Common use of FFI Clause in Contracts

FFI. Registered deemed-compliant FFI (other than a reporting Model 1 FFI, sponsored FFI, or nonreporting IGA FFI covered in Part XII). See instructions. Sponsored FFI. Complete Part IV. Certified deemed-compliant nonregistering local bank. Complete Part V. Certified deemed-compliant FFI with only low-value accounts. Complete Part VI. Certified deemed-compliant sponsored, closely held investment vehicle. Complete Part VII. Certified deemed-compliant limited life debt investment entity. Complete Part VIII. Certain investment entities that do not maintain financial accounts. Complete Part IX. Owner-documented FFI. Complete Part X. Restricted distributor. Complete Part XI. Nonreporting IGA FFI. Complete Part XII. Foreign government, government of a U.S. possession, or foreign central bank of issue. Complete Part XIII. International organization. Complete Part XIV. Exempt retirement plans. Complete Part XV. Entity wholly owned by exempt beneficial owners. Complete Part XVI. Territory financial institution. Complete Part XVII. Excepted nonfinancial group entity. Complete Part XVIII. Excepted nonfinancial start-up company. Complete Part XIX. Excepted nonfinancial entity in liquidation or bankruptcy. Complete Part XX. 501(c) organization. Complete Part XXI. Nonprofit organization. Complete Part XXII. Publicly traded NFFE or NFFE affiliate of a publicly traded corporation. Complete Part XXIII. Excepted territory NFFE. Complete Part XXIV. Active NFFE. Complete Part XXV. Passive NFFE. Complete Part XXVI. Excepted inter-affiliate FFI. Complete Part XXVII. Direct reporting NFFE. Sponsored direct reporting NFFE. Complete Part XXVIII. Account that is not a financial account. 6 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address). City or town, state or province. Include postal code where appropriate. Country

FFI. Registered deemed-compliant FFI (other than a reporting Model 1 FFI, sponsored FFI, or nonreporting IGA FFI covered in Part XII). See instructions. Sponsored FFI. Complete Part IV. Certified deemed-compliant nonregistering local bank. Complete Part V. Certified deemed-compliant FFI with only low-value accounts. Complete Part VI. Certified deemed-compliant sponsored, closely held investment vehicle. Complete Part VII. Certified deemed-compliant limited life debt investment entity. Complete Part VIII. Certain investment entities that do not maintain financial accounts. Complete Part IX. Owner-documented FFI. Complete Part X. Restricted distributor. Complete Part XI. Nonreporting IGA FFI. Complete Part XII. Foreign government, government of a U.S. possession, or foreign central bank of issue. Complete Part XIII. International organization. Complete Part XIV. Exempt retirement plans. Complete Part XV. Entity wholly owned by exempt beneficial owners. Complete Part XVI. Territory financial institution. Complete Part XVII. Excepted nonfinancial group entity. Complete Part XVIII. Excepted nonfinancial start-up company. Complete Part XIX. Excepted nonfinancial entity in liquidation or bankruptcy. Complete Part XX. 501(c) organization. Complete Part XXI. Nonprofit organization. Complete Part XXII. Publicly traded NFFE or NFFE affiliate of a publicly traded corporation. Complete Part XXIII. Excepted territory NFFE. Complete Part XXIV. Active NFFE. Complete Part XXV. Passive NFFE. Complete Part XXVI. Excepted inter-affiliate FFI. Complete Part XXVII. Direct reporting NFFE. Sponsored direct reporting NFFE. Complete Part XXVIII. ✔ Account that is not a financial account. 6 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address). 6956 Xxxxx St E City or town, state or province. Include postal code where appropriate. Xxxxx-Xxxxxxx, Quebec, H1P 3C1 Country Canada 7 Mailing address (if different from above) City or town, state or province. Include postal code where appropriate. Country

