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AFS between KC and Cle Elum Roslyn School
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2026-10-06 10:00 AM - Commissioners' Agenda
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AFS between KC and Cle Elum Roslyn School
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Last modified
10/1/2026 12:18:30 PM
Creation date
10/1/2026 12:14:56 PM
Metadata
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Template:
Meeting
Date
10/6/2026
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Item
Request to Approve an Agreement for Services between Kittitas County and the Cle Elum Roslyn School District
Order
12
Placement
Consent Agenda
Row ID
149866
Type
Agreement
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Form W-9 (Rev. 3-2024) <br />2—The {baled States or any of its agencies or instrumentalities. <br />3—A state, the District of Columbia, a U.S. commonwealth or territory <br />or any of their political subdivisions or instnm entafities, <br />4 — A foreign govemment or any of its political subdivisions. agencies. <br />or instrumentalities. <br />5—A corporation. <br />6—A dealer Ln securities cr commodties required to register in the <br />United States. the District of Columbia. or a U.S. commonwealth or <br />lemory. <br />7—A futures oammrssion merchant registered with the Commodity <br />Futures Trading Commission. <br />8—A real estate investment trust. <br />9--An entity registered at all times during the tax year under the <br />Investment Company Act of 1940. <br />10—A common trust fund operated by a bank under section 5"a). <br />11—A financial institution as defined under section 581. <br />12—A middleman known in the investment community as a nominee or <br />custodian, <br />13—A trust exempt from tax under section 664 or described in section <br />4947. <br />The following chart shows types of payments that may be exempt <br />from backup withholding. The chart applies to the exempt payees listed <br />above. 1 through 13. _ <br />IF the payment is for... <br />THEN the payment is exempt <br />for... <br />• Interest and dividend payments <br />All exempt payees except <br />for 7. <br />• Broker transactions <br />Exempt payees 1 through 4 and 6 <br />through 11 and all C corporations. <br />S corporations must not enter an <br />exempt payee code because they <br />are exempt only for sales of <br />noncovered securities acquired <br />prior to 2012. <br />• Barter exchange transactions <br />Exempt payees 1 through 4 <br />and patrortage dividends <br />• Payments over $500 required to <br />Generally, exempt payees <br />be reported and direct sales over <br />1 through 5.2 <br />55.000' <br />• Payments made in settlement of <br />Exempt payees 1 through 4. <br />payment card or third -party <br />network Iransactians <br />1 See Form 1099-MISC, Miscellaneous Information, and its instructions. <br />2However. the following payments made to a corporation and <br />reportable on Form 1M-MISC we not exam pt from backup <br />withholding: medical and health care payments. attorneys' fees, grass <br />proceeds paid to an attorney reportable ur+dar section 6045(f). and <br />payments for services paid by a federal executive agency. <br />Exemption from FATCA reporting code, The following codes identify <br />payees that are exempt from reporting under FATCA. These codes <br />apply to persons submitting this form for accounts maintained outside <br />of the United States by certain foreign financial institutions. Therefore, if <br />you are only submitting this form for an account you hold in the United <br />States, you may leave this field blank. Consult with the person <br />requesting this form if you are uncertain if she financial institution is <br />subject to these requirements. A requester may indicate that a code is <br />not required by providing you with a Form W-9 with 'Not Applicable" jot <br />any similar indication) entered on the lime for a FATCA exemption code. <br />A— An organization exempt Rom Iax under section $01(a) or any <br />individual retirsrnsrtt plan as defined in section 1701(aK37). <br />B—The United States or any of its agencies or instrumentalities_ <br />C—A stale. the District of Gotumbie. a U.S. commonweal lhor <br />territory. or any of their political subdiviewrrs or instrumentalities. <br />D--A corporation the stock of which is regularly traded on one or <br />more established securities markets. as described in Regulations <br />section 1.1472-11c)(V.