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HomeMy WebLinkAboutResolution No. 815-23 Signer's on Checking AccountRESOLUTION NO. 815-23 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF ZEPHYRHILLS, PASCO COUNTY FLORIDA, AUTHORIZING THE MAYOR, THE CITY MANAGER AND THE CITY CLERK TO SIGN CHECKS, TO MAKE DEPOSITS AND WITHDRAWLS. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ZEPHYRHILLS, FLORIDA: Section 1: The City is required to designate authorized signers on its checking accounts. The City Council designates the following as the authorized signers on the City's checking accounts at Tmist Bank: The Mayor The City Manager The City Clerk Section 2: The City Council gives authority to William C. Poe, Jr, and Melonie Bahr Monson, which are both required, to open and close Tmist bank account and adopt the attached Truist Resolution for Deposit Account (Exhibit A). Section 3: The City will require that two of the three above designated signatories to authorize each check and adopt the attached Tmist Signature Card (Exhibit B) for each Truist bank account. Section 4: As of the date noted herein this Resolution, the following are the named persons and their signatures holding the office designated after their names, to wit: s-<<«^/ Melonie B Monson., Mayor -c. William C. Poe, Jr., City Manager ^ Lori L. Hillman, City Clerk Section 5: All Ordinances or parts of Ordinances, Resolutions or parts of Resolutions in conflict herewith be and the same are hereby repealed to the extent of such conflict. SectipnyS:^^ This resolution shall take effect upon its adoption by City Council 'ms^ ;.'^i^<ft)i-egomg-^iolutionNo. 815-23 was read and passed in an open and regular meeting of the ^^ity Council-ofd^ityofZephyrhills, Florida, on this 8th day of May, 2023. '!;;.;SS / ^Attes t» ^ .'r:.,|sf" -. ' '" . .^ > ^ ori L.-Hi.ll]^, City Clerkp _. ?* ^*- ...'"??'/.^. . '°.^^w/ L ce . Smith, Council President '\:1^.- Me nie Bahr Monson, Mayor IM^C^ Approved as to legal form and legal content for the sole reliance of the City ofZephyrhills /Ci'^ /<^ Matthew E. Maggard, Ci Attorney Page 445 of 483 CITY OF ZEPHYRHILLS Name of Entity m Corporation Q Unincorporated Association D Limited Liability Company Exhibt A TRUIST RESOLUTION FOR DEPOSIT ACCOUNT 596000455 F5d Government Entity D General Partnership \~] Limited Partnership TIN D Sole Proprietorship II Non-Profit Corporation D Other The undersigned, acting in the capacity as corporate secretary or custodian of records for the above-named Entity, organized and existing under the laws of FLO-RIDA , represents to Truist Bank ("Bank") that I have reviewed the governing documents and relevant records of the Entity and certify that resolutions or requirements similar to those below are adopted by and, are not inconsistent with the governing documents or records of the Entity, and that such resolutions or requirements are current and have not been amended or rescinded. I. That the Bank is designated as a depository institution for the Entity and that by execution and delivery of this Resolution for Deposit Account the Entity will be bound by the Bank's deposit account agreement now existing or as may be amended. Any officer, agent or employee of the Entity is authorized to endorse for deposit any check, drafts or other instruments payable to the Entity, which endorsement may be in writing, by stamp or otherwise, with or without signature of the person so endorsing. II. That any one individual named below (a "Designated Representative") is authorized to open accounts on behalf of the Entity, to close any account or obtain information on any account. Any one Designated Representative may appoint others (an "Authorized Signer") to conduct transactions on an account by authorizing them to sign their name to the signature card. Designated Representativ (Signature) ^^ ^Sf ^r Vyyyj yy^^^ Printed Name Melonie Bahr Monson William C. Poe, Jr. Lori L. Hillman Title Mayor City Manager City Clerk III. That the Bank is authorized upon the signature of any one signer