Form W'.

9 f Request for Taxpayer I Give

requester. Do not
Form to the
Rev. December2014)
DeparTment of the Treasury
Identification Number and Certification I send to the IRS.
Internal Revenue Service
-
I
1 Name (as shown on your income tax return). Name is required on lOis joe; 00 not leave this line blank.
Cummins Caribbean, LLC
('I
2 Business nameldsregarded entity name. it different from acove
a
at
is

____________________
0
3 Check appropriate box for federal tax classification, check only one of the following seven boxes: 4 Exemptions (codes apply only to
caftan entities, not individuals, see
todividualisolo proprietor Cr D C Corporation S Corporation fl
Partnership D Trust/estate inStruCtiOO5 on page 3):
a sngte-memDer LLC
ExemPt payee code {t any)
[] Limited liability company. Enter the tax classification (CC corporation. SS corporation, P=partnorship)

_________
,

Exemption from FATCA reporting

2 Note. For a single -member LuG that is disregarded, do not check LLC: check the appropriate box in toe line above for
- the tax classification of the single-member owner, code (it any)

____________________
fl Other (see instructions) e 4wws I ccwrrsiwi,rwi.roi.ee'. uS
5 Address (number. street, and apt. or suite no.) Requester's name and address (optional)
0
Carr 888 Marginal, PR 165 KM 2.5
U,
6 City, state, and ZIP code I
Cataño, PR 00962
7 List account number(s) here (optonal)

I!jJI Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate oox. The TIN provided must match the name given on ne ito avoid Social Security number I
backup withholding. For individuals, this is generally your social security number (SSN>. However, for a
resident alien, sole proprietor, or disregarded entity. see the Part I instructions on page 3. For other - -

entities, it is your employer identification number (ElN). If you do not have a number, see b-low to get a

___________
_______
______________
TIN on page 3. or
Employer identification number
Note. If the account is in more than one name, see the instructions for line 1 and the chart ort page 4 for
guidelines on whose number to enter.
6 6 -0 7 112 5 2 4

Under penalties of perlury, I certify that:

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
2. I 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
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
no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defned oelow); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross Out item 2 above if you have been notified by the IRS tfat you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax return. For real estate transactions. tem 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 certificaton, but you must provide your correct TIN. See the
instructions on page 3.
S Signateof
i)// Date

Form 1098 rome mortgage interest), 1098-E (student loan interest). 1098-T
General Instructions ¯

(tuition)
Section references are to the Internal Revenue Code unless otherwise noted. ¯ Form 1 099-C (canceled debt)
Future developments. Information about developments affecting Form W-9 isucft ¯ Form 1 099-A (acquisition or abandonment ot secured property)
as legislation enacted after we release it) is at www.irs.gov/1w9.
Use Form W-9 only it you are a U.S. person (including a resident alien), to
Purpose of Form provide your correct TIN.

An individual or entity (Form W-9 requester) who is required to file an information If you do riot return Form W.9 to the requester with a TiN, you mght be subject
return with the IRS must obtain your correct taxpayer identification number (TIN) to backup withholding. See What is backup withholding? on page 2.
which may be your social security number (SSN(. irtdividual taxpayer identification By signing the tilted -out form, you:
number (lTlN(, adoption taxpayer identification number (ATlNl, or employer 1. Certify that the TIN you are giving is correct (or you are waiting for a number
identification number (ElN), to report on an afomiation return the amount paid to to be issued),
you, or Other amount reportable on an information return. Examples of information
returns include, but are not limited to, the following' 2. Certify that you are not subject to backup withholding, cc
¯ Form 1 099 -tNT (interest earnedor polo) 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If
applicable, you a.'e also certifyng that as a U.S. person, your allocable share of
¯ Form 1099 -DIV (dividenos. incluoing those from stocks or mutual tunes) any pannership income from a U.S. trade or business is not subiect to the
¯ Form 1099-MISC (various types of income, prizes, awards, or gross proceedsi withholding tax on foreign partners' share of effectively connected income, and
¯ Form 1099-B (stock or mutual fund sales and certain other transactions by 4. Certify that FATCA code(s) entered on this form )if any) ndicatirig triat you are
brokers) exempt from toe FATCA reporting, is correct. See What is FATCA reporting? on
¯ Form 1099-S (proceeds from real estate transactions) page 2 for further information.
¯ Form t099 -K jmerchant care and tnrd party network transactional

Cat. No. 10231X Form W-9 (Rev. 12-2014)