Please wait
Exhibit
(a)(1)(B)
LETTER OF
TRANSMITTAL
To Tender Shares of Common
Stock
of
BURGER KING HOLDINGS, INC., a
Delaware corporation
at
$24.00 NET PER SHARE
Pursuant to the Offer to
Purchase dated September 16, 2010
by
BLUE ACQUISITION SUB, INC., a
Delaware corporation
a direct wholly-owned
subsidiary of
BLUE ACQUISITION HOLDING
CORPORATION, a Delaware
corporation
THE OFFER AND WITHDRAWAL RIGHTS
WILL EXPIRE AT MIDNIGHT, NEW YORK CITY TIME, ON OCTOBER 14,
2010, UNLESS THE OFFER IS EXTENDED OR EARLIER
TERMINATED.
The Depositary for the Tender Offer is:
BNY MELLON SHAREOWNER
SERVICES
| |
|
|
|
|
|
By Registered or Certified Mail:
|
|
By Facsimile Transmission:
|
|
By Overnight Courier:
|
|
|
|
(For Eligible Institutions Only)
|
|
|
BNY Mellon Shareowner Services
Corporate Action Department
P.O. Box 3301
South Hackensack, NJ 07606
|
|
(201) 680-4626
Confirm Facsimile by Telephone:
(201) 680-4860
(For Confirmation Only)
|
|
BNY Mellon Shareowner Services
Corporate Action Department
27th Floor
480 Washington Blvd.
Jersey City, NJ 07310
|
Delivery of this Letter of Transmittal to an address other
than as set forth above or transmission of this Letter of
Transmittal via facsimile to a number other than as set forth
above will not constitute a valid delivery to the Depositary.
You must sign this Letter of Transmittal in the appropriate
space provided therefor below, with signature guaranteed, if
required, and complete the IRS
Form W-9
included in this Letter of Transmittal, if required. The
instructions set forth in this Letter of Transmittal should be
read carefully before this Letter of Transmittal is
completed.
| |
|
|
|
|
|
|
|
|
|
|
DESCRIPTION OF SHARES
TENDERED
|
|
|
|
|
|
|
|
Shares Tendered
|
|
|
|
Name(s) and Address(es) of Registered Holder(s)
|
|
|
|
(Please fill in, if blank, exactly as name(s) appear(s) on
|
|
|
|
|
Share Certificate(s))
|
|
|
(Attach additional signed list, if necessary)
|
|
|
|
|
|
|
|
Total Number
|
|
|
|
|
|
|
|
|
|
|
of Shares
|
|
|
|
|
|
|
|
Share
|
|
|
Represented by
|
|
|
Total Number
|
|
|
|
|
Certificate
|
|
|
Share
|
|
|
of Shares
|
|
|
|
|
Number(s)(1)
|
|
|
Certificate(s)(1)
|
|
|
Tendered(2)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Shares
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) Need not be completed by stockholders tendering by
book-entry transfer.
|
|
(2) Unless a lower number of Shares to be tendered is
otherwise indicated, it will be assumed that all Shares
described above are being tendered. See Instruction 4.
|
|
|
|
|
|
|
|
|
|
|
|
The Offer (as defined below) is not being made to (nor will
tender of Shares (as defined below) be accepted from or on
behalf of) stockholders in any jurisdiction where it would be
illegal to do so.
This Letter of Transmittal is to be used by stockholders of
Burger King Holdings, Inc. (which we refer to as “Burger
King”) if certificates for Shares (which we refer to as
“Share Certificates”) are to be forwarded herewith or
if delivery of Shares is to be made by book-entry transfer to an
account maintained by the Depositary at DTC (pursuant to the
procedures set forth in Section 3 of the Offer to Purchase).
Stockholders whose Share Certificates are not immediately
available, or who cannot complete the procedure for book-entry
transfer on a timely basis, or who cannot deliver all other
required documents to the Depositary prior to the Expiration
Date (as defined in Section 1 of the Offer to Purchase),
must tender their Shares according to the guaranteed delivery
procedure set forth in Section 3 of the Offer to Purchase
in order to participate in the Offer. See Instruction 2.
Delivery of documents to DTC does not constitute
delivery to the Depositary.