on a signature card to honor, pay and charge the account of the Entity, all checks, drafts, or other orders for payment, withdrawal or transfer of money for whatever purpose and to whomever payable. IV. That any one Designated Representative may appoint, remove or replace an Authorized Signer, enter into a night depository agreement, enter into an agreement for cash management services, lease a safe deposit box, enter into an agreement for deposit access devices, enter into an agreement for credit cards, enter into an agreement relating to foreign exchange and obtain online foreign exchange services related thereto, or enter into any other agreements regarding an account of the Entity FOR BANK USE ONLY Prepared By Center ESTHER TORRES 85513471 4/11/2023 Date Bank No. 502 State FL Forward to: Centralized Document Scanning Operations M/C 100-99-15-1f 8010 (2110) V. That any prior resolutions or requirements have been revoked or are no longer binding, and that this Resolution for Deposit Account applies to all accounts at the Bank and will remain in full force and effect until rescinded, replaced or modified in writing in a form acceptable to the Bank and after the Bank has had a reasonable time to act on such change. VI. That any transaction by an officer, employee or agent of the Entity prior to the delivery of this Resolution for Deposit Account is hereby ratified and approved. May 8, 2023DATED: SIGNATURE Melonie Bahr Monson PRINTED NAME !mS6-^- 8010(2110) TRUIST SIGNATURE CARD ADDENDUM (FLORIDA) This addendum is made part of the signature card attached herewith for the sole purpose of permitting additional signers thereto. ACCOUNT NUMBER OWNERSHIP DESIGNATION 0569000000108 COUNTY Opened/Updated By ACCOUNT OPENING DATE REVISED CARD DATE 4/11/2023 Approved By Branch Location IDENTIFICATION Type of I D Second Type of ID Employer Address as listed on ID Type of I D Second Type of ID Employer Address as listed on ID Type of I D Second Type of ID Employer Address as listed on ID Issued By _ ID Number Issued By ID Number Cell Phone Number ( Expiration Date Date of Birth Expiration Date Home Phone Number ( Work Phone Number ( Issued By_ ID Number Issued By ID Number IDENTIFICATION Expiration Date Date of Birth Expiration Date Cell Phone Number (_) Home Phone Number (_) Work Phone Number ( IDENTIFICATION Date of Birth Issued By_ ID Number Expiration Date Issued By ID Number Expiration Date Cell Phone Number (_) Home Phone Number (_) Work Phone Number (. Complete as applicable - only one beneficiary permitted if an entity. Name of Beneficiary: SSN/EI N: Address of Beneficiary: ID: Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship: Name of Beneficiary: Address of Beneficiary: SSN/EIN:Relationship: ID: BUSINESS ACCOUNTS By my/our signature below, 1/We certify that: (1) l/We have received the "Commercial Bank Services Agreement" and the "Business Deposit Accounts Fee Schedule" and on behalf of the Depositor agree to the terms of each document; and (2) 1/We give consent to verify my/our credit references. Please sign beside the Printed Name(s) only. If signature line does not have a Printed Name, then a signature is not required on that line. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications In the box above which are required to avoid backup wHhholding. TIN of Signer TIN of Signer William C. Poe, Jr. Printed Name Lori L, Hillman Printed Name .^f 5/8/2023 DATE 5/8/2023 DATE TIN of Signer Printed Name DATE 8006XX_BB (2110) Exhibit B TRUIST SIGNATURE CARD (FLORIDA) NAME AND ADDRESS OF DEPOSITOR CITYOFZEPHYRHILLS 5335 8TH STREET ZEPHYRHILLS, FL 33542 ACCOUNT NUMBER 0569000000108 Opened/Updated By OWNERSHIP DESIGNATION COUNTS ACCOUNT OPENING DATE REVISED CARD DATE /11/2023 Approved By E.TORRES/D43740 Branch Location Type of I D Second Type of ID Issued By Issued By ID Number ID Number IDENTIFICATION Expiration Date Expiration Date Employer Address as listed on ID Cell Phone Number (Home Phone Number ( Work Phone Number ( IDENTIFICATION Type of ID Second Type of I D Employer Address as listed on ID Issued By Issued By ID Number ID Number Expiration Date Date of Birth Expiration Date Cell Phone Number (_) Home Phone Number ( Work Phone Number ( Check Appropriate Box for Depositor [__](ndiwdua//SotePropnetor/smg/e-mem<)erLLC [~] C Corporation Q SCoiporatfon Q Partnership || TrusVEstate \ | Limited Liability Company Enter the tax classiricatlon (C=C corporation, S = S coiporatlon, P = Partnership) \ ] No(e; Check (he apprprlafe box in /ine above for (he lax classificatton of the slngle-member owner. Do not c/ieclt LLC it the LLC Is classified as a slngle-member LLC that Is cfisregarded from the owner unless the owner of the LLC Is another LLC that Is not disregarded from the owner lor U.S. federal lax purposes. Otherwise, a single-member LLC that Is disregarded from the owner should check the appropriate box for the lax classification of tts owner. Exemptions: See Instructions Exempt Payee code (if any) \ | Exemption from FATCA reporting code (if any) \ | N/A (applies to accounts maintained outside the U.S.) Certification - Under penalities of perjury, I, as authorized agent of the Depositor certify that: 1. The Depositor's correct taxpayer Identification number is printed below (or the Depositor is waiting for a number to be issued), and 2. The Depositor Is not subject to backup withholding because: (a) the Depositor is exempt from backup withholding, or (b) the Depositor has not been notified by the Internal Revenue Service (IRS) that it is subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IPS has notified the Depositor that it is no longer subject to backup withholding, and 3. The Depositor is a U.S. citizen or other U.S. person (defined in the Instructions): and 4. The FA TCA codes(s) entered on this form (if any) indicating that the Depositor is exempt from FA TCA reporting Is correct. Certification Instructions. You must cross out item 2 above if the Depositor has been notified by the IRS that the Depositor is currently subject to back withholding because the Depositor has failed to report all interest and dividends on the Depositor's tax return. Form W-9 Instructions. Instmctions to the Form W-9, induding definitions, are available upon request. Complete as applicable - only one beneficiary permitted if an entity. Name of Beneficiary: SSN/EIN: Address of Beneficiary: ID: Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship: BUSINESS ACC NTS By my/our signature below, 1/We certify that: (1) l/We have received the "Commercial Bank Services Agreement" and the "Business Deposit Accounts Fee Schedule" and on behalf of the Depositor agree to the terms of each document; and (2) 1/We give consent to verify my/our credit references. Please sign beside the Printed Name(s) only. If signature line does not have a Printed Name, then a signature is not required on that line. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications in the box above which are required to avoid backup withholding. 596000455 TIN of Depositor CITi' OF ZEPHYRHILLS Printed Name of Depositor ^S^s- elomP P^p fl^n^}^Toi/8/2023 Printed 'Name/Title:Melonie Bahr Monson, Mayor DATE TIN of Signer Melonie Bahr Monson Printed Name of Signer 5/8/2023 DATE 8005XX_BB (2110) TRUIST SIGNATURE CARD (FLORIDA) NAME AND ADDRESS OF DEPOSITOR CITY OF ZEPHYRHILLS 5335 8TH STREET ZEPHYRHILLS, FL 33542 ACCOUNT NUMBER 0569000000124 Opened/Updated By OWNERSHIP DESIGNATION COUNTY ACCOUNT OPENING DATE REVISED CARD DATE /11/2023 App.ve. s. E.TORRES/D43740 ^^^ Type of ID Second Type of ID Issued By Issued By ID Number IDENTIFICATION Expiration Date Date of Birth Expiration Date Employer Address as listed on ID Cell Phone Number (_)Home Phone Number (_) Work Phone Number ( IDENTIFICATION Type of ID Issued By _ ID Number Second Type of ID Issued By ID Number Employer Address as listed on ID Exoiration Date Date of Birth Expiration Date Cell Phone Number (_) Home Phone Number ( _) Work Phone Number ( Check Appropriate Box for Depositor [I Individual I Sole Proprietor / single-member LLC \ | C Corporation || S Corporation || Partnership |] Trust/Estate \ | Limited Liability Company Enter (he (ax classification <C = C corporation, S = S corporation, P = Partnership) Note: Check the apprprlate box In line above for the tax classltlcaflon of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC Is another LLC that Is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a smgle-member LLC ffiaf is disregarded from (fie owner should check the appropriate box for the tax classMcation of Its owner. g Other (See Instructions.) COU NTY Exemptions: See Instructions Exempt Payee code (If any) \ \ Exemption from FA TCA reporting code (if any) \ ~~ \ N/A (applies to accounts maintained outside the U.S.) Certification - Under penalities of perjury, I, as authorized agent of the Depositor certify that: 1. The Depositor's correct taxpayer Identification number is printed below (or the Depositor is waiting for a number to be issued), and 2. The Depositor is not subject to backup withholding because: (a) the Depositor is exempt from backup withholding, or (b) the Depositor has not been notified by the Internal Revenue Service (IPS) that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified the Depositor that it is no longer subject to backup withholding, and 3. The Depositor is a U.S. citizen or other U.S. person (defined in the instructions); and 4. The FA TCA codes(s) entered on this form (if any) indicating that the Depositor is exempt from FATCA reporting is correct. Certification Instructions. You must cross out item 2 above if the Depositor has been notified by the IPS that the Depositor is currently subject to back withholding because the Depositor has failed to report all Interest and dividends on the Depositor's tax return. Form W-9 Instructions. Instructions to the Form W-9. includina definitions. are available unon reauest. Complete as applicable - only one beneficiary permitted if an entity. Name of Beneficiary: SSN/EIN: Address of Beneficiary: ID: Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship; BUSINESS ACCOUNT By my/our signature below, 1/We certify that: (1) l/We have received the "Commercial Bank Services Agreement" and the "Business Deposit Accounts Fee Schedule" and on behalf of the Depositor agree to the terms of each document; and (2) 1/We give consent to verify my/our credit references. Please sign beside the Printed Name(s) only. If signature line does not have a Printed Name, then a signature is not required on that line. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications in the box above which are required to avoid backup withholding. 596000455 TIN of Depositor TIN of Signer CITYOFZEPHYRHILLS Printed Name of Depositor Melonie Bahr Monson Printed Name of Signer ^^ki <A^ <)^tSA-~ ^n\e, ^ahrl^n^^. ^^ PNTmeed/Titie: Melonie Bahr Monson, Mayor ..^A^>^ 5/8/2023 DATE 5/8/2023 DATE 8005XX_BB (2110) TRUIST SIGNATURE CARD ADDENDUM (FLORIDA) This addendum is made part of the signature card attached herewith for the sole purpose of permitting additional signers thereto. ACCOUNT NUMBER 0569000000124 Opened/Updated By OWNERSHIP DESIGNATION COUNTY Approved By ACCOUNT OPENING DATE REVISED CARD DATE 4/11/2023 Branch Location Type of ID Second Type of ID Employer Address as listed on ID Issued By _ ID Number Issued By ID Number IDENTIFICATION Expiration Date Date of Birth Expiration Date Cell Phone Number (_) Home Phone Number ( _) Work Phone Number (_) Type of ID Second Type of ID Employer Address as listed on ID Issued By_ ID Number Issued By ID Number IDENTIFICATION Expiration Date Date of Birth Expiration Date Cell PhoneNumbar (_) Home Phone Number (_) Work Phone Number (_) Type of ID Second Type of ID Employer Address as listed on ID Issued By_ ID Number Issued By iD Number IDENTIFICATION Date °f Birth Expiration Date Expiration Date Cell Phone Number (_) Home Phone Number ( _) Work Phone Number (_) Complete as applicable - only one beneficiary permitted if an entity. Name of Beneficiary: SSN/EIN: Address of Beneficiary: ID: Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship: Name of Beneficiary: Address of Beneficiary: SSN/EIN:Relationship: ID: BUSINES A OUNTS By my/our signature below, 1/We certify that: (1) l/We have received the "Commercial Bank Services Agreement" and the "Business Deposit Accounts Fee Schedule" and on behalf of the Depositor agree to the terms of each document; and (2) 1/We give consent to verify my/our credit references. Please sign beside the Printed Name(s) only. If signature line does not have a Printed Name, then a signature is not required on that line. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications in the box above which are required to avoid backup withholding. TIN of Signer TIN of Signer William C. Poe, Jr. Printed Name Lori L. Hillman Printed Name L^fr z^ ^. 5/8/2023 DATE 5/8/2023 DATE TIN of Signer Printed Name DATE 8006XX_BB(2110) TRUIST SIGNATURE CARD (FLORIDA) NAME AND ADDRESS OF DEPOSITOR CITY OF ZEPHYRHILLS 5335 8TH STREET ZEPHYRH ILLS, FL 33542 ACCOUNT NUMBER 0569000000124 Opened/Updated By OWNERSHIP DESIGNATION COUNTY ACCOUNT OPENING DATE REVISED CARD DATE /11/2023 Approved By E.TORRES/D43740 Branch Location Type of ID Second Type of ID Issued By_ ID Number Issued By ID Number IDENTIFICATION Expiration Date Expiration Date Employer Address as listed on ID Cell Phone Number (Home Phone Number (_) Work Phone Numbsr (_) IDENTIFICATION Type of ID Second Type of ID Employer Address as listed on ID Issued By _ ID Number Issued By ID Number Expiration Date Date of Birth Expiration Date Cell Phons Number (_) Home Phone Number ( _) Work Phone Number ( _ ) Check Appropriate Box for Depositor Individual/Sole Proprietor/single-memberLLC Q C Corporation Q SCorporafton ^^Partnership [-] rrus(/Es(ate || Limited Liability Company Enter (he lax classification (C=C corporation, S s S corporation, P = Partnership) || Note: Check the apprprlaie box In line above for the tax c/assiffcafaon of the slngle-member owner. Do not check LLC if the LLC Is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC Is another LLC that is not disregarded from the owner for U.S. federal lax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box tor the tax classification of Its owner. [.] Other (See Instructions.) COUNTY Exemptions: See Instructions Exempt Payee code (If any) Q Exemption from FATCA reporting code (If any) \ ~~ ] N/A (applies to accounts maintained outside the U.S.) Certification - Under penalities of perjury, I, as authorized agent of the Depositor certify that: 1. The Depositor's correct taxpayer identification number is printed below (or the Depositor is waiting for a number to be issued), and 2. The Depositor is not subject to backup withholding because: (a) the Depositor is exempt from backup withholding, or (b) the Depositor has not been notified by the Internal Revenue Service (IPS) that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified the Depositor that it is no longer subject to backup withholding, and 3. The Depositor Is a U.S. citizen or other U.S. person (defined in the instructions); and 4. The F/> TC/t codesCs; entered on this form (if any) indicating that the Depositor is exempt from FA TCA reporting is correct CertHJcation Instructions. You must cross out item 2 above if the Depositor has been notified by the IRS that the Depositor Is currently subject to back withholding because the Depositor has failed to report all Interest and dividends on (he Depositor's tax return. Form W-9 Instructions. Instructions to the Form W-9, including definitions, are available upon request. Complete as applicable - only one beneficiary permitted if an entity. Name of Beneficiary: SSN/EIN: Address of Beneficiary: ID: Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship: BUSINESS AC NTS By my/our signature below, IWe certify that: (1) l/We have received the "Commercial Bank Services Agreement" and the "Business Deposit Accounts Fee Schedule" and on behalf of the Depositor agree to the terms of each document; and (2) Ifl/Ve give consent to verify my/our credit references. Please sign beside the Printed Name(s) only. If signature line does not have a Printed Name, then a signature is not required on that line. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications in the box above which are required to avoid backup withholding. 596000455 TIN of Depositor CITY OF ZEPHYRHILLS Printed Name of Depositor Print .Name/Title: f^- 5/8/2023 Melonie Bahr Monson, Mayor TIN of Signer Melonie Bahr Monson Printed Name of Signer 5/8/2023 DATE 8005XX_BB (2no) TRUIST SIGNATURE CARD ADDENDUM (FLORIDA) This addendum is made part of the signature card attached herewith for the sole purpose of permitting additional signers thereto. ACCOUNT NUMBER 0569000000124 Opened/Updated By OWNERSHIP DESIGNATION COUNTY Approved By ACCOUNT OPENING DATE REVISED CARD DATE 4/11/2023 Branch Location IDENTIFICATION Type of ID Second Type of ID Employer Addresses listed on ID Issued By_ ID Number Issued By ID Number Cell Phone Number ( Expiration Date Date of Birth Expiration Date Home Phone Number (_) Work Phone Number ( Type of ID Second Type of )D Employer Address as listed on ID Issued By_ ID Number Issued By ID Number IDENTIFICATION Expiration Date Date of Birth Expiration Date Cell Phone Number (__) Home Phone Number (_} Work Phone Number (_) Type of ID Second Type of ID Employer Address as listed on ID Issued By_ ID Number Issued By ID Number IDENTIFICATION Date of Birth Expiration Date Expiration Date Cell Phone Number (__^ ) Home Phone Number (^_ ) Work Phone Number (. Complete as applicable - only one beneficiary permitted if an entity. Name of Beneficiary: SSN/EIN: Address of Beneficiary: ID: Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship: Name of Beneficiary: Address of Beneficiary: SSN/EIN:Relationship: ID: BUSINESS ACCOUNTS By my/our signature below, 1/We certify that: (1) 1/We have received the "Commercial Bank Services Agreement" and the "Business Deposit Accounts Fee Schedule" and on behalf of the Depositor agree to the terms of each document; and (2) 1/We give consent to verify my/our credit references. Please sign beside the Printed Name(s) only. If signature line does not have a Printed Name, then a signature is not required on that line. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications in the box above which are required to avoid backup withholding. TIN of Signer William C. Poe, Jr. Printed Name ^Sr.5/8/2023 DATE TIN of Signer Lori L. Hillman Printed Name 5/8/2023 DATE TIN of Signer Printed Name DATE 8006XX_BB (2110) TRUIST SIGNATURE CARD (FLORIDA) NAME AND ADDRESS OF DEPOSITOR CITY OF ZEPHYRHILLS 5335 8TH STREET ZEPHYRHILLS, FL 33542 ACCOUNT NUMBER 0569000000124 Opened/Updated By OWNERSHIP DESIGNATION COUNTY ACCOUNT OPENING DATE REVISED CARD DATE /11/2023 App^e, E.TORRES/D43740 ^^^ Type of ID Second Type of ID Issued By_ ID Number Issued By ID Number IDENTIFICATION Expiration Date Expiration Date Employer Address as listed on ID Cell Phone Number (_) IDENTIFICATION Home Phone Number (_) Work Phone Number (_) Type of ID Issued By_ ID Number Second Type of ID Issued By ID Number Employer Address as listed on ID Expiration Date Date of Birth Expiration Date Cell Phone Number (___ ) Home Phone Number (_) Work Phone Number (_) Check Appropriate Box for Depositor Q;nd;wdua//So/ePropr/etor/singfe-memberLLC Q C Corporation [-] S Corporation Q Partnership ^~^Trust/Estate \ | Limited Liability Company Enter the tax classWcatlon (C=C corporation ,S=S corporation, P s Partnership) Note: Check the apprprlale box In line above for the tax classification of the single-member owner. Do not check LLC If the LLC Is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that Is disregarded from Ihe owner should check the appropriate box for the tax classification of its owner. 'I Other(See Instructions.) COU NTY Exemptions: See Instructions Exempt Payee code (if any) \ \ Exemption from FA TCA reporting code (If any) \ ~~ ]N/A (applies to accounts maintained outside the U.S.) Certification - Under penalifies of perjury, I, as authorized agent of the Depositor certify that: 1. The Depositor's correct taxpayer Identification number is printed below (or the Depositor is waiting for a number to be issued), and 2. The Depositor is not subject to backup withholding because: (a) the Depositor is exempt from backup withholding, or (b) the Depositor has not been notified by the Internal Revenue Service (IPS) that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified the Depositor that it is no longer subject to backup withholding, and 3. The Depositor is a U.S. citizen or other U.S. person (defined in the instructions); and 4. The FA TCA codes(s) entered on this form (if any) indicating that the Depositor is exempt from FA TCA reporting is correct. CerliTication Instructions. You must cross out item 2 above if the Depositor has been notified by the IPS that the Depositor is currently subject to back withholding because (fie Depositor has failed to report all interest and dividends on the Depositor's tax return. Form W-9 Instructions. Instructions to the Form W-9. including definitions. are available uoon reauest. Complete as applicable - only one beneficiary permitted if an entity. Name of Beneficiary: SSN/EIN: Address of Beneficiary: ID: Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship: BUSINESS ACCO NT By my/our signature below, 1/We certify that: (1) IWe have received the "Commercial Bank Services Agreement" and the "Business Deposit Accounts Fee Schedule" and on behalf of the Depositor agree to the terms of each document; and (2) 1/We give consent to verify my/our credit references. Please sign beside the Printed Name(s) only. If signature line does not have a Printed Name, then a signature is not required on that line. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications in the box above which are required to avoid backup withholding. 596000455 TIN of Depositor CITYOFZEPHYRHILLS Printed Name of Depositor ^5(j^-5/8/2023 Prin 'Name/Title:Melonie Bahr Monson, Mayor DATE TIN of Signer Melonie Bahr Monson Printed Name of Signer 5/8/2023 DATE 8005XX_BB(2110) TRUIST SIGNATURE CARD ADDENDUM (FLORIDA) This addendum is made part of the signature card attached herewith for the sole purpose of permitting additional signers thereto. ACCOUNT NUMBER 0569000000124 Opened/Updated By OWNERSHIP DESIGNATION COUNTY Approved By ACCOUNT OPENING DATE REVISED CARD DATE 4/11/2023 Branch Location Type of ID Second Type of ID Employer Address as listed on ID IDENTIFICATION Issued By_ ID Number Issued By ID Number Expiration Date Date of Birth Cell Phone Number (. Expiration Date Home Phone Number (_) Work Phone Number (_) Type of ID Second Type of ID Employer Address as listed on ID Issued By _ ID Number Issued By ID Number IDENTIFICATION Expiration Date Date of Birth Expiration Date Cell Phone Number (_) Home Phone Number (^ ) Work Phone Number (_) Type of ID Second Type of ID Employer Address as listed on ID Issued By _ ID Number Issued By ID Number IDENTIFICATION Date °f Birth Expiration Date Expiration Date Cell Phone Number (_) Home Phone Number (_ ) Work Phone Number (_) Complete as applicable - only one beneficiary permitted if an entity. Name of Beneficiary: SSN/EIN: Address of Beneficiary: ID: Relationship: Name of Beneficiary: Address of Beneficiary: ID: SSN/EIN:Relationship: Name of Beneficiary: Address of Beneficiary: SSN/EIN:Relationship: ID: BUSINESS ACCOUNTS By my/our signature below, 1/We certify that: (1) l/We have received the "Commercial Bank Services Agreement" and the "Business Deposit Accounts Fee Schedule" and on behalf of the Depositor agree to the terms of each document; and (2) 1/We give consent to verify my/our credit references. Please sign beside the Printed Name(s) only. If signature line does not have a Printed Name, then a signature is not required on that line. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications in the box above which are required to avoid backup withholding. TIN of Signer William C. Poe, Jr. Printed Name ^/5/8/2023 DATE TIN of Signer Lori L. Hillman Printed Name ^5/8/2023 DATE TIN of Signer Printed Name DATE 8006XX_BB (2110)