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<br /> Form W-9 Request for Taxpayer Give Form to the
<br /> (Rev.December 2014) Identification Number and Certification requester. Do not
<br /> Depatmgv of the Treasury send to the IRS.
<br /> Internal Revenue Service
<br /> 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank.
<br /> Rohl Networks LP
<br /> of 2 Business name/disregarded entity name,if different from above
<br /> 0
<br /> m
<br /> 0
<br /> o- 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemptions(codes apply only to
<br /> ❑Individual/sole proprietor or ❑ C Corporation ❑ S Corporation () Partnership ❑Trust/estate certain ionnot 3):viduals;see
<br /> o instructions entities,on page 3):
<br /> o c single-member LLC
<br /> O. oExempt payee code(if any)
<br /> ❑Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)► p
<br /> o Note.For a single-member LLC that is disregarded.do not check LLC;check the appropriate box in the line above for Exemption from FATCA reporting
<br /> the tax classification of the single-member owner. code(if any)
<br /> c
<br /> et u ❑Other(see instructions)► WOW in scants me:aired eerier uv U.S.)
<br /> StAddreis(number,street,and apt.or suite no.) Requester's name and address(optional)
<br /> 'u -111,”•wc: 1
<br /> Fcoa 2875 Jupiter Park Dr. STE 900 -
<br /> 0'11 '6 City state:and ZIP code " i:? ' ,
<br /> Ir.•03 Jupiter;FL 33458
<br /> 7 List account number(s)here(optional)
<br /> rt-tv .
<br /> Part I •Taxpayer Identification Number(TIN)
<br /> Entei your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid I Social security number
<br /> backup;withholding.For individuals,this is generally your social security number(SSW).However,for a • - --s cos s a nN vole c
<br /> resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other • - - -.:nv a;r s:> e
<br /> entitles,it is your employer identification number(EIN).If you do not have a number,see How to get a - ^-f •3
<br /> T}N,on page 3.,._ . or __
<br /> Note.'If the account is in more than one name,see the instructions for line 1 and the chart on page 4 for Employer identification number
<br /> guidelines on whose number to enter.
<br /> 8 0 - 0 5 6 6 9 7 9
<br /> rl 7 1...: ._ . .
<br /> Part II r'-(Certification -
<br /> Under p'eneltineorperjuiy;I certify that:
<br /> 1.'Ttie 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 Internal Revenue
<br /> Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am
<br /> no longer subject to backup withholding;and
<br /> 3. Gain 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 currently subject to backup withholding •
<br /> because you have failed to report all interest and dividends on your tax retum.For real estate transactions,item 2 does not apply.For mortgage --
<br /> inieie;t paid,acquisition or abandonme• .f secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and—
<br /> g'enerally,payments other than inter:. and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the
<br /> Instructions on page 3. i -
<br /> Sign - Sgnatur.e o/
<br /> Here ' , U.S.person te / Date►
<br /> Br
<br /> Generdlla- ax`f`ructions t •
<br /> al;Inst / •Form 1098(Mme mortgage interest),1098-E(student loan interest),1098-T
<br /> '
<br /> (tuition)
<br /> Section reference%are to the Internal Revenue Code unless otherwise noted. •Form 1099-C(canceled debt)
<br /> Future developments.Information about developments affecting Form W-9(such •Form 1099-A(acquisition or abandonment of secured property)
<br /> as legislation enacted after we releau+it)is at www.irs.gov/hv9.
<br /> - Use Form W-9 only if you are a U.S.person(Including a resident alien),to - -
<br /> Purpose of Form provide your correct TIN.
<br /> An individual or entity(Form W-9 requester)who is required to file an information I1 you do not retum Form W-9 to the requester with a TIN,-you might be subject-
<br /> return with the IRS must obtain your correct taxpayer identification number(TIN) to backup withholding.See What is backup withholding?on page 2.
<br /> which may be your social security number(SSN),individual taxpayer identification By signing the filled-out form,you:
<br /> number(mN),adoption taxpayer identification number(ATIN),or employer 1.Certify that the TIN you are giving is correct(or you are waiting for;a number,
<br /> identification number(EIN),to report on an information return the amount paid to to be issued),
<br /> you:or other amount reportable on an information retum.Examples of information
<br /> retums include,but are not limited to,the following: 2.Certify that you are not subject to backup withholding,or
<br /> Form 1099-INT(interest earned or paid) 3.Claim exemption from backup withholding if you are a U.S.exempt payee.If
<br /> •Form 1099-0W(dividends,including those from stocks or mutual funds) applicable,you are also certifying that as a U.S.person,your allocable share of
<br /> any partnership income from a U.S.trade or business is not subject to the
<br /> �
<br /> Form— 1099-MISC(various types of income,prizes,awards,or gross proceeds) withholding tax on foreign partners share of effectively connected income.and
<br /> •.Fooirn 1.099-B(stock'er mutual fund sales and certain other transactions by 4.Certify that FATCA code(s)entered on this form(if any)indicating that you are
<br /> brokers) ' - exempt from the FATCA reporting,is correct.See What is FATCA reporting?on
<br /> •Form 1099-5(proceeds from real estate transactions) page 2 for further information.
<br /> •,Form 1099-K(merchant card and third party network transactions)
<br /> Cat.No.10231X Form W-9(Rev.12-2014)
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