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HomeMy WebLinkAboutNCS000258_Name-Owner Change Supporting Info (2)_20211001Delaware Page 1 The First State I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF DELAWARE, DO HEREBY CERTIFY THE ATTACHED IS A TRUE AND CORRECT COPY OF THE CERTIFICATE OF AMENDMENT OF "NEOSSANCE, LLC", CHANGING ITS NAME FROM "NEOSSANCE, LLC" TO "APRINNOVA, LLC", FILED IN THIS OFFICE ON THE TWENTY—NINTH DAY OF MARCH, A.D. 2017, AT .3:58 O'CLOCK P.M. 6216620 8100� SR# 20172114070 You may verify this certificate online at corp.delaware.gov/authver.shtml JatBsvY W. �utlor„@;, $aaxMery � $refs Authentication: 202302330 Date: 03-31-17 Delaware Page 1 The First State 1, JEFFREY W. BULLOCK, SECRETARY OF STATE' OF THE STATE OF LEGAL EXISTENCE SO FAR AS TRE RECORDS OF THIS OFFICE SHOW, AS OF I ASSESSED TO DATE. 6216620 8300 SR# 20172167213 You may verify this certificate online at corp.delaware.gov/authver.shtml JaP(rdgW. F1,sFi�r§.. ra��xq at �tul� Authentication: 202303956 Date: 03-31-17 Form W-9 Request for Taxpayer Give Form to the (Rev. December 20 Identification Number and Certification requester. Do not of Departmententof the Treasury send to the IRS. Internal Revenue Service 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Aprinnova, LLC N 2 Business name/disregarded entity name, if different from above a) rn ro C)- 3 Check appropriate box for federal tax classification; check only one of the following seven boxes: 4 Exemptions (codes apply only to c ° ❑ Individuaysole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate certain entities, not individuals; see instructions on page 3): y a c n C r single -member LLC ✓ Limited liability company. Enter the tax classification C=C corporation, S=S corporation, P= artnershi ► ❑ Y P Y• ( P P P P) C Exempt payee code (if any) `p Note. For a single -member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for Exemption from FATCA reporting the tax classification of the single -member owner. code (if any) C a ❑Other (see instructions) ► UNais le to accounts maintained outside the U.S.) E 5 Address (number, street, and apt. or suite no.) Requester's name and address (optional) V o. 2271 Andrew Jackson HWY NE 6 City, state, and ZIP code ar Leland, North Carolina 28451 7 List account number(s) here (optional) Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid social security number backup withholding. For individuals, this is generally your social security number ( page However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other - m - entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. or Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for guidelines on whose number to enter. Under penalties of perjury, I certify that: 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 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 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. 1 am a U.S. citizen or other U.S. person (defined below); 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 that 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, 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 intest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. / 1 Sign Signature of Here U.S. person ► J Date ► —f 7 n General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. Information about developments affecting Form W-9 (such as legislation enacted after we release it) is at www.irs.gov/fw9, Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following: • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding? on page 2. By signing the filled -out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S, person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting? on page 2 for further information. Cat. No. 10231X Form W-9 (Rev. 12-2014)