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DocuSign Envelope ID: 2954802F-3DF9-4C1C-80A2-A507C762EF80
<br />Request for Taxpayer Give Form to the
<br />Form
<br />requester. Do not
<br />(Rev. August 2013)
<br />Identification Number and Certification
<br />send to the IRS.
<br />Name (as shown on your income tax return)
<br />ExactByte, Inc.
<br />Business name/disregarded entity name, if different from above
<br />ArchiveSocial
<br />Exemptions (see instructions):
<br />Check appropriate box for federal tax classification:
<br /> C CorporationS CorporationPartnership
<br />Trust/estate
<br />Individual/sole proprietor
<br />Exempt payee code (if any)
<br />Limited liability company. Enter the tax classification (C=C corP=partnership)
<br />
<br />
<br />Exemption from FATCA reporting
<br /> code (if any)
<br />Other (see instructions)
<br />
<br />Address (number, street, and apt. or suite no.)RequesterÈs name and address (optional)
<br />201 W Main St Ste 100 PMB 115
<br />City, state, and ZIP code
<br />Durham, NC 27701
<br />List account number(s) here (optional)
<br />Part ITaxpayer Identification Number (TIN)
<br />Social security number
<br />Enter your TIN in the appropriate box. The TIN provided must mat
<br />to avoid backup withholding. For individuals, this is your socia
<br />resident alien, sole proprietor, or disregarded entity, see the
<br />ÃÃ
<br />entities, it is your employer identification number (EIN). If yo
<br />How to get a
<br /> on page 3.
<br />TIN
<br />Employer identification number
<br />If the account is in more than one name, see the chart on page 4
<br />Note.
<br />number to enter.
<br />
<br />Part IICertification
<br />Under penalties of perjury, I certify that:
<br />1. The number shown on this form is my correct taxpayer identif
<br />2. I am not subject to backup withholding because: (a) I am exe
<br />Service (IRS) that I am subject to backup withholding as a resul
<br />no longer subject to backup withholding, and
<br />3. I am a U.S. citizen or other U.S. person (defined below), an
<br />4. The FATCA code(s) entered on this form (if any) indicating th
<br />You must cross out item 2 above if you have been notified by thewithholding
<br />Certification instructions.
<br />because you have failed to report all interest and dividends on For mortgage
<br />
<br />interest paid, acquisition or abandonment of secured property, carrangement (IRA), and
<br />
<br />generally, payments other than interest and dividends, you are nprovide your correct TIN. See the
<br />
<br />instructions on page 3.
<br />Sign
<br />Signature of
<br />Here
<br />
<br />U.S. personDate
<br />General Instructions withholding tax on foreign partnersÈ share of effectively connec
<br />4. Certify that FATCA code(s) entered on this form (if any) indi
<br />Section references are to the Internal Revenue Code unless other
<br />exempt from the FATCA reporting, is correct.
<br />. The IRS has created a page on IRS.gov for information
<br />Future developments
<br />If you are a U.S. person and a requester gives you a form other
<br />Note.
<br />about Form W-9, at . Information about any future developments
<br />www.irs.gov/w9
<br />W-9 torequest your TIN, you must use the requesterÈs form if it issubstantially
<br />
<br />affecting Form W-9 (such as legislation enacted after we release
<br />similar to this Form W-9.
<br />on that page.
<br />For federal tax purposes, you areconsidered a U.S.
<br />Definition of a U.S. person.
<br />person if you are:
<br />Purpose of Form
<br />¥ An individual who is a U.S. citizen or U.S. resident alien,
<br />A person who is required to file an information return with the
<br />¥ A partnership, corporation, company, or association created or
<br />correct taxpayer identification number (TIN) to report, for exam
<br />United States or under the laws of the United States,
<br />you, payments made to you in settlement of payment card and thir
<br />transactions, real estate transactions, mortgage interest you pa
<br />¥ An estate (other than a foreign estate), or
<br />abandonment of secured property, cancellation of debt, or contri
<br />¥ A domestic trust (as defined in Regulations section 301.7701-7
<br />to an IRA.
<br />Partnerships that conduct atrade or business in
<br />Special rules for partnerships.
<br />Use Form W-9 only if you are a U.S. person (including a resident
<br />the United States are generally required topay a withholding tax under section
<br />
<br />provide your correct TIN to the person requesting it (the reques
<br />1446 on any foreign partnersÈ share of effectively connected taxfrom
<br />
<br />applicable, to:
<br />such business. Further, in certain cases where a Form W-9has not been received,
<br />
<br />1. Certify that the TIN you are giving is correct (or you are wa
<br />the rules under section 1446 require a partnership to presume tha partner is a
<br />
<br />to be issued),
<br />foreign person, and pay the section 1446 withholding tax.Therefore, if you are a
<br />
<br />U.S. person that is apartner in a partnership conducting a trade or business in the
<br />
<br />2. Certify that you are not subject to backup withholding, or
<br />United States, provide Form W-9 to the partnership to establish
<br />3. Claim exemption from backup withholding if you are a U.S. exe
<br />and avoid section 1446 withholding on your share of partnership
<br />applicable, you are also certifying that as a U.S. person, your
<br />any partnership income from a U.S. trade or business is not subj
<br />W-9
<br />Form (Rev. 8-2013)
<br />Cat. No. 10231X
<br />
<br />
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