FFI. Registered deemed-compliant FFI (other than a reporting Model 1 FFI, sponsored FFI, or nonreporting IGA FFI covered in Part XII). See instructions. Sponsored FFI. Complete Part IV. Certified deemed-compliant nonregistering local bank. Complete Part V. Certified deemed-compliant FFI with only low-value accounts. Complete Part VI. Certified deemed-compliant sponsored, closely held investment vehicle. Complete Part VII. Certified deemed-compliant limited compliantlimited life debt investment entity. Complete Part VIII. Certain investment entities that do not maintain financial accounts. Complete Part IX. Owner-documented FFI. Complete Part X. Restricted distributor. Complete Part XI. Nonreporting IGA FFI. Complete Part XII. Foreign government, government of a U.S. possession, or foreign central bank of issue. Complete Part XIII. International organization. Complete Part XIV. Exempt retirement plans. Complete Part XV. Entity wholly owned by exempt beneficial owners. Complete Part XVI. Territory financial institution. Complete Part XVII. Excepted nonfinancial group entity. Complete Part XVIII. Excepted nonfinancial start-up company. Complete Part XIX. Excepted nonfinancial entity in liquidation or bankruptcy. Complete Part XX. 501(c) organization. Complete Part XXI. Nonprofit organization. Complete Part XXII. Publicly traded NFFE or NFFE affiliate of a publicly traded corporation. Complete Part XXIII. Excepted territory NFFE. Complete Part XXIV. Active NFFE. Complete Part XXV. Passive NFFE. Complete Part XXVI. Excepted inter-affiliate FFI. Complete Part XXVII. Direct reporting NFFE. Sponsored direct reporting NFFE. Complete Part XXVIII. Account that is not a financial account. 6 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address). City or town, state or province. Include postal code where appropriate. Country

FFI. Registered deemed-compliant FFI (other than a reporting Model 1 FFI, sponsored FFI, or nonreporting IGA FFI covered in Part XIIXIX). See instructions. Sponsored FFITerritory financial institution. Complete Part IVV. Sponsored FFI (other than a certified deemed-compliant sponsored, closely held investment vehicle). Complete Part X. Certified deemed-compliant nonregistering local bank. Complete Part V. XII. Certified deemed-compliant FFI with only low-value accounts. Complete Part VIXIII. Certified deemed-compliant sponsored, closely held investment vehicle. Complete Part VIIXIV. Certified deemed-compliant limited life debt investment entity. Complete Part VIIIXV. Certain investment entities that do not maintain financial accounts. Complete Part IXXVI. Owner-documented FFI. Complete Part X. XI. Restricted distributor. Complete Part XIXVII. Foreign central bank of issue. Complete Part XVIII. Nonreporting IGA FFI. Complete Part XII. Foreign government, government of a U.S. possession, or foreign central bank of issue. Complete Part XIII. International organization. Complete Part XIVXIX. Exempt retirement plans. Complete Part XV. Entity wholly owned by exempt beneficial owners. Complete Part XVI. Territory financial institution. Complete Part XVIIXX. Excepted nonfinancial group entity. Complete Part XVIIIXXI. Excepted nonfinancial start-up company. Complete Part XIXXXII. Excepted nonfinancial entity in liquidation or bankruptcy. Complete Part XX. 501(c) organization. Complete Part XXI. Nonprofit organization. Complete Part XXIIXXIII. Publicly traded NFFE or NFFE affiliate of a publicly traded corporation. Complete Part XXIIIXXIV. Excepted territory NFFE. Complete Part XXIVXXV. Active NFFE. Complete Part XXVXXVI. Passive NFFE. Complete Part XXVI. Excepted inter-affiliate FFI. Complete Part XXVII. Direct reporting NFFE. Sponsored direct reporting NFFE. Complete Part XXVIII. Account that is not a financial account. 6 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address). City or town, state or province. Include postal code where appropriate. Country 7 Mailing address (if different from above) City or town, state or province. Include postal code where appropriate. Country

