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Form
<br />Request for Taxpayer Give form to the
<br />(Rev. March 2024) Identification Number and Certification requester. Do not
<br />Department of the Treasury Send to the IRS.
<br />Internal Revenue service Go to wwvvJrs.gov/FormW9 for Instructions and the latest information.
<br />Before you begin. For guidance related to the purpose of Form W-9, see Purpose o/ Form, below.
<br />entities, It is your employer identification number (EIN). If you do not have a number, see How to get a or
<br />TIN, later.
<br />Employer Identification number
<br />Note: If the account is in more than one name, see the instructions for line 1. See also What Name and
<br />Number To Give the Requester for guidelines on whose number to enter. 5 9 - 2 1 4 1 7 1 0 1 4 1 7 1 9
<br />Certification
<br />Under penalties of perjury, I certify that:
<br />1. The number shown on this form is my 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) I have not 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 I am
<br />no longer 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 code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
<br />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
<br />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,
<br />acquisition or abandonment of secufo property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments
<br />other than interest and dividends, y96i are not required to sign the certification, but you must provide your correct T . See ee iInsstructions for Part II, later.
<br />Sign Signature of � /►�
<br />Here U.S. person Data
<br />General Instructions
<br />Section references are to the Internal Revenue Code unless otherwise
<br />noted.
<br />Future developments. For the latest information about developments
<br />related to Form W-9 and its instructions, such as legislation enacted
<br />after they were published, go to www.Irs.gov/FormW9.
<br />What's New
<br />Line 3a has been modified to clarify how a disregarded entity completes
<br />this line. An LLC that is a disregarded entity should check the
<br />appropriate box for the tax classUcation of Its owner. Otherwise, it
<br />should check the "LLC" box and enter Its appropriate tax classification.
<br />New line 3b has been added to this form. A flow-through entity is
<br />required to complete this line to indicate that it has direct or indirect
<br />foreign partners, owners, or beneficiaries when it provides the Form W-9
<br />to another flow-through entity in which it has an ownership interest. This
<br />change is intended to provide a flow-through entity with information
<br />regarding the status of its indirect foreign partners, owners, or
<br />beneficiaries, so that it can satisfy any applicable reporting
<br />requirements. For example, a partnership that has any indirect foreign
<br />partners may be required to complete Schedules K-2 and K-3. See the
<br />Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
<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 is giving you this form because they
<br />Cat. No. 10231X Form W-9 (Rev. 3.2024)
<br />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
<br />entity's name on line 2.)
<br />Catholic Charities of the Diocese of Palm Beach Inc.
<br />2 Business name/disregarded entity name, if different from above.
<br />M
<br />3a Check the appropriate box for federal tax classification of the entity/indivklual whose name is entered on line 1. Check
<br />4 Exemptions (codes appy only to
<br />only one of the following seven boxes.
<br />certain entities, not Individuals;
<br />Q.
<br />C
<br />❑ Individual/sole, proprietor ❑ C corporation ❑ S corporation ❑Partnership ❑ TrusVeslate
<br />see instructions on page 3):
<br />0
<br />C
<br />E] LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . .
<br />Exempt payee code (f any)
<br />a c
<br />ii
<br />Note: Check the 'LLC' box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax
<br />Exemption from Foreign Account Tax
<br />classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate
<br />oS
<br />box for the lax classification of its owner.
<br />Compliance Act (FATCA) reporting
<br />C
<br />0Other (see instructions)
<br />code (if any)
<br />a 0
<br />!E-
<br />9
<br />fres to accounts maintained
<br />(Applies
<br />3b If on line 3a you checked 'Partnership' or 'Trust/estate," or checked 'LLC" and entered "P" as its tax classification,
<br />are this form to a trust, or estate in which have an ownership Interest, check
<br />a
<br />and you providing partnership, you
<br />box if have foreign beneficiaries. See instructions ❑
<br />outside the United States.)
<br />this you any partners, owners, or . . . . . . . . ,
<br />5 Address (number, street, and apt. or suite no.). See instructions.
<br />Requester's name and address (optionaQ
<br />100 W. 20th Street
<br />6 City, state, and ZIP code
<br />Riviera Beach FL 33404
<br />7 List account numbers) here (optional)
<br />Taxpayer Identification Number (TIN)
<br />Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid
<br />Social security number
<br />backup withholding. For individuals, this is generally your social security number (SS". However, for a
<br />resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other
<br />-M-FFM
<br />entities, It is your employer identification number (EIN). If you do not have a number, see How to get a or
<br />TIN, later.
<br />Employer Identification number
<br />Note: If the account is in more than one name, see the instructions for line 1. See also What Name and
<br />Number To Give the Requester for guidelines on whose number to enter. 5 9 - 2 1 4 1 7 1 0 1 4 1 7 1 9
<br />Certification
<br />Under penalties of perjury, I certify that:
<br />1. The number shown on this form is my 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) I have not 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 I am
<br />no longer 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 code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
<br />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
<br />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,
<br />acquisition or abandonment of secufo property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments
<br />other than interest and dividends, y96i are not required to sign the certification, but you must provide your correct T . See ee iInsstructions for Part II, later.
<br />Sign Signature of � /►�
<br />Here U.S. person Data
<br />General Instructions
<br />Section references are to the Internal Revenue Code unless otherwise
<br />noted.
<br />Future developments. For the latest information about developments
<br />related to Form W-9 and its instructions, such as legislation enacted
<br />after they were published, go to www.Irs.gov/FormW9.
<br />What's New
<br />Line 3a has been modified to clarify how a disregarded entity completes
<br />this line. An LLC that is a disregarded entity should check the
<br />appropriate box for the tax classUcation of Its owner. Otherwise, it
<br />should check the "LLC" box and enter Its appropriate tax classification.
<br />New line 3b has been added to this form. A flow-through entity is
<br />required to complete this line to indicate that it has direct or indirect
<br />foreign partners, owners, or beneficiaries when it provides the Form W-9
<br />to another flow-through entity in which it has an ownership interest. This
<br />change is intended to provide a flow-through entity with information
<br />regarding the status of its indirect foreign partners, owners, or
<br />beneficiaries, so that it can satisfy any applicable reporting
<br />requirements. For example, a partnership that has any indirect foreign
<br />partners may be required to complete Schedules K-2 and K-3. See the
<br />Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
<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 is giving you this form because they
<br />Cat. No. 10231X Form W-9 (Rev. 3.2024)
<br />
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