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Form W-9 Request for Taxpayer Give form to the
{Flev, March 2024) Identification Number and Certification requester. Do not
Departmant of the Treasury send to the IRS,
Internal Ravenue Service Go to www.irs.gov/FormW for instructions and the latest information.
Before you begin. For guidance related to the purpose of Form W-9, see Purposa of Form, below,
1 Name of entlly/individual. An entry is required, (For a sole proprietor ar disregarded entity, enter the owner's name on tine 1, and enter the businass/disregarded
antity's name on lina 2.)
Hybrid Building Solutions, LLC
2 Business name/disregardad entity name, If differant trom above.
é 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on ine i. Check | 4 Examptlons (codes apply only to
Y only one of the following seven boxes. cartain entitles, not individuals;
tl a
§ Q Individual/sole proprietor O C corporation oO S corporation oO Parinership oO Trust/astate ses instructions on page 8}
a? LLG, Enter the tax classification (CG = C corporation, S = S corporation, P = Partnership) 5... 8 Exempt payee code (if any)
ES & Note: Check the “LLO” box above and, In the entry space, enter the appropriate coda (C, 8, or P) for the tax
a classification of the LLC, unless It is a disregarded entity, A disregarded entity should Instead check the appropriate | Exemption from Forelgn Account Tax
5 § box for the tax classification of its owner. Gampliance Act (FATCA) reporting
pe
5 & Ol Other (see Instructions) code (if any)
Lan
§§ | 3b ff on line 8a you checked “Partnership” or “Trusestate," or checked “LLC” and entered “P" as Its tax olasslfication,
A and you are providing this form to a partnership, trust, or estate in which you have an ownership Interest, check ode the Ure eee
f) this box If you have any foreign partners, owners, or beneficlarles, See Instructions , rr rrr "
3 5 Address (nurniber, streat, and apt. or sulte no). See Instruotions, Requester's name and address (optional)
850 Main Road
6 City, state, and ZIP code
Corfu, NY 14036
7 List account number(s) here (optianal)
Taxpayer Identification Number {TIN)
Enter your TIN in the appropriate box. The TIN provided must mateh the name given on line 1 ta avoid [ Social security number
backup withholding, For individuals, this is generally your social security number (GSN). However, for a
resident allen, sole proprietor, or disregarded entity, see the instructions for Part J, later, For other 7 -
entities, it is your employer identification number (EIN). If you do not have a number, see How to get a
or
TIN, later.
Employer Identitication number
Note: If the account is in more than one name, see the instructions for IIne 1. See also What Name and
Number To Give the Requester for guidelines on whose number to enter. 217/-[4]/5/9/8)6]6]4
Certification
Under penalties of perjury, | certify that:
1. The number shawn on this form Is my correct taxpayer identification number (or | am walting for a number to be Issued to me); and
2.1am nat subject to backup withholding bacause (a) | am exempt from backup withholding, or (b) | 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
3.1am a U.S. cltizan or other U.S. person (defined below); and
4. The FATCA code(s) enterad on this form (if any) indicating that | am exempt from FATCA reporting Is correct.
Gertification instructions. You must cross out item 2 above if you have been nolifled by the IRS that you ara currently subject to backup withholding
because you have falled to repart 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 sign the cextification, but you must provide your correct TIN. Ses the instructtons for Part li, later,
Sign
Here sake NO UNO ncahl cee ow O8 (A (BOSS
General Instructions New line 3b has been added to this form, A flow-through entity is
required to complete this lina to Indicate that it has direct or indirect
Section references are to the Internal Revenue Code unless otherwise foreign partners, owners, or beneficiaries when It provides the Form W-9
noted. to anather flow-through entity in which It has an ownership interest. This
Future developments, For the latest informailon about developments change Is Intended to provide a flow-through entity with information
related to Form W-9 and its Instructions, such as legislation enacted ragarding the status of its indlrect foreign partners, owners, or
after they were published, go to www.irs.gov/FormW9. beneficiaries, so that It can satisfy any applicable reporting
requirements. For example, a partnarship that has any Indirect forelgn
What’s New partners may be required to complete Schadules K-2 and K-3, Sea the
Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
Line 3a has been modified to clarify how a disregarded entity completes
this tine, An LLC that Is a disregarded entity shauld check the Purpose of Form
appropriate box for the tax classification of its owner, Otherwise, It
shauld chack the “LLG” box and enter its appropriate tax classification. An individual or entity (Form W-9 requester} who Is required to file an
information return with the IFS Is giving you this form because they
Cat, No, 10281X Form W-9 Rev, 38-2024)