FFI. Registered deemed-compliant FFI (other than a reporting Model 1 FFI, FFI or sponsored FFI, or nonreporting IGA FFI covered in Part XIIthat has not obtained a GIIN). See instructions. Sponsored FFITerritory financial institution. Complete Part IVV. Sponsored FFI that has not obtained a GIIN (other than a certified deemed-compliant sponsored, closely held investment vehicle). Complete Part X. Certified deemed-compliant nonregistering local bank. Complete Part V. XII. Certified deemed-compliant FFI with only low-value accounts. Complete Part VIXIII. Certified deemed-compliant sponsored, closely held investment vehicle. Complete Part VIIXIV. Certified deemed-compliant limited life debt investment entity. Complete Part VIIIXV. Certain investment entities that do not maintain financial accountsWithholding foreign trust. Complete Part IXVII. Nonwithholding foreign partnership. Complete Part VIII. Nonwithholding foreign simple trust. Complete Part VIII. Nonwithholding foreign grantor trust. Complete Part VIII. Owner-documented FFI. Complete Part X. XI. Restricted distributor. Complete Part XIXVI. Foreign central bank of issue. Complete Part XVII. Nonreporting IGA FFI. Complete Part XII. Foreign government, government of a U.S. possession, or foreign central bank of issue. Complete Part XIII. International organization. Complete Part XIVXVIII. Exempt retirement plans. Complete Part XV. Entity wholly owned by exempt beneficial owners. Complete Part XVI. Territory financial institution. Complete Part XVIIXIX. Excepted nonfinancial group entity. Complete Part XVIIIXX. Excepted nonfinancial start-up company. Complete Part XIXXXI. Excepted nonfinancial entity in liquidation or bankruptcy. Complete Part XX. 501(c) organization. Complete Part XXI. Nonprofit organization. Complete Part XXII. Publicly traded NFFE or NFFE affiliate of a publicly traded corporation. Complete Part XXIII. Excepted territory NFFE. Complete Part XXIV. Active NFFE. Complete Part XXV. Passive NFFE. Complete Part XXVI. Excepted inter-affiliate FFI. Complete Part XXVII. Direct reporting NFFE. Sponsored direct reporting NFFE. Complete Part XXVIII. Account that is not a financial accountXXVII. 6 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address). City or town, state or province. Include postal code where appropriate. CountryCountry 7 Mailing address (if different from above) City or town, state or province. Include postal code where appropriate. Country 8 U.S.taxpayeridentificationnumber, if required a QI-EIN WP-EIN WT-EIN EIN SSN or ITIN 9 GIIN (if applicable) 10 Reference number(s) (see instructions) For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25402Q Form W-8IMY (Rev. 4-2014) Form W-8IMY (Rev. 4-2014) Page 2 Part II Disregarded Entity or Branch Receiving Payment. (Complete only if disregarded entity or branch of an FFI in a country other than the FFI's country of residence.)

FFI. Registered deemed-compliant FFI (other than a reporting Model 1 FFI, sponsored FFI, or nonreporting IGA FFI covered in Part XIIXIX). See instructions. Sponsored FFITerritory financial institution. Complete Part IVV. Sponsored FFI (other than a certified deemed-compliant sponsored, closely held investment vehicle). Complete Part X. Certified deemed-compliant nonregistering local bank. Complete Part V. XII. Certified deemed-compliant FFI with only low-value accounts. Complete Part VIXIII. Certified deemed-compliant sponsored, closely held investment vehicle. Complete Part VIIXIV. Certified deemed-compliant limited life debt investment entity. Complete Part VIIIXV. Certain Certified deemed-compliant investment entities that do not maintain financial accountsadvisors and investment managers. Complete Part IXXVI. Owner-documented FFI. Complete Part X. XI. Restricted distributor. Complete Part XIXVII. Foreign central bank of issue. Complete Part XVIII. Nonreporting IGA FFI. Complete Part XII. Foreign government, government of a U.S. possession, or foreign central bank of issue. Complete Part XIII. International organization. Complete Part XIVXIX. Exempt retirement plans. Complete Part XV. Entity wholly owned by exempt beneficial owners. Complete Part XVI. Territory financial institution. Complete Part XVIIXX. Excepted nonfinancial group entity. Complete Part XVIIIXXI. Excepted nonfinancial start-up company. Complete Part XIXXXII. Excepted nonfinancial entity in liquidation or bankruptcy. Complete Part XX. 501(c) organization. Complete Part XXI. Nonprofit organization. Complete Part XXIIXXIII. Publicly traded NFFE or NFFE affiliate of a publicly traded corporation. Complete Part XXIIIXXIV. Excepted territory NFFE. Complete Part XXIVXXV. Active NFFE. Complete Part XXVXXVI. Passive NFFE. Complete Part XXVI. Excepted inter-affiliate FFI. Complete Part XXVII. Direct reporting NFFE. Sponsored direct reporting NFFE. Complete Part XXVIII. Account that is not a financial account. 6 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address). City or town, state or province. Include postal code where appropriate. Country

