B.1f - Enclosure F. Form W-8

Form

W-8BEN-E

(Rev. October 2021)
Department of the Treasury
Internal Revenue Service

Certificate of Status of Beneficial Owner for
United States Tax Withholding and Reporting (Entities)

OMB No. 1545-1621

▶ For use by entities. Individuals must use Form W-8BEN. ▶ Section references are to the Internal Revenue Code. ▶ Go to www.irs.gov/FormW8BENE for instructions and the latest information. ▶ Give this form to the withholding agent or payer. Do not send to the IRS.

Do NOT use this form for:
• U.S. entity or U.S. citizen or resident .

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Instead use Form:
W-8BEN (Individual) or Form 8233

• A foreign individual or entity claiming that income is effectively connected with the conduct of trade or business within the United States

. W-8ECI

• A foreign partnership, a foreign simple trust, or a foreign grantor trust (unless claiming treaty benefits) (see instructions for exceptions) . . W-8IMY • A foreign government, international organization, foreign central bank of issue, foreign tax-exempt organization, foreign private foundation, or government of a U.S. possession claiming that income is effectively connected U.S. income or that is claiming the applicability of section(s) 115(2),

W-8ECI or W-8EXP

• Any person acting as an intermediary (including a qualified intermediary acting as a qualified derivatives dealer) .

Part I

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. W-8IMY

Identification of Beneficial Owner

Name of organization that is the beneficial owner

Name of disregarded entity receiving the payment (if applicable, see instructions)

Corporation
Partnership
Chapter 3 Status (entity type) (Must check one box only): Simple trust
Tax-exempt organization
Complex trust
Foreign Government - Controlled Entity
Central Bank of Issue
Private foundation
Estate
Foreign Government - Integral Part
Grantor trust
Disregarded entity
International organization
If you entered disregarded entity, partnership, simple trust, or grantor trust above, is the entity a hybrid making a treaty claim? If “Yes,” complete Part III. Yes
No

Chapter 4 Status (FATCA status) (See instructions for details and complete the certification below for the entity's applicable status.) Nonparticipating FFI (including an FFI related to a Reporting IGA Nonreporting IGA FFI. Complete Part XII.
FFI other than a deemed-compliant FFI, participating FFI, or Foreign government, government of a U.S. possession, or foreign