Deere fraser Request for Taxpayer Identification Number and Certification Give form to the requester. Do not ‘send to the IRS. ‘Name(s shown oh your core tax vO) IntelleVentures LLC [Business name, i diferent am akove ‘crack spropuicte box: [] indiveunoie poprictor 1] Corporation 1 ote seta) 2 Limtes ity company. Enter the tx classifiation (O=Asregarée ently, C=corporaten,Peparnarahip) ® .... TI Pater 7 Ope ‘ars (rambo, ses, and apt. oF eae no) 262 Ventura Ave ‘iy; stat, ana ZP coe Palo Alto, CA 94306 Fequasars pane and ares na) ‘Ut socount ernbers pee (optona [RMS)__Taxpayer Identiication Number TN) 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 your social securty number SSN). Howover, fora resident alien, Sole proprietor, oF disregarded entity, see the Part | instucllons on page 3. For other entities, is your employer Identticaton number (EIN). f you do not have a number, see How fo get a TIN on page 3 Note. I the account isin more than one name, eee the chart on age 4 for guidelines on whose number to enter. Jal securly number or Employer onifcaion number 26 | 3503921 [2a] Certification Under penalties of peru, | cerity that: 1. Tho numbor shown on this form is my correct taxpayer identieation number (or | am waiting for a number to be issued to me), and 2. Lam not subject to backup withholcing because: (a) ‘am exempt from backup vithholding, or)! have not been notified by the Internal Rovenue Service (IRS) that | am subject fo backup withholding a9 4 result of & Tale to reper alinterest or dividend, or (c) the IRS has notified me that 1am no longer subject to backup withholding, ane 3. lam a US. citizen or other U.S. person (defined below), Certifcation instructions. You mast cross out item 2 above if you have been notifed by the IRS thet you are curently subject to backup \withholcing because you have faled to report all interest and dividends on your tax retum. For real estate rancaction, item 2 does not apply. For morgage interest paid, acquisition or abandonment of secured property, cancaiation of debt, contnbutions to an individual retirement arrangement (RA), and general, paymonts other than interest and dividend, you are not required to sign the Certification, But yeu must provide your corect TIN. See the instryetions on page 4 Sign 7 Sign | snare US poreon > General Instructions Section references are to the internal Revenue Code unless otherwise noted, Purpose of Form ‘A person who is required to fle an information return withthe {RS must obtain your correct taxpayer Kdntication number (IN) to report for example, income pad to you, real estate transactions, mortgage interest you pa, acquson or abandonment of secured propety, cancelation of debt, or Contributions you made {0 an IRA Use Form W-9 only if you ae a US. person fnclucing a resident aller, to provide your sorect TN tothe person requesting it (he roquestet and, when applloabo, to: 1. erty thatthe TIN you ace giving Is comact (or you ara waling for number to Be issued, 2. Certly that you are not subject to backup withhoaing, or 3. Claim exemption from backup withholding i you are a US. ‘exempt payee. appeable, you ae sao certying that cs 2 US" pereon, your slocabie share of any parinersyp noome from US. rade or business ls not subject fo the witiolding Tax on foreign partners” share of effectively connected income. Note. I @ requester gives you a form other than Form W-9 to request your TIN, you must use the requester’ fom If Iie ‘sutstantally sma to this Frm We Lor-%, baer Oct | ig 2oo4 Definition of a U.S. person. For fedaral tax purposes, you are considered a US. porsonifyou are «© An individual who is @ US. ctzen or US. resident alien, ® A partnership, corporation, company, or association crested or cxganized in te Unifod States or under the laws of the United States, «© An estate (other than a foreign estate, of # A domestic trust (es defined in Regulations section aon 7701-7) Special rues for partnerships. Pertnerships that conduct trade or bushnass n te United States are general required to ay @ withholding tax on any foreign partners” share of Income from such business, Further, certain caues where a Form W-9 ha not been received, partnership ls required fo presume that 2 partner fsa forelgn parson, and pay the vathnolaing tak ‘Therefore, you are a U.S, person thet is @ partner Ina partnership conducting a trade or business ih te United States, Provide Form Wi-8 tothe partnership to establish your U.S. Eltus and avold witinoldng an your share of partnership “The person who glves Form W-9 tothe partnership for pupotes of establishing fs U.S, status and avoiing vhholding Enis allocable share of net income from the partnership onclvting @ trade or business in the United States isi the folowing eases: # The US. owner of a disregarded entity and not the entity, Cat No. TOI Form WO (few 102007)