INDIAN BLVER COUNTY
<br />THIS I 0 ERTIFY THAT THIS 18 A TRUE AND CORRECT
<br />Copf F HE ORIAINALO ILE IN PUS OFFICE.
<br />n �EAREY 11 MITH.SLERK 1
<br />Air
<br />WMM 1 axpayer Identittcation Number (TIN)
<br />Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Soden tleuarity room►
<br />backup withholding. For individuals, this is gainsay yore soaal security number (SSM. However, fora � _ m -
<br />resident ellen, sole proprietor, or disregarded! entity, see the Instruc.-tbns for Part 1, tater. For outer
<br />entities, It is your employer identifications niumber (EIM. H you do not have a number, see How to get a
<br />M]
<br />77N, later. or
<br />Note: N the account is in more than one name, see the instructions for line 1. Also see What Name and I ExtiplaW kkr* m*m member
<br />Number To Give the Requester for guidelines on whose number to enter. (-7-1
<br />Under penalties of perjury, I certify that:
<br />1. The number shown on this form Is rry correct taxpayer identification number (or I am waiting for a number to be issued to me); and
<br />2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b)1 have riot been notified by the Internal Revenue
<br />Service (IRS) that i 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 1 am
<br />no Ionger subject to backup withholding, and
<br />3. 1 am a U.S. citizen or other U.S. person (defined below); and
<br />4. The FATCA oode(s) entered on this arm (if any) indicating that I am exempt from FATCA reporting is correct.
<br />Certification instructions. You must cross out item 2 above it you have been notified by the IRS that you are currently subject to backup withholding because
<br />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,
<br />acquistdon or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (WW. and generally, payments
<br />other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part a, later.
<br />Sign S onak" of / [
<br />Here us person ► Date ► 17_14
<br />92
<br />General Instructions
<br />Section references are to the Internal Revurwe Code unless otherwise
<br />rated.
<br />Future deveiopnterda. For the latest "ormation about developments
<br />related to Form W-9 and Its Instructions, such as legislation enacted
<br />after they were published, go to www.irs.gov1FormtN9.
<br />Purpose of Form
<br />An individual or entity (Form W-9 requester) who is required to file an
<br />Information return with the IRS muni clbtain your correct taxpayer
<br />Identifk:atbn number MM which may be your social security number
<br />(SSM. individual taxpayer identification numb- (min. adoption,
<br />taxpayer identification number (AT", or employer identification number
<br />(EIM, to report on an infomnabon return the amount paid to you, or other
<br />amount reportable on an infomiation return. Examples of Information
<br />returns include, but are not limited to, the following.
<br />• Form 1099 -INT (interest earned or paid)
<br />• Form 1098 -DN (dividends, including those from stocks or mutual
<br />funds)
<br />• Form 1099-MISC (various types of income, prizes, awards, or gross
<br />proms)
<br />• Form 1099-B (stock or mutual fund sales and certain other
<br />transactions by brokers)
<br />• Form 1099-S (proceeds from real estate transactions)
<br />• Form 1099-K (merchant card and third party network transactions)
<br />• Form 1098 (home mortgage interest), 1098-E (student ban interest),
<br />1098-T (tuition)
<br />• Form 1099-C (canceled debt)
<br />• Form 1099-A {aeon or abandonment of setxneed property)
<br />Use Form W-9 ocy if you are a U.S. person Oncluding a resident
<br />alien). to provide your correct TIN.
<br />N you do not return Form W-9 to the requester with a 77N, you might
<br />be subject to backup widzhotalirg. See What is backup withholding,
<br />later.
<br />Cat. No. 10231X Forum W-9 (Rev. 10-2018)
<br />W�9
<br />Request for Taxpayer DATEi
<br />J' X
<br />tome
<br />Fos,
<br />(Rev. October 2018)
<br />Identification Number and Certification
<br />requester. Do not
<br />Departmern of the Treasury
<br />send to the IRS.
<br />Irxernal Revenue Service
<br />► Go to 1www.irs-gov/Foirrr10109 br irkructions And the LatCat inlOrniatiort.
<br />1 Name (as shown on you vrcome tax returN- Name is required on this line; do rat leave this line bL-v*-
<br />Icahn Enterprises Holdings LP
<br />2 Business namardisregarded entity name, if ditlerent from above
<br />GH Vero Beach Developtmtent LLC
<br />M
<br />W
<br />4 Exemptions (codes appy city to
<br />3 Check box for federal tax dassificabom of the person whose name is erriered on the 1. Check vine
<br />oMy oof the
<br />individuals: see
<br />Certain entities, not indivuasee
<br />C1
<br />o
<br />❑ WOmduWsole proprietor or ❑ C Corporation ❑ S Corporation 0 PaArmlrp ❑ TncsUes2i.
