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F«n, �■'9 Request for Taxpayer Give Form to the <br /> ���201� Identiflcation Number and Certificatton '�'"�r.°°"ot <br /> DapartmeM ot the Treesury send to the IRS. <br /> IMernal Revenua Service <br /> Name(as ahown on your Income tax retum) <br /> S. Vitale Pyrotechnic Ind. , Inc. <br /> N 8usinesa neme/disregerded errtity name.if di(fereM from above <br /> �, dba P rotecnico <br /> � . <br /> a Check appropriate box fa federel tax <br /> ycles�flcation(requirecn: ❑ Indivfdual/sole proprletor �(] C Corporation ❑S Caporatbn ❑ Partnership ❑Tnat/estete <br /> �� � LimRed ifaWlity company.Fr�ter the tax Gassificatlon(C=C corporation,S=S corporetion,P=pertnershlPl► ❑ExemPt PeYee <br /> � <br /> p ------------------------------- <br /> N y <br /> a� ❑ on,er(see Inswct�orre)► <br /> �� Address(rwmber�street�and ept.or suRe no.) Requeater's neme and address(optionall <br /> y PO Bex 149 <br /> � cxy,�cat�,and ziP code <br /> �' New Castle PA 16143 <br /> Ust eccourrt number(s)here(optionel) <br /> Tax ayer ldentiftcation Number{TIN <br /> EMer your TlN in the appropriate box.The TIN provided must match the name given on the"Name"Hne ���+�b number <br /> to avofd backup withholding.For individuals,this is your.social sec�ity number(SSt�.However,for a � _m _� <br /> resideM alien,sole proprietor,or disregarded entity,see the Part i instructions on page 3.For other <br /> entitles,it is your�nployer identification number(EII�.If you do not have a number,see How to get a <br /> TIN on page 3. <br /> Note.If the account is in more than one name,see the chart on page 4 for guidelines.on whose ��Oy°r�O"'"""b°'� <br /> number to enter. <br /> .I 2 1 7 D 0 7 7 2 <br /> • Cettification <br /> Under penaRies of perJury,I certify that: <br /> ' 1. The number shown on this form is my correct taxpayer identffication number(or I am wafting for a number to be issued to me),and <br /> 2. I am not subject to backup withholding because:(a)I am exempt from backup withhoiding,or(b)!have not been notifled by the Intemal Reven� <br /> Service(IRS)that I am subject to backup withholding as a result of a failure to report all int�est or dividends,or(c)the IRS has notiHed me ihat I am <br /> no longer subject to backup withholding,and <br /> 3. I am a U.S.citizen or other U.S.person(deflned below). <br /> CertHication instn�cttons.You must cross out kem 2 above if you have been notified by the IRS that you are currently subject to backup wkhhdding <br /> because you have ta[led to report all Interest and dividends on your tax retum.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 indlvidual retirement arrangement(IRA),and <br /> generally,payments other than interest and dividends,you are not required to sign the certific:atlon,Lwt you must provide your correct TIN.See the <br /> instrucdons on page 4. <br /> Sign �„�,,,�,� <br /> Here u.s.psnw,► uate► <br /> General Instructions Note.H a request�gives you a form other than Form W-9 to request <br /> your TIN,you must use the requester's form ff it is substantially similar <br /> Section references are to the Intemal Revenue Code unless otherwise to this Form W-9. <br /> n°ted' Deflnidon of a US.person.For federal tax purpose,s,you are <br /> Purpose of Form consldered a U.S.person if you are: <br /> A person who is required to file an infamation return with the IRS must •An individual who is a U.S.citizen or U.S.resfdent alien, <br /> obtain your correct taxpayer klenUflcation number(i1N)to report,fw •A partnership,corporation,company,or association created or <br /> exampie,irxome paid to you,real estate transactfons,mortgage interest organixed in the United States or under the laws of the Unked States, <br /> you paid,acquisftion or abandonment of secured property,cancellation .qn esta;e(other than a foreign a4tate),w <br /> of debt,or contributions you made to an IRR. <br /> Use Form W-9 only if you are a U.S.person(induding a resident 'A domestic trust{as defined in Regulatlons section 301.7701-�. <br /> alien),to provide your correct TIN to the person requesting ft(the Speclal rut�for parb�erships.Partnerships that conduct a trade or <br /> requeste�and,when applicable,to: business in the Untted Stetes are generatly required to pay a wkhhdding <br /> 1.Cert that the TIN ou are ivi is correct or ou are waiti for a �°��y foreign part�ers'share of income from such business. <br /> � Y 9 ^g � Y ^� Further,in certa(n cases where a Form W-9 has not been received,a <br /> number to be issue�, partnership is required to presume that a partner is a foreign person, <br /> 2.Certify that you are not subject to backup withholding,or and pay the withholding tax.Therefore,If you are a U.S.person that is a <br /> 3.Claim exemptfon from backup withhotding ff you are a U.S.exempt Pertner in a partnership conducting a trade or business in the Unked <br /> payee.If applicable,you are also certifying that as a U.S.per�n,your States,provide Form W-9 to the partnership to estabOsh your U.S. <br /> allocable share of any partnership income from a U.S.trade or bus(ness �atus and avo(d withholding on your share of partnership income. <br /> is not subject to the withholding tax on foreign partners'share of <br /> eifectively connected income. <br /> Cat.No.10231X Form W-9(Rev.i-2011) <br />