EX-99.E 10 d582401dex99e.htm EX-99.E EX-99.e

Exhibit 99.e

GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9

Guidelines For Determining the Proper Identification Number to Give the Payer – Social Security Numbers (“SSNs”) have nine digits separated by two hyphens: e.g., 000-00-0000. Employer Identification Numbers (“EINs”) have nine digits separated by only one hyphen: e.g., 00-0000000. The table below will help determine the number to give the payer. All “section” references are to the Internal Revenue Code of 1986, as amended. “IRS” is the Internal Revenue Service.

 

For this type of account:

  

GIVE THE NAME

AND SOCIAL SECURITY
NUMBER or EMPLOYER
IDENTIFICATION

NUMBER of —

1.        Individual    The individual
2.        Two or more individuals (joint account)    The actual owner of the account
or, if combined funds, the first
individual on the account (1)
3.        Custodian account of a minor
(Uniform Gift to Minors Act)
   The minor (2)
4.       

a. The usual revocable

    savings trust (grantor is

    also trustee)

   The grantor-trustee (1)
 

b. The so-called trust account

    that is not a legal or valid

    trust under State law

   The actual owner (1)
5.        Sole proprietorship or disregarded entity    The owner (3)
6.   Grantor trust filing under Optional
Form 1099 Filing Method 1
   The grantor (5)

For this type of account:

  

    
GIVE THE NAME

And EMPLOYER
IDENTIFICATION

NUMBER of —

  7.      A valid trust, estate, or
pension trust
   Legal entity (4)
  8.      Corporation or LLC electing
corporate status on Form 8832 or
Form 2553
   The corporation
  9.      Association, club, religious,
charitable, educational or other
tax-exempt organization
   The organization
10.      Partnership or multi-member LLC    The partnership or LLC
11.      A broker or registered nominee    The broker or nominee
12   Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2    The trust

 

 

 

 

 

 

 

 
(1) List first and circle the name of the person whose SSN you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished.
(2) Circle the minor’s name and furnish the minor’s SSN.
(3) You must show your individual name and you may also enter your business or “doing business as” name. You may use either your SSN or EIN (if you have one). If you are a sole proprietor, the IRS encourages you to use your SSN. For disregarded entities, enter the owner’s name on the “Name” line of the Substitute Form W-9. The name of the entity entered on the “Name” line should never be a disregarded entity. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity’s name on the “Business Name/Disregarded Entity Name” line.
(4) List first and circle the name of the legal trust, estate or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title).
(5) Grantor must also provide a Form W-9 to trustee of trust.

 

NOTE: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.


GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION

NUMBER ON SUBSTITUTE FORM W-9

Page 2

Purpose of Form

A person who is required to file an information return with the IRS must get your correct Taxpayer Identification Number (“TIN”) to report, for example, income paid to you, real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an individual retirement account. Use Substitute Form W-9 to give your correct TIN to the requester (the person requesting your TIN) and, when applicable, (1) to certify the TIN you are giving is correct (or that you are waiting for a number to be issued), (2) to certify you are not subject to backup withholding, or (3) to claim exemption from backup withholding if you are an exempt payee. The TIN provided must match the name given on the Substitute Form W-9.

How to Get a TIN

If you do not have a TIN, apply for one immediately. To apply for an SSN, obtain Form SS-5, Application for a Social Security Card, at the local office of the Social Security Administration or online at www.ssa.gov/online/ss-5.pdf. You may also get this form by calling          1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/businesses and clicking on “Employer ID Numbers” under the heading “Businesses Topics.” You can also get Forms W-7 and SS-4 from the IRS by calling 1-800-TAX-FORM (1-800-829-3676) or from the IRS web site at www.irs.gov.

If you do not have a TIN, write “Applied For” in Part 1, sign and date the form, and give it to the payer. For interest and dividend payments and certain payments made with respect to readily tradable instruments, you will generally have 60 days to get a TIN and give it to the payer. If the payer does not receive your TIN within 60 days, backup withholding, if applicable, will begin and continue until you furnish your TIN.