Additional
Information if Shares Have Been Lost, Are Being Delivered
By Book-Entry Transfer, or Are
Being Delivered Pursuant to a Previous Notice of Guaranteed
Delivery
If any Share Certificate(s) you are tendering with this Letter
of Transmittal has been lost, stolen, destroyed or mutilated,
then you should contact The Bank of New York Mellon, as transfer
agent (which we refer to as the “Transfer Agent”), at
(800) 524-4458,
regarding the requirements for replacement. You may be required
to post a bond to secure against the risk that the Share
Certificate(s) may be subsequently recirculated. You are
urged to contact the Transfer Agent immediately in order to
receive further instructions, for a determination of whether you
will need to post a bond and to permit timely processing of this
documentation. See Instruction 11.
| |
|
|
|
o
|
|
CHECK HERE IF TENDERED SHARES ARE BEING DELIVERED BY BOOK-ENTRY
TRANSFER MADE TO AN ACCOUNT MAINTAINED BY THE DEPOSITARY WITH
DTC AND COMPLETE THE FOLLOWING (NOTE THAT ONLY FINANCIAL
INSTITUTIONS THAT ARE PARTICIPANTS IN THE SYSTEM OF DTC MAY
DELIVER SHARES BY BOOK-ENTRY TRANSFER):
|
|
|
|
|
|
|
|
Name of Tendering Institution:
|
|
|
|
|
|
|
|
DTC Account Number:
|
|
|
|
|
|
|
|
Transaction Code Number:
|
|
|
|
|
|
o
|
|
CHECK HERE IF TENDERED SHARES ARE BEING DELIVERED PURSUANT TO A
NOTICE OF GUARANTEED DELIVERY PREVIOUSLY SENT TO THE DEPOSITARY
AND COMPLETE THE FOLLOWING:
|
|
|
|
|
|
|
|
Name(s) of Tendering Stockholder(s):
|
|
|
|
|
|
|
|
Window Ticket Number (if any):
|
|
|
|
|
|
|
|
Date of Execution of Notice of Guaranteed Delivery:
|
|
|
|
|
|
|
|
Name of Eligible Institution that Guaranteed Delivery:
|
2
NOTE:
SIGNATURES MUST BE PROVIDED BELOW.
PLEASE READ ACCOMPANYING INSTRUCTIONS CAREFULLY.
Ladies and Gentlemen:
The undersigned hereby tenders to Blue Acquisition Sub, Inc, a
Delaware corporation (which we refer to as the
“Purchaser”) and a direct wholly-owned subsidiary of
Blue Acquisition Holding Corporation, a Delaware corporation
(which we refer to as “Parent”), the above described
shares of common stock, par value $0.01 per share (which we
refer to as “Shares”), of Burger King Holdings, Inc.,
a Delaware corporation (which we refer to as “Burger
King”), pursuant to Purchaser’s offer to purchase all
outstanding Shares, at a purchase price of $24.00 per share, net
to the tendering stockholder in cash (which we refer to as the
“Offer Price”), without interest and less any required
withholding taxes, upon the terms and subject to the conditions
set forth in the Offer to Purchase dated September 16, 2010
(as it may be amended or supplemented from time to time, what we
refer to as the “Offer to Purchase”), receipt of which
is hereby acknowledged, and in this Letter of Transmittal (as it
may be amended or supplemented from time to time, what we refer
to as this “Letter of Transmittal” and, together with
the Offer to Purchase, what we refer to as the
“Offer”).