$). <br />E—A corporation that is a member of the same expanded affihated <br />group as s corporation described in Regulations section 1 1472-11c lfli , <br />Kittitas County Agreement for Services (rev. 5/14/25) <br />Page 19 of 21 <br />Page 4 <br />F—Adealer insecuritiss.ccmmadities, crderivativa financial <br />instruments (including notional p ordeal contracts. futures. for.,ards. <br />and options) that is registered as such under t -e laws of the United <br />States or arry slate. <br />G—A real -state invesunerrt tn.s_ <br />H—A regulated investment ,_ampariy as defined in section 851 or an <br />entity registered at all limas during the tax year under the Investment <br />Comparry Act of 1940 <br />t—A common trust lurid as defined in sedan 584(a) <br />0—A bank as defined in section 581. <br />ii--A broker. <br />L—A trust axernpt from tax under section 664 or described in section <br />3947ja)(1). <br />M—A tax-exempt trust under a section 40:34bi plan Or section 457+,9) <br />plan. <br />Note: You may wish to consult with the financial inMilution requesting <br />this form to detemnin- whether the FATCA code and/or exempt payee <br />code should be completed. <br />Line 5 <br />Enter your address inrxttber. street and apartment or suite number). <br />This is where the requester of this Form W-9 Will mail your information <br />returns. If this address drlfers from the one the requester already has on <br />tile, enter 'NEW" at the tap. If a new address is provided, there is stiff a <br />chance the old address wilt be used until the payor changes your <br />address in their records. <br />Line 6 <br />Enter youu city. state- and ZIP code. <br />Part 1. Taxpayer Identification Number (TIN) <br />Enter your TIN in the appropriate box. if you are a resident align and <br />you do not have, and are not diygbEe to get. an SSH. yeur TIN is your <br />IPS MN. Enter it m the entry space for the Social security number. If you <br />do not have an rflN. sza Hcvr to get a T FP! below. <br />tf you are a sole proprietor and you have an EiN. you may enter either <br />your SSN or EIN <br />If you are a single member LLC that is disregarded as an entity <br />separate from its owner, enter the o•rner's SS for EIN, if the saner has <br />one). If the LLC is classified as a onrmomton ar partnership. enter the <br />entity's EIN. <br />Note: See I'Vhar rNzwne and Numti To Give the Reque;,er. later, for <br />further clarification at name and TIN combinations. <br />How to get a TIN. if you do not have a TIN. 3Wj for ❑ne immediately. <br />To apply for an SSN, get Fomn SS-5. Application for a Social Security <br />Card. from your local SSA office or get this form online at <br />www.SSflgov. You may also get this form by calling 540-772-1213. Use <br />Form W-7. Application for IRS Indradual Taxpayar Identification <br />Number. to apply for an (TIN, or Form SS-4, Application for Employer <br />Identification Number. to apply for an EIN. You can apply for an SIN <br />online by accessing the IRS •meebsits at wrvw,hm govlEW. Go to <br />vrvrw1mg;o•r1Forms to view, dvmnlcad, or print Form W-7 and/or Form <br />SS-4, Or. you can go to rvrvuv.cs.govKirdsrFofms to place an order and <br />have Form W-7 and/or Form SS-4 rraifed to you within 15 business <br />days. <br />If you are asked to complete Form IN-9 but do not have a TI61, appl y <br />for a TIN and enter "Applied Fod' in tlx space for the TIN. sign and date <br />the farm. and give it to the requester. For interest and dividend <br />payments. arld certain payments made with respect to readily tradable <br />instruments. you wit generally Etas,* W days to get a TIN and give rt to <br />the requester before you are sr,lblect to ba(*JAp •withholding cm <br />payments. The 604ay rude does oat apply to other types of payments. <br />You will he subject to backup+ withhokicy on all such payments untll <br />you provide your TIN to the recflsster <br />Note: Entering 'Applied For' means that you have, already applied for a <br />TIN or that you intend to apply for one soon. See also Esrabbshing U.S. <br />snafus forpuToses otshapter3ar�d chapmr� wifhh+o?ding. earlier, for <br />when you may instead be subject to withhotding under chapter 3 or .3 of <br />the Code. <br />Caution: A dts�gardpd U,S. emity theI has a foreign owner must use <br />the appropriate Form W-3. <br />
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