аЯрЁБс>ўџ 24ўџџџ1џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС7 №ПМbjbjUU  7|7|С њџџџџџџl„ „ „ „  ,)ЖШ Ш Ш Ш Ш ЫЫЫЈЊЊЊЊЊЊ$п џЮЫAŠЫЫЫЮШ Ш yуЫ"pШ Ш ЈЫЈ„lv”Ш М аь˜f/Уj „ эj„”љ0)ŒW6”йSubstitute Form W-9 (Obtain TIN for payments other than interest, dividends, or Form 1099-B gross Proceeds) Taxpayer Identification Number Request Supplier Name_______________________________________________________(Limited to 40 characters) Mailing address___________________________________________________________________________________ Payment address__________________________________________________________________________________ Please complete the following information. We are required by law to obtain this information from you when making a reportable payment to you. If you do not provide us with this information, your payments may be subject to 31% federal income tax backup withholding. Also, if you do not provide us with this information, you may be subject to a $50 penalty imposed by the Internal Revenue Service under section 6723. Federal law on backup withholding preempts any state or local law remedies, such as any right to a mechanic’s lien. If you do not furnish a valid TIN, or if you are subject to backup withholding, the payor is required to withhold 31% of its payment to you. Backup withholding is not a failure to pay you. It is an advance tax payment. You should report all backup withholding as a credit for taxes paid on your federal income tax return. Use this form only if you are a U.S. person (including U.S. resident alien). If you are a foreign person, use the appropriate Form W-8. Instructions: Complete Part 1 by completing the tow of boxes that corresponds to your tax status. Complete Part 2 if you are exempt from Form 1099 reporting. Complete Part 3 to sign and date the form, and return it to us in the enclosed envelope.  Part 1 Tax Status: (complete one row of boxes) Individuals: Sole Proprietor: Partnership: Corporation, Exempt charity, Or other entity: Part 2 Exemption: If exempt from Form 1099 reporting, check here: and circle your qualifying exemption reason below Corporation, except there is no exemption for medical and healthcare payments or payments for legal services. Tax exempt Charity under 501 (a) or IRA The United States or any of its agencies or instrumentalities A state, the District of Columbia, a possession of the United States, or any of their political subdivisions A foreign government or any of its political subdivisions Other ______________________________________________________________ Part 3 Signature: I am a U.S. person (including a U.S. alien). Person completing this form:_______________________________________________________________________ Signature:___________________________________________________Date:________________________________  W9Form Revised Nov 2002 Individual Name: Business Owner’s Social Security Number or Employer ID Number: ___ ___ ___ ___ ___ ___ ___ ___ __ Business Owner’s Name: Individual’s Social Security Number: _ _ _ - _ _ - _ _ _ _ Business Trade Name (optional): Name of Partnership: Partnership’s Employer Identification Number: ___ ___ ___ ___ ___ ___ ___ ___ __ Partnership’s Name on IRS records (see IRS mailing label) Name of Corporation or Entity: Employer Identification Number: __ __ - __ __ __ __ __ __ __ For Procurement Use only: Supplier Number: _____________ Site: _____ Reason for