Upon the terms and subject to the conditions of the Offer (and
if the Offer is extended or amended, the terms and conditions of
any such extension or amendment) and subject to, and effective
upon, acceptance for payment of Shares validly tendered herewith
and not properly withdrawn prior to the Expiration Date in
accordance with the terms of the Offer, the undersigned hereby
sells, assigns and transfers to or upon the order of Purchaser
all right, title and interest in and to all Shares that are
being tendered hereby (and any and all dividends, distributions,
rights, other Shares or other securities issued or issuable in
respect thereof on or after September 16, 2010 (which we
refer to collectively as “Distributions”)) and
irrevocably constitutes and appoints BNY Mellon Shareowner
Services (which we refer to as the “Depositary”) the
true and lawful agent and attorney-in-fact of the undersigned
with respect to such Shares (and any and all Distributions),
with full power of substitution (such power of attorney being
deemed to be an irrevocable power coupled with an interest in
the Shares tendered by this Letter of Transmittal), to
(i) deliver Share Certificates for such Shares (and any and
all Distributions) or transfer ownership of such Shares (and any
and all Distributions) on the account books maintained by the
DTC, together, in any such case, with all accompanying evidences
of transfer and authenticity, to or upon the order of Purchaser,
(ii) present such Shares (and any and all Distributions)
for transfer on the books of Burger King and (iii) receive
all benefits and otherwise exercise all rights of beneficial
ownership of such Shares (and any and all Distributions), all in
accordance with the terms and subject to the conditions of the
Offer.
By executing this Letter of Transmittal, the undersigned hereby
irrevocably appoints Alexandre Behring Costa and Daniel
Schwartz, and any other designees of Purchaser, and each of
them, as attorneys-in-fact and proxies of the undersigned, each
with full power of substitution, (i) to vote at any annual
or special meeting of Burger King’s stockholders or any
adjournment or postponement thereof or otherwise in such manner
as each such attorney-in-fact and proxy or its, his or her
substitute shall in its, his or her sole discretion deem proper
with respect to, (ii) to execute any written consent
concerning any matter as each such attorney-in-fact and proxy or
its, his or her substitute shall in its, his or her sole
discretion deem proper with respect to and (iii) to
otherwise act as each such attorney-in-fact and proxy or its,
his or her substitute shall in its, his or her sole discretion
deem proper with respect to, all Shares (and any and all
Distributions) tendered hereby and accepted for payment by
Purchaser. This appointment will be effective if and when, and
only to the extent that, Purchaser accepts such Shares for
payment pursuant to the Offer. This power of attorney and proxy
are irrevocable and are granted in consideration of the
acceptance for payment of such Shares in accordance with the
terms of the Offer. Such acceptance for payment shall, without
further action, revoke any prior powers of attorney and proxies
granted by the undersigned at any time with respect to such
Shares (and any and all Distributions), and no subsequent powers
of attorney, proxies, consents or revocations may be given by
the undersigned with respect thereto (and, if given, will not be
deemed effective). Purchaser reserves the right to require that,
in order for Shares to be deemed validly tendered, immediately
upon Purchaser’s acceptance for payment of such Shares,
Purchaser or its designees must be able to exercise full voting,
consent and other rights with respect to such Shares (and any
and all Distributions), including voting at any meeting of
Burger King’s stockholders.
The undersigned hereby represents and warrants that the
undersigned has full power and authority to tender, sell, assign
and transfer any and all Shares tendered hereby (and any and all
Distributions) and that, when the same are accepted for payment
by Purchaser, Purchaser will acquire good, marketable and
unencumbered title to such Shares (and any and all
Distributions), free and clear of all liens, restrictions,
charges and encumbrances, and the same will not be
3
subject to any adverse claims. The undersigned hereby represents
and warrants that the undersigned is the registered owner of the
Shares, or the Share Certificate(s) have been endorsed to the
undersigned in blank, or the undersigned is a participant in DTC
whose name appears on a security position listing as the owner
of the Shares. The undersigned will, upon request, execute and
deliver any additional documents deemed by the Depositary or
Purchaser to be necessary or desirable to complete the sale,
assignment and transfer of any and all Shares tendered hereby
(and any and all Distributions). In addition, the undersigned
shall promptly remit and transfer to the Depositary for the
account of Purchaser all Distributions in respect of any and all
Shares tendered hereby, accompanied by appropriate documentation
of transfer, and, pending such remittance and transfer or
appropriate assurance thereof, Purchaser shall be entitled to
all rights and privileges as owner of each such Distribution and
may deduct from the purchase price of Shares tendered hereby the
amount or value of such Distribution as determined by Purchaser
in its sole discretion.
All authority herein conferred or agreed to be conferred shall
not be affected by, and shall survive, the death or incapacity
of the undersigned, and any obligation of the undersigned
hereunder shall be binding upon the heirs, executors,
administrators, personal representatives, trustees in
bankruptcy, successors and assigns