2025%20W9%20Page%201.pdf

Parent document: REVISED (Removed 6.12 CIS and 6.16 Prof. Dev. - Regular Meeting - Meeting #34-06-02-2025.pdf

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Form W 9

(Rev. March 2024)

Department of the Treasury
Internal Revenue Service

Request for Taxpayer
Identification Number and Certification

Go to www.irs.gov/FormW/9 for instructions and the latest information.

Give form to the
requester. Do not
send to the IRS.

Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.
1. Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded

entity’s name on line 2.)

9 Square in the Air, LLC

2 Business name/disregarded entity name, if different from above.

only one of the following seven boxes.

[_] Individual/sole proprietor L] C corporation

box for the tax classification of its owner.
C1 other (see instructions)

Print or type.
See Specific Instructions on page 3.

5 Address (number, street, and apt. or suite no.). See instructions.

14248 F Manchester Road, #125

3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check

L] S corporation

[x] LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) toe oe N}

Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax
classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate

3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification,
and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check
this box if you have any foreign partners, owners, or beneficiaries. See instructions .

4 Exemptions (codes apply only to
certain entities, not individuals;

see instructions on page 3):

L] Partnership § [[] Trust/estate

Exempt payee code (if any)
Exemption from Foreign Account Tax

Compliance Act (FATCA) reporting
code (if any}

(Applies to accounts maintained
outside the United Siates.)

Requester’s name and address (optional)

6 City, state, and ZIP code
Manchester, MO 63011

7 List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid
backup withholding. For individuals, this is generally your social security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a

TIN, later.

Note: If the account is in more than one name, see the instructions for line 1. See also What Name and
Number To Give the Requester for guidelines on whose number to enter.

lagia Certification
Under penalties of perjury, | certify that:

Social security number

ET -LE-LEL

or

Employer identification number

1. The number shown on this form is my correct taxpayer identification number (or | am waiting for a number to be issued to me); and
2. | am not subject to backup withholding because (a) | am exempt from backup withholding, or (6) | have not been notified by the Internal Revenue
Service (IRS) that | 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 | am

no longer subject to backup withholding; and
3.lamaU.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that | am exempt from FATCA reporting is correct.

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
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 interest paid,
acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments

other than interest and dividends, you are not required to sig

Signature of
U.S. person

General Instructions

Section references are to the Internal Revenue Code unless otherwise
noted.

Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to www. irs.gov/FormW9.

What’s New

Line 3a has been modified to clarify how a disregarded entity completes
this line. An LLC that is a disregarded entity should check the
appropriate box for the tax classification of its owner. Otherwise, it
should check the “LLC” box and enter its appropriate tax classification.

Cat. No. 10231X

the certification, but you must provide your correct TIN. See the instructions for Part ll, later.

Date 01/01/25

New line 3b has been added to this form. A flow-through entity is
required to complete this line to indicate that it has direct or indirect
foreign partners, owners, or beneficiaries when it provides the Form W-9
to another flow-through entity in which it has an ownership interest. This
change is intended to provide a flow-through entity with information
regarding the status of its indirect foreign partners, owners, or
beneficiaries, so that it can satisfy any applicable reporting
requirements. For example, a partnership that has any indirect foreign
partners may be required to complete Schedules K-2 and K-3. See the
Partnership Instructions for Schedules K-2 and K-3 (Form 1068).

Purpose of Form

An individual or entity (Form W-9 requester) who is required to file an
information return with the IRS is giving you this form because they

Form W-9 (Rev. 3-2024)