<br />instructions on page 3):
<br />b
<br />wnigle-memba LLC
<br />Exempt Payee Code (A any)
<br />'
<br />❑ Limited liability company. Enter the tax classiticahon (C -C corporation, S=S corporation. P=Partnership) ►
<br />i;
<br />Note: Check the appropriate box in the fine above for the tax dassilficabon of the single -member owner. Do not check
<br />f rom FATCA reporting
<br />w
<br />LLC d the LLC is c asaifhed as a aingb-member LLC that is disregarded fromrw
<br />the owner ipss the owner of the LLC is
<br />code (don
<br />COQ any)
<br />LLC the is n
<br />riot disregarded from the owner for U.S. tederd tax purposes. Other, �
<br />, a smermber LLC
<br />is disregarded from the owner should check the appropriate box for the tax ckmsrfication of ifs owner.
<br />b
<br />❑ Oily (see i-tructiOns) ►
<br />04AA. tlM:tprnR muA-1 ouI.W M U S)
<br />to
<br />5 Address O rnber, stn a and apt. or sate —) See rnslruc6ora
<br />PAxpieste s name and address (DPborml)
<br />PO Box 7430
<br />6 City, state, and ZIP code
<br />Port Saint Lucie, FL 34985
<br />7 List acc«.,t numberts) there I
<br />WMM 1 axpayer Identittcation Number (TIN)
<br />Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid Soden tleuarity room►
<br />backup withholding. For individuals, this is gainsay yore soaal security number (SSM. However, fora � _ m -
<br />resident ellen, sole proprietor, or disregarded! entity, see the Instruc.-tbns for Part 1, tater. For outer
<br />entities, It is your employer identifications niumber (EIM. H you do not have a number, see How to get a
<br />M]
<br />77N, later. or
<br />Note: N the account is in more than one name, see the instructions for line 1. Also see What Name and I ExtiplaW kkr* m*m member
<br />Number To Give the Requester for guidelines on whose number to enter. (-7-1
<br />Under penalties of perjury, I certify that:
<br />1. The number shown on this form Is rry correct taxpayer identification number (or I am waiting for a number to be issued to me); and
<br />2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b)1 have riot been notified by the Internal Revenue
<br />Service (IRS) that i 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 1 am
<br />no Ionger subject to backup withholding, and
<br />3. 1 am a U.S. citizen or other U.S. person (defined below); and
<br />4. The FATCA oode(s) entered on this arm (if any) indicating that I am exempt from FATCA reporting is correct.
<br />Certification instructions. You must cross out item 2 above it you have been notified by the IRS that you are currently subject to backup withholding because
<br />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,
<br />acquistdon or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (WW. and generally, payments
<br />other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part a, later.
<br />Sign S onak" of / [
<br />Here us person ► Date ► 17_14
<br />92
<br />General Instructions
<br />Section references are to the Internal Revurwe Code unless otherwise
<br />rated.
<br />Future deveiopnterda. For the latest "ormation about developments
<br />related to Form W-9 and Its Instructions, such as legislation enacted
<br />after they were published, go to www.irs.gov1FormtN9.
<br />Purpose of Form
<br />An individual or entity (Form W-9 requester) who is required to file an
<br />Information return with the IRS muni clbtain your correct taxpayer
<br />Identifk:atbn number MM which may be your social security number
<br />(SSM. individual taxpayer identification numb- (min. adoption,
<br />taxpayer identification number (AT", or employer identification number
<br />(EIM, to report on an infomnabon return the amount paid to you, or other
<br />amount reportable on an infomiation return. Examples of Information
<br />returns include, but are not limited to, the following.
<br />• Form 1099 -INT (interest earned or paid)
<br />• Form 1098 -DN (dividends, including those from stocks or mutual
<br />funds)
<br />• Form 1099-MISC (various types of income, prizes, awards, or gross
<br />proms)
<br />• Form 1099-B (stock or mutual fund sales and certain other
<br />transactions by brokers)
<br />• Form 1099-S (proceeds from real estate transactions)
<br />• Form 1099-K (merchant card and third party network transactions)
<br />• Form 1098 (home mortgage interest), 1098-E (student ban interest),
<br />1098-T (tuition)
<br />• Form 1099-C (canceled debt)
<br />• Form 1099-A {aeon or abandonment of setxneed property)
<br />Use Form W-9 ocy if you are a U.S. person Oncluding a resident
<br />alien). to provide your correct TIN.
<br />N you do not return Form W-9 to the requester with a 77N, you might
<br />be subject to backup widzhotalirg. See What is backup withholding,
<br />later.
<br />Cat. No. 10231X Forum W-9 (Rev. 10-2018)
<br />
|