EFTA01282296

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Fran       W-9
(Se Decanter 2011)
Request for Taxpayer                                                                       live linen to the
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Owertmen of the Tresary
Identification Number and Certification                                                             ;and so the IRS.
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Ilse to shown en ea rocs tax test
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Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided mutt match the name given en the lire rill                               rent t
to avoid backup withholding. For individuals, this a your social security number (SSN). NOSS for a
resident alien, sole proprietor. or disregarded entity. see the Part I instructions on page 3. For other
entities. it is your employer identitioation number (Flat). If you do not have a nember. see How to get a                                        I
TIN on page 3.
Note. N the account is in more than one name, sot the chart on page 4 lot guidelines on whose                    Employer identleeetknnwnbr                I
number to stet
Rai            Certification
Under penalties of penury. I certify that:
1. The number shown on this lone is my correct taxpayer identification number Oxfam waiting fora number to be Sued to net s and
2. lam not subject to backup withholding because: (a) I am exempt from backup withholding. cc (b) I have not been notified by he Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or efnidends. Of (c) the IRS h. a notilkd me that I am
no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Certification instructions. You must cross out item 2 above it you have been notified by the IRS that you we currently subject s backup withholding
because you hive failed to report YI interest arid dividends on your tax return. For real estate transactions. hem 2 does not appl% For mortgage
interest paid, acquisition or abandonment of secured property. cancetation of debt contributions to an individual retirement am tigerns it (IRA). and
generally, payments other than interest and dnidends. you are not required to sign the certification, but you most provide your c :nett TIN. See the
instructions on page 4.
swing of
Hers
Sign               ptoon • --3 -NiCkA-t
AS A t                                                                     R I 7,c) I r
General Instructions                                                              Nets. If a requester gives you a form other than f amt W.') to request
your TIN, you must use the isqueeter's form 4 il i substantially similar
Section references are to the Internal Revenue Code testers otherwise             to this Form W-9.
noted.
Definition of a U.S. person. For federal tax puns;        you em
Purpose of Form                                                                   considered a V.S. person if you are:
A person who is required to fiat an information return with the IRS must         • An individual who is a U.S. citizen or U.S. residi:t alien,
obtain your correct taxpayer identification number (TIN) to report, for           • A partnership. ortPonthen, conPany or anon ion created a
example. income paid to you, real estate transactions, mortgage interest          organized in the United Stales or under the laws. ' the United Slates.
you paid, acquisition or abandonment of secured propery cancellation             • An estate (other than a foreign name). or
of debt or contributions you made to an IRA
• A domestic trust (as defined in Regulations sect on 301.7701-7).
Use Form W.9 only a you are a U.S. person (including a strident
alien), to provide your oared TIN to the person requesting it (the               Special rtes for partnerships. Partnerships the ,itinduct a trade or
requester) and, when applicable, to                                               butanes& in the United States we generally remit:id to pay a withholding
tax on any foreign partners* share of income from such business.
• I. Certify that the TIN you we giving is correct (or you are wading lor a        Further, in certain cases where a Form W-9 has n Y beenreceived, a
number to be issued).                                                             partnership is required to presume that a partner) s a lore!gn person.
2. Certify that you we not subject to backup withholding, or                  and pay the withholding tax Therefore• if you are 1U.S.. reface that is a
a Claim exemption from backup withholding if you we a U.S. exempt             partner in a partnership conducting a trade a but pax in the United
payee. If amicable, you aro also mortifying that as a US. Pelson. your            States, provide Form W9 to the partnership to et :shish your U.S.
allocable share of any partnership Moans, from a U.S. trade or business          status and avoid wrthhoiding on your sham of par monship incauo.
is not subject to the vrithholdfrig tax onifavign pannam share of
effectively conceded noorne.
Cat No.10231X                                                        W-9 trket. 12.2011)
SCINY_GM_C0037699
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL                                                                                    DB-SDNY-0000523
EFFA_00148308
EFTA01282296