FFI. □ Registered deemed-compliant FFI (other than a reporting Model 1 FFI, FFI or sponsored FFI, or nonreporting IGA FFI covered in Part XIIthat has not obtained a GIIN). See instructions. □ □ Sponsored FFIFFI that has not obtained a GIIN. Complete Part IV. Certified deemed-compliant nonregistering local bank. Complete Part V. Certified deemed-compliant FFI with only low-value accounts. □ Complete Part VI. □ Certified deemed-compliant sponsored, closely held investment vehicle. Complete Part VII. □ Certified deemed-compliant limited life debt investment entity. Complete Part VIII. Certain □ Certified deemed-compliant investment entities that do not maintain financial accountsadvisors and investment managers. Complete Part IX. □ Owner-documented FFI. Complete Part X. Restricted distributor. Complete Part XI. □ Nonreporting IGA FFIFFI (including an FFI treated as a registered deemed-compliant FFI under an applicable Model 2 IGA). Complete Part XII. XII.\ □ □ Foreign government, government of a U.S. possession, or foreign central bank of issue. Complete Part XIII. □ □ International organization. Complete Part XIV. Exempt retirement plans. Complete Part XV. □ Entity wholly owned by exempt beneficial owners. Complete Part XVI. □ □ Territory financial institution. Complete Part XVII. Excepted nonfinancial Nonfinancial group entity. Complete Part XVIII. □ Excepted nonfinancial start-up company. Complete Part XIX. Excepted nonfinancial entity in liquidation or bankruptcy. □ Complete Part XX. □ □ 501(c) organization. Complete Part XXI. Nonprofit organization. Complete Part XXII. □ Publicly traded NFFE or NFFE affiliate of a publicly traded corporation. Complete Part XXIII. □ □ Excepted territory NFFE. Complete Part XXIV. Active NFFE. Complete Part XXV. □ Passive NFFE. Complete Part XXVI. □ □ Excepted inter-affiliate FFI. Complete Part XXVII. Direct reporting NFFE. Sponsored direct reporting NFFE. Complete Part XXVIII. Account that is not a financial account. 6 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address). City or town, state or province. Include postal code where appropriate. Country

FFI. Registered deemed-compliant FFI (other than a reporting Model 1 FFI, FFI or sponsored FFI, or nonreporting IGA FFI covered in Part XIIthat has not obtained a GIIN). See instructions. Sponsored FFITerritory financial institution. Complete Part IVV. Sponsored FFI that has not obtained a GIIN (other than a certified deemed-compliant sponsored, closely held investment vehicle). Complete Part X. Certified deemed-compliant nonregistering local bank. Complete Part V. XII. Certified deemed-compliant FFI with only low-value accounts. Complete Part VIXIII. Certified deemed-compliant sponsored, closely held investment vehicle. Complete Part VIIXIV. Certified deemed-compliant limited life debt investment entity. Complete Part VIIIXV. Certain investment entities that do not maintain financial accountsWithholding foreign trust. Complete Part IXVII. Nonwithholding foreign partnership. Complete Part VIII. Nonwithholding foreign simple trust. Complete Part VIII. Nonwithholding foreign grantor trust. Complete Part VIII. Owner-documented FFI. Complete Part X. XI. Restricted distributor. Complete Part XIXVI. Foreign central bank of issue. Complete Part XVII. Nonreporting IGA FFI. Complete Part XII. Foreign government, government of a U.S. possession, or foreign central bank of issue. Complete Part XIII. International organization. Complete Part XIVXVIII. Exempt retirement plans. Complete Part XV. Entity wholly owned by exempt beneficial owners. Complete Part XVI. Territory financial institution. Complete Part XVIIXIX. Excepted nonfinancial group entity. Complete Part XVIIIXX. Excepted nonfinancial start-up company. Complete Part XIXXXI. Excepted nonfinancial entity in liquidation or bankruptcy. Complete Part XX. 501(c) organization. Complete Part XXI. Nonprofit organization. Complete Part XXII. Publicly traded NFFE or NFFE affiliate of a publicly traded corporation. Complete Part XXIII. Excepted territory NFFE. Complete Part XXIV. Active NFFE. Complete Part XXV. Passive NFFE. Complete Part XXVI. Excepted inter-affiliate FFI. Complete Part XXVII. Direct reporting NFFE. Sponsored direct reporting NFFE. Complete Part XXVIII. Account that is not a financial accountXXVII. 6 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address (other than a registered address). City or town, state or province. Include postal code where appropriate. Country 7 Mailing address (if different from above) City or town, state or province. Include postal code where appropriate. Country