reimbursement… Services: ______ Award: ______ Expenses: _____ Other:(provide reason) __________________________ l“”XК^ ž Ÿ   Б Я а б є і ї ј љ ћ   $ & W X Y j д • Ї д žСвж?BY]ƒЅХЩот:=w{šžОр &ЙМ§§њїъ§пъмїпъмъмъма§м§ЭъЪЪЪЪЪЪЪЪЪЪЭФ 5CJ\CJCJj5UmHnHuCJjUmHnHujCJUmHnHuCJCJ5;l“”ѓєWXКЛ^_  Ѓ Є ž   Я щ є ѕ ї ј њјііііієєєііієєєііісллііі ЦЄ Ц а p@ рА€PY$a$СЛ§§    ! " # $ 3 C U V W X  г д B j Ј  O ” • д е 9:§§§§§§§§§§§§§§§§§јјјјјј§§§§§ & F:Ÿ ЉСвгдеж@ABYZ[\]‚ƒЃЄЅХЦЧ§ћћћ§§§§§§§§§§§§§§§§§§і§§§§§$a$ЧШЩопрст;<=wxyz{š›œžОПмноп𧧧§§§§§§§§§§§§§§§§§§§§§§§§§§рњ%&@QbrЙКЛМ§§§§§§§§§§§§ Аа/ Ар=!Аh"Аh#ѕ$ѕ%А i4@ёџ4 NormalCJ_HmH sH tH 6@6 Heading 1$$@&a$5<A@ђџЁ< Default Paragraph Font*B@ђ* Body TextCJœф!|КнeљМ џџџџџџџџџџџџџџџџџџџџ џџџџ џџџџ џџџџ џџџџџџџџџџџџџџџџџџџџџџџџœф!|Кнeљќ    џџМ  џџџџl“”ѓєWXКЛ^_ЃЄž Ящєѕїј   !"#$3CUVWXгдBjЈ O ” • д е 9 :  Ÿ   Љ С в г д е ж   @ A B Y Z [ \ ] ‚ ƒ Ѓ Є Ѕ Х Ц Ч Ш Щ о п р с т   ; < = w x y z { š › œ  ž О П м н о п р њ  % & @ Q b r Й К Н ˜€€€€˜€l˜0€l˜0€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜0€l˜€l˜0€l˜0€l˜0€l˜0€l˜0€l˜@€l˜0€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜€l˜ €l˜ €l˜ €l˜ €l˜ €l˜ €l˜€l˜€l˜€l˜0€l˜€l˜€l˜0€€˜0€€˜0€€š€€˜0€€˜@€€˜@€€˜@€€˜0€€˜0€€˜@€€˜@€€˜@€€˜0€€˜0€€˜@€€˜@€€˜@€€˜0€€˜0€€˜@€€˜@€€˜@€€˜0€€˜0€€˜@€€˜@€€˜@€€˜0€€˜€€˜€€˜@€€˜@€€˜€€˜€€˜@€€˜@€€˜@€€˜€€˜€€˜@€€˜@€€˜@€€˜€€˜€€˜@€€˜@€€˜@€€˜0€€˜€€˜@€€˜€€˜@€€˜0€€˜€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€š0€€š€€М  :ЧрМ Л №8№@ёџџџ€€€ї№0№№Ю№( № №№VЂ № # № €Š"ёП€№№ №№VЂ № # № €Š"ёП€№№ №№VЂ № # № €Š"ёП€№№ №№VЂ № # № €Š"ёП€№№ №№VЂ №  # № €Š "ёП€№№ №№VЂ №  # № €Š "ёП€№№ №№VЂ №  # № €Š "ёП€№№ №№VЂ №  # № €Š "ёП€№№ №№VЂ № # № € Š"ёП€№ № № №VЂ № # № € Š"ёП€№ № № №PЂ №  №€ "ёП€№ № № №BЂ №  №€ № № № №HЂ № # № € Š№№ № №B №S №ПЫџ ?№žЯајљњ$%X М A5+gtHKЈtшKHt Ј&+їtH&Јїtш&Hїt Јb+3t HbЈ3t шbH3tHЈпtшHпt8ш РtЁPБ'дtС 1 ? К Н ЁЄге № ђ 9 : C E  С & @ К Н 333œЁиѓžŸЯЯоѓєіїї  е е  ž Ÿ Ÿ   Р С С е е ж ж A A B B \ \ ] ] Є Є Ѕ Ѕ Ш Ш р $ & И Й К Н џџIEEE'C:\My Documents\Revised W9 Nov 2002.docIEEE'C:\My Documents\Revised W9 Nov 2002.docIEEEC:\My Documents\W9updated.docIEEEC:\My Documents\W9updated.docIEEEC:\My Documents\W9updated.docIEEEC:\My Documents\W9updated.docIEEEC:\My Documents\W9updated.doc Jose Saravia>G:\EYE_ON_THE_INSTITUTE\controllers-office\Forms\W9updated.docIEEE4C:\My Documents\My Documents from INCOME\W9 Form.doc anasabzadeh#H:\Accounting Financial\W9 Form.docКK3#>еџџџџџџџџџ„Ј „˜ўЦЈ ^„Ј `„˜ўo(.КK3џџџџџџџџЈ Н џ@€ˆИtМ `@џџUnknownџџџџџџџџџџџџG‡z €џTimes New Roman5€Symbol3& ‡z €џArial"ёˆ№аh_Гy&_Гy&ЂЪrFŽо!№ЅРДД€20у ” 2ƒ№пџџ`Form w-9 (Obtain TIN for payments other than interest, dividends, or Form 1099-B gross Proceeds) Rose Nelidin anasabzadehўџр…ŸђљOhЋ‘+'Гй0ф˜  0<HX lx ”   Ќ ИФЬдмфaForm w-9 (Obtain TIN for payments other than interest, dividends, or Form 1099-B gross Proceeds),orm Rose NelidinainoseoseNormall anasabzadeh2asMicrosoft Word 9.0N@@|якмТ@ЂщI/У@ЂщI/УŽоўџеЭеœ.“—+,љЎ0L hp€ˆ˜  ЈАИ Р -фIEEE9у   aForm w-9 (Obtain TIN for payments other than interest, dividends, or Form 1099-B gross Proceeds) Title ўџџџ ўџџџ"#$%&'(ўџџџ*+,-./0ўџџџ§џџџ3ўџџџўџџџўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџRoot Entryџџџџџџџџ РFАDЇf/У5€1TableџџџџџџџџџџџџWordDocumentџџџџџџџџ SummaryInformation(џџџџ!DocumentSummaryInformation8џџџџџџџџџџџџ)CompObjџџџџjObjectPoolџџџџџџџџџџџџАDЇf/УАDЇf/Уџџџџџџџџџџџџўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџўџ џџџџ РFMicrosoft Word Document MSWordDocWord.Document.8є9Вq