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Fon, W'9 Request for Taxpayer Give form to the
<br /> (Rev.November 2005) Identification Number and Certification requester. Do not
<br /> Department of theTreasur send to the IRS.
<br /> Interne/Revenue Service
<br /> c‘i Name(as shown on your income tax return)
<br /> Hypower, Inc.
<br /> c. Business name,if different horn above
<br /> c
<br /> 0
<br /> o c
<br /> o IndividuaV n Exempt from backup
<br /> u Check appropriate box: 0 Sole proprietor ® Corporation Partnership Other ► withholding
<br /> 0 2 — —
<br /> m Address(number.street,and apt.or suite no.) Requester's name and address(optionaO
<br /> a 5913 NW 31st Ave
<br /> City,state,and ZIP code •
<br /> Fort Lauderdale, FL 33309
<br /> Co List account numbers)here(optional)
<br /> a,
<br /> rria rn
<br /> Taxpayer Identification Number (TIN)
<br /> Enter your 11N in the appropriate box.The TIN provided must match the name given on Line 1 to avoid Social security number
<br /> backup withholding. For individuals,this is your social security number(SSM. However, for a resident ' II-
<br /> alien, sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other entities, it is
<br /> your employer identification number(ETN). If you do not have a number, see How to get a TIN on page 3. or
<br /> Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer identification number
<br /> number to enter. 8 1840 12 17 I 1 12 1410
<br /> Part II Certification
<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 Internal
<br /> Revenue 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
<br /> notified me that I am no longer subject to backup withholding,and
<br /> 3. I am a U.S. person(including a U.S. resident alien).
<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
<br /> withholding because you have tailed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.
<br /> For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement
<br /> arrangement(IRA),and generally, payments other than interest and dividends,you are not required to sign the Certification,but you must
<br /> provide your correct TIN.(See the instructions on page 4.)
<br /> Sign Signature of
<br /> Here U.S.person ► Date ► 6/15/15
<br /> Purpose of Form • An individual who is a citizen or resident of the United
<br /> A person who is required to file an information return with the States,
<br /> IRS, must obtain your correct taxpayer identification number • A partnership, corporation, company, or association
<br /> (TIN)to report, for example, income paid to you, real estate created or organized in the United States or under the laws
<br /> transactions, mortgage interest you paid, acquisition or of the United States, or
<br /> abandonment of secured property, cancellation of debt, or • Any estate (other than a foreign estate) or trust. See
<br /> contributions you made to an IRA. Regulations sections 301.7701-6(a) and 7(a) for additional
<br /> U.S. person.Use Form W-9 only if you are a U.S. person information.
<br /> (including a resident alien), to provide your correct TIN to the Special rules for partnerships.Partnerships that conduct a
<br /> person requesting it(the requester) and, when applicable, to: trade or business in the United States are generally required
<br /> 1. Certify that the TIN you are giving is correct (or you are to pay a withholding tax on any foreign partners' share of
<br /> waiting for a number to be issued), income from such business. Further, in certain cases where a
<br /> 2. Certify that you are not subject to backup withholding, or Form W-9 has not been received, a partnership is required to
<br /> 3. Claim exemption from backup withholding if you are a presume that a partner is a foreign person, and pay the
<br /> U.S. exempt payee. withholding tax. Therefore, if you are a U.S. person that is a
<br /> partner in a partnership conducting a trade or business in the
<br /> In 3 above, if applicable, you are also certifying that as a United States, provide Form W-9 to the partnership to
<br /> U.S. person,your allocable share of any partnership income establish your U.S. status and avoid withholding on your
<br /> from a U.S. trade or business is not subject to the share of partnership income.
<br /> withholding tax on foreign partners' share of effectively
<br /> connected income. The person who gives Form W-9 to the partnership for
<br /> Note. If a requester gives you a form other than Form W-9 to purposes of establishing its U.S. status and avoiding
<br /> request your TIN, you must use the requester's form if it is partnership on its conductingalingabt re share businessof net income inthe from the
<br /> substantially similar to this Form W-9. partnership in efolloia trade or United
<br /> States is in the following cases:
<br /> For federal tax purposes,you are considered a person if you • The U.S. owner of a disregarded entity and not the entity,
<br /> are:
<br /> Cat.No.10231X Form W-9 (Rev. 11-2005)
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