1966D9Fe 202504251139¶

Form W-9

Request for Taxpayer Identification Number and Certification

(Rev. March 2024)

aan ee ee eee

Give form to the requester. Do not send to the IRS.

Go to www./irs.gov/FormW¢ for Instructions and the latest Information.

Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.

1

Name of entity/individual. An entry Is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity's name on line 2.)

P Wnaths aad Hieclel, Pe 2

SInp3setoprcua.icnetgfieoncs

oPtryiprnet.

Business name/disregarded entity name, If different from above.

3a Check the appropriate box for federal tax classification of the entity/individual whose name Is entered on line 1. Check only one of the following seven boxes.

[_] Individual/sole proprietor

[_] Ccorporation

[[] Scorporation

[[] Partnership

C LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership)

oO Trust/estate

4

classification of the LLC, unless it is a disregarded entity. A disregarded entity should Instead check the appropriate box for the tax classification of Its owner.

[-] Other (see instructions)

and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check

this box If you have any foreign partners, owners, or beneficiaries. See Instructions .

6

City, state, and ZIP code

(number, street, ead and eile or epee

IO

see Instructions on page 3):

Exemption from Foreign Account Tax

Compliance Act (FATCA) reporting

code (if any)

3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as Its tax classification,

Add

certain entities, not individuals;

Exempt payee code (if any)

Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax

5

4 Exemptions (codes apply only to

baer ts ie Sees”

Requester’s name and address (optional)

Wak

Noacon, GA 3lZo0\

7 List account number(s) here {optional)

Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid

backup withholding. For individuals, this is generally your social security number (SSN). However, for a

|Social security number

resident alien, sole proprietor, or disregarded entity, see the instructions for Part |, later. For other

~

entities, it is your employer identification number (EIN). If you do not have a number, see How to get a

J¶

or

TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and

Number To Give the Requester for guidelines on whose number to enter.

Zz oO} - Zz s Z '@) S } uy

GER) Certification Under penalties of perjury, | certify that:

1. The number shown on this form is my correct taxpayer identification number (or | am waiting for a number to be issued to me); and
2. | am not subject to backup withholding because (a) | am exempt from backup withholding, or (b) | have not been notified by the Internal Revenue Service (IRS) that | am subject to backup withholding as a result of a failure to report ail interest or dividends, or (c) the IRS has notified me that | am no longer subject to backup withholding; and

3.1 amaU.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that | am exempt from FATCA reporting is correct.

Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage Interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part ll, later.

few [Sem Analy Frode b General Instructions

Section references are to the Internal Revenue Code unless otherwise

noted.

Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9.

What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. Cat. No. 10231X

po HIZSIES

New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9

to another flow-through entity in which It has an ownership interest. This change Is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the

Partnership Instructions for Schedules K-2 and K-3 (Form 10685).

Purpose of Form An individual or entity (Form W-9 requester) who Is required to file an information return with the IRS is giving you this form because they

Form W-9 (Rev. 3-2024)