EX-99.3 16 d30534exv99w3.htm GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER exv99w3
 

Exhibit 99.3
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 have nine digits separated by two hyphens: i.e., 000-00-0000. Employer Identification Numbers have nine digits separated by only one hyphen: i.e., 00-0000000. The table below will help determine the type of number and which name to give the payer.
         
 
    Give the name and
    SOCIAL SECURITY
For this type of account:   number of —
 
1.
  Individual   The individual
2.
  Two or more individuals(1) (joint account)   The actual owner of the account or, if combined funds, the first individual on the account(2)
3.
  Custodian account of a minor (Uniform Gift to Minors Act)   The minor(3)
4.
  a. The usual revocable savings trust(grantor is also trustee)   The grantor-trustee(2)
    b. So-called trust account that is not a legal or valid trust under state law   The actual owner(2)
5.
  Sole proprietorship or single-owner LLC   The owner(4)
 
 
         
 
    Give the name and
    EMPLOYER IDENTIFICATION
For this type of account:   number of —
 
7.
  A valid trust, estate, or pension trust   The legal entity(5)
8.
  Corporate or LLC electing corporate status on Form 8832   The corporation
9.
  Association, club, religious, charitable, educational or other tax-exempt organization   The organization
10.
  Partnership or multi-member LLC   The partnership
11.
  A broker or registered nominee   The broker or nominee
12.
  Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments   The public entity
 
 
(1)  Includes husband and wife, and adult minor. If adult and minor, give Social Security number of the adult or, if the minor is the only contributor, the minor.
(2)  List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished.
(3)  You must show your individual name and you may also enter your business or “DBA” (doing business as) name on the second name line. You may use either your SSN or EIN (if you have one). If you are a sole proprietor, IRS encourages you to use your SSN.
(4)  Show your individual name. You may also enter your business name. You may use either your SSN or EIN.
(5)  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.)
NOTE:     If no name is circled when there is 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 (TIN) ON SUBSTITUTE FORM W-9
(Section references are to the Internal Revenue Code)
Name
If you are an individual, you must generally provide the name shown on your social security card. However, if you have changed your last name, for instance, due to marriage, without informing the Social Security Administration of the name change, please enter your first name, the last name shown on your social security card, and your new last name. If the account is in joint names, list first, and then circle, the name of the person or entity whose number you entered on the form.
Obtaining a Number
If you don’t have a taxpayer identification number (“TIN”), or individual taxpayer number (“ITIN”), apply for one immediately. To apply, obtain Form SS-5, Application for a Social Security Card, from our local office of the Social Security Administration, or Form SS-4, Application for Employer Identification Number, from you local Internal Revenue Service (the “IRS”) office.
Payees and Payments Exempt From Backup Withholding
The following is a list of payees generally exempt from backup withholding and or which no information reporting is required. For interest and dividends, all listed payees are exempt except item (9). For broker transactions, payees listed in (1) through (13) and a person registered under the Investment Advisers Act of 1940 who regularly acts as a broker 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: medical and health care payments, attorney’s fees; and payments for services paid by a Federal executive agency.
     (1) A corporation.
     (2)  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)
 
     (3)  The United States or any of its agencies or instrumentalities.
 
     (4)  A state, the District of Columbia, a possession of the United States, or any of their political subdivision or instrumentalities.
 
     (5)  A foreign government or any of its political subdivisions, agencies or instrumentalities.
 
     (6)  An international organization or any of its agencies or instrumentalities.
 
     (7)  A foreign central bank of issue.
 
     (8)  A dealer in securities or commodities required to register in the U.S., the District of Columbia or a possession of the U.S.
 
     (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 know in the investment community as a nominee or custodian.
 
    (15)  A trust exempt from tax under section 664 or described in section 4947.
Payments of dividends generally not subject to backup withholding include the following:
    •  Payments to nonresident aliens subject to withholding under section 1441.
 
    •  Payments to partnerships not engaged in a trade or business in the U.S. and that have a least one nonresident alien partner.
 
    •  Payments made by certain foreign organizations.
 
    •  Payments of patronage dividends not paid in money.
 
    •  Section 404(k) distributions made by an ESOP.
Payments of interest generally not subject to backup withholding include the following:
    •  Payments of interest on obligations issued by individuals. However, if you pay $600 or more of interest in the course of your trade or business to a payee, you must report the payment. Backup withholding applies to the reportable payment if you have not provided your correct TIN to the payor.
 
    •  Payments of tax-exempt interest (including exempt-interest dividends under section 852).
 
    •  Payments described in section 6049(b)(5) to nonresident aliens.
 
    •  Payments on tax-free covenant bonds under section 1451.
 
    •  Payments made by certain foreign organizations.
 
    •  Mortgage or student loan interest paid by you.
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 the regulations under those sections.
Privacy Act Notice. — Section 6109 requires you to furnish your correct TIN to persons who must 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, cancellation of debt, or contributions you made to an IRA, or Archer MSA or HAS. The IRS uses the numbers for identification purposes and to help verify the accuracy of your tax return. The IRS may also provide this information to the Department of Justice for civil and criminal litigation, and to cities, states, and the District of Columbia to carry out their tax laws. The IRS may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax 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. Payors must generally withhold 28% of taxable interest, dividend, and certain other payments to a payee who does not furnish a TIN to a payor. Certain penalties may also apply.
Penalties
(1) Failure to Furnish TIN. — If you fail to furnish your correct TIN to a requester (the person asking you to furnish your TIN), 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.
(2) Civil Penalty for False Information With Respect to Withholding. — If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.
(3) Criminal Penalty for Falsifying Information. — Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.
FOR ADDITIONAL INFORMATION CONTACT YOUR TAX
CONSULTANT OR THE IRS