Note: Writing “Applied For” on the form means that you have already applied for a TIN OR that you intend to apply for one in the near future. As soon as you receive your TIN, complete another Form W-9, include your TIN, sign and date the form, and give it to the payer.

CAUTION: A disregarded domestic entity that has a foreign owner must use the appropriate IRS Form W-8.

Payees Exempt from Backup Withholding

Individuals (including sole proprietors) are NOT exempt from backup withholding. Corporations are exempt from backup withholding for certain payments, such as interest and dividends.

Note: If you are exempt from backup withholding, you should still complete Substitute Form W-9 to avoid possible erroneous backup withholding. If you are exempt, enter your correct TIN in Part 1, check the “Exempt” box in Part 2, and sign and date the form. If you are a nonresident alien or a foreign entity not subject to backup withholding, give the requester the appropriate completed IRS Form W-8, Certificate of Foreign Status.

The following is a list of payees that may be exempt from backup withholding and for which no information reporting is required. For interest and dividends, all listed payees are exempt except for those listed in item (9). For broker transactions, payees listed in (1) through (5) and (7) through (13), as well as C corporations, are exempt. Payments subject to reporting under sections 6041 and 6041A are generally exempt from backup withholding only if made to payees described in items (1) through (7). However, the following payments made to a corporation (including gross proceeds paid to an attorney under section 6045(f), even if the attorney is a corporation) and reportable on Form 1099-MISC are not exempt from backup withholding: (i) medical and health


care payments, (ii) attorneys’ fees, and (iii) payments for services paid by a federal executive agency. Only payees described in items (1) through (5) are exempt from backup withholding for barter exchange transactions and patronage dividends.

 

  (1) An organization exempt from tax under section 501(a), or an individual retirement plan (“IRA”), or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2).

 

  (2) The United States or any of its agencies or instrumentalities.

 

  (3) A state, the District of Columbia, a possession of the United States, or any of their political subdivisions or instrumentalities.

 

  (4) A foreign government, a political subdivision of a foreign government, or any of their agencies or instrumentalities.

 

  (5) An international organization or any of its agencies or instrumentalities.

 

  (6) A corporation.

 

  (7) A foreign central bank of issue.

 

  (8) A dealer in securities or commodities registered in the United States, the District of Columbia, or a possession of the United States.

 

  (9) A futures commission merchant registered with the Commodity Futures Trading Commission.

 

  (10) A real estate investment trust.

 

  (11) An entity registered at all times during the tax year under the Investment Company Act of 1940.

 

  (12) A common trust fund operated by a bank under section 584(a).

 

  (13) A financial institution.

 

  (14) A middleman known in the investment community as a nominee or custodian.

 

  (15) A trust exempt from tax under section 644 or described in section 4947.

Exempt payees described above should file Form W-9 to avoid possible erroneous backup withholding. IF YOU ARE EXEMPT, FILE THIS FORM WITH THE PAYER, FURNISH YOUR TAXPAYER IDENTIFICATION NUMBER, CHECK THE “EXEMPT” BOX IN PART 2 ON THE FACE OF THE FORM IN THE SPACE PROVIDED, SIGN AND DATE THE FORM AND RETURN IT TO THE PAYER.

Certain payments that are not subject to information reporting are also not subject to backup withholding. For details, see sections 6041, 6041A, 6042, 6044, 6045, 6049, 6050A and 6050N, and their regulations.

Privacy Act Notice. Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, and certain other income paid to you, mortgage interest you paid, the acquisition or abandonment of secured property, the cancellation of debt, or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia and U.S. possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividends, and certain other payments to a payee who does not give a TIN to a payer. Certain penalties may also apply for providing false or fraudulent information.

Penalties

Failure to Furnish TIN. If you fail to furnish your correct TIN to a payer, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.


Civil Penalty for False Information With Respect to Withholding. If you make a false statement with no reasonable basis which results in no imposition of backup withholding, you are subject to a penalty of $500.

Criminal Penalty for Falsifying Information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.

Misuse of TINs. If the payer discloses or uses TINs in violation of federal law, the payer may be subject to civil and criminal penalties.

FOR ADDITIONAL INFORMATION, CONTACT YOUR TAX ADVISOR OR THE IRS.