow-through entity with information
<br />regarding the status of its indirect foreign partners, owners, or
<br />beieficialies, so that it can satis{y any applicable reporting
<br />requirements, For example, a partnership that has any indirect foreign
<br />partners may be required to complete Schedules K-2 and K-3. See the
<br />irartnership insvuctions for Schedules K-2 and K-3 (Form 1 065).
<br />Purpose of Form
<br />An individual or entity (Form W-9 requester) who is required to file an
<br />information return wiih ihe IRS is giving you this form because they
<br />For related to the W-9, see Purpose of Form below
<br />1 Name ol entityfindividual. An 6ntry ie r€quired. (For a gole ptoprl€tor or disregarded entlty, 6nter the owner's nam€ on line 1, and enter the business/dlsregarded
<br />entlty's name on llne 2.)
<br />lnitiative
<br />2 Business name/disregarded entity name, if ditf€rent from above.
<br />4 Exemptlons (codes apply only to
<br />cortaln €ntities, not indlviduals;
<br />see instructions on page 3):
<br />Exemptpayeecod€(if any) 501(C)
<br />Exemptlon lrom Foreign Account Tax
<br />Compliance Act (FATCA) r€Porting
<br />code (if any)
<br />(Applies to accounts maintalned
<br />outside the united statesJ
<br />Requ€ster's name and dddress (optional)
<br />7 List account numbe(s) here (optional)
<br />Enter your TIN in the appropriate box, The TIN provided must match the name given on line 1 to avoid
<br />backup withholding. For individuals, this is generally your social security number (SSN). However' for a
<br />resident alien, sole proprietor, or disregarded entity, see 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 get a
<br />IrN, later.
<br />Note: lf the account is in more than one name, see the lnstructions for line 1 , See also What Name and
<br />Number To Give the Requester lot 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 identification 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 lnternal Revenue
<br />Service (lRS) that I am subject to back-up withholding as a result of a tailure to report all interest or dividends, or (c) the IRS has notified me that I am
<br />no longer subiect to backup withholding; 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 (if any) indicating that I am exempt from FATCA reporting is correct.
<br />Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are cunently subiect to backup withholding
<br />For real estate transactions, item 2 does not apply. For mortgage interest paid'
<br />because you have failed to report all interest and dividends on your tax retum'
<br />acquisitlon or abandonment of secured property, cancellation of debt, contributions to an individual retirement arangement (lBA)' and, generally' payments
<br />other than interest and are not to the but must conect llN. Se€ the lnstructions for Part later,
<br />Sign
<br />Here Date 313112025
<br />3a Ch€ck the appropriate box lor f€deral tax classilication of the €ntitylndividual whoso name is
<br />only ons of the following seven boxes.
<br />! tndividuat/soteproprietor ! Ccorporation I Scorporation ! Partnership ! TrusVestate
<br />! f-lC. Enter tho tax classlflcatlon (C = C corporatlon, S = S corporation, P = Partner3hlp)
<br />Note: Check the ,,LLc,' box above and, in the entry space, ent€r the approprlate code (c, s, or P) for the tax
<br />classificatlon of th€ LLC, unless it ls a disregarded-eritlty. A disregarded entlty should instead check the approprlate
<br />box for th€ tax classilication of its own€r.
<br />Nonprofit OrganizationI Otner lsee lnslructions)
<br />entered on llne 1. Check
<br />gb lf on llne 3a you checked "Partnershlp" or "Trusvestat€," or ch€cked "LLC" and entored "P'as its tax classlflcation'
<br />and you are provlding this form to a partnershlp, trust, or estate in which you have an ownershlp int€rest, ch€ck
<br />thls box lf you hav€ any foreign partnors, owners, or ben€ficiaries. See instructions
<br />5 Address (number, streot, and apt. or suite no'). See instructions.
<br />16000 Christensen Road, Suite 308
<br />I City, state, and zlP code
<br />Tukwila. WA 98188
<br />number
<br />Part I
<br />1 4 7 8 I 5 I91
<br />Part ll
<br />Signatur€ of
<br />U.S. person
<br />cat. No. 10231X rorm W-9 (Rev.3-2024)
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