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DocuGign Envelope ID: 19FBA3A4-8AO24520-98DOf2rF0FE5B431
<br /> FORTI W1109 Request for Taxpayer Give Form to the
<br /> (Rev.December 2014) requester. Do not
<br /> Department of the I rea%.jry Identification Number and Certification 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 /> Dude Solutions, Inc.
<br /> 0- 3 Check appropriate box for federal tax classification;check only one of the following seven boxes: 4 Exemption,,>(codes apply only to
<br /> C certain entities,not individuals;see
<br /> 0 E]IndvidLJ8I/SOIo proprietor or Z C Corporation 0 S Corporation L-_] Partnership F-1 TrUst/estat6
<br /> (h Instructions on page 3):
<br /> CL 2 [ Exempt payee code(if any)
<br /> Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnewship)10
<br /> Exemption frorn FATCA reporting
<br /> 0 2 Note.For a single-member LI-C that is disregarded,do riot check LI-C;check the appropriate box in the line above for
<br /> the tax classification of the single-member owner. code(if any)
<br /> 5 Address(number,street,and apt.or suite no.) Requester's name arid address(optional)
<br /> 'CDL 11000 Regency Parkway, Suite 110
<br /> W 6 City,state,and ZIP code
<br /> u) Cary, NC 27518
<br /> 7 List account n6—m—ber(s)here—(optional)
<br /> Taxpayer Identification Number (TIN)
<br /> Enter yourTIN in the appropriate box.The TIN provided must match the narne given on line 1 to avoid Social security number
<br /> backup withholding.For individuals,this is generally your social security number(SSN). However,for a
<br /> resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3. For other
<br /> entities,it is your employer identification number(EIN). If you do not have a number, see flow to get a
<br /> TIN 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 numbe==
<br /> guidelines on whose number to enter. EI-L2 H�� 2=9
<br /> Under penalties of perjury. |certd 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, |amnot subject to backup withholding because:(a) I arn exempt frorn 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 arn
<br /> no longer subject to backup withholding;and
<br /> 2. |amoU.S.citizen o,other U.S. person(defined be|ow);and
<br /> 4.The FATCAonde(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 return. For real estate transactions,item 2 does not apply.For mortgage
<br /> interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and
<br /> generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the
<br /> instructions on 3
<br /> Sign Signature of
<br /> Here U.S.person 1110 D
<br /> ate
<br /> Form 1098(borne mortgage interest),1098-E(student loan interest),1098-T
<br /> General Instructions (tuition)
<br /> Section references ate w the Internal Revenue Code unless otherwise noted. ,poxn/uyu-o(canceled debt)
<br /> Future developments.Information about developments affecting Form w'y(such .p^,m/oou-x(acquisition v,auanuvnmonto/secured property)
<br /> ao legislation enacted after we release it)ivat www.on.o^wmw.
<br /> Use Form W-y Only//You are au.S.person(including a resident aomn).m
<br /> Purpose of Form provide your correct TIN.
<br /> A^individual"r entity(Form w'n requester)who ia required m file m^information //you cw riot return Form wcnm the requester with amN,you might uosubject
<br /> return with the IRS must mi ou,vot taxpayer identification number(TIw) m backup withholding.See What is backup withholding?vn page o.
<br /> ux may be / |security number(Suw) |^ui"/uua|tax»ava,monnnoauon ov signing the filled-out form,you:
<br /> number(ITw).adoption taxpayer identification number(An|N).o'employer 1 Certify that the'TIN you are giving iu correct(or you are waiting for anumua,
<br /> identification numuo,(sw) mmnoxvvao/aonn�/onvyummeamoun�pa.um
<br /> . mue/sovou).
<br /> you,or other amount reportable onan information return.Examples ofinformation
<br /> returns include,but are not:mmm to,the following: u.oamfymatyouaenmaubjemmbaokupwx»hom/no.m
<br /> ,Form mau'|mr(interest earned n,paid) o.Claim exemption from backup withholding n you are uu.a.exempt payee.If
<br /> applicable, nu�o��x� ��aauum �mr�woaumom�,�
<br /> ~m,m1oon'mvWwammu'/nmumnomoue»nmsmcxao,mumwmnu� �y partnership'' - mcovmonma\�e.tomen,bu�vess|�riot subject mthe
<br /> ~Form Ioou'wmo(various types of income,prizes,awards,o,gross proceeds) withholding tax on foreign partners'share of effectively connected income,arid
<br /> °Form/uuy'a(stock o,mumal fund sales and certain other transactions uv 4.Certify that wzox u entered or)this form(if any) are
<br /> brokers) exempt from the rxTcx reporting,io correct.See What isrxTzA reporting?on
<br /> ~Form 1uao-s(proceeds from real estate transactions) page o for mn»n,information,
<br /> °Form 1oee'x(me,ununt card and third party network transactions)
<br /> Cat.No. 10231X Form W-9(Rev.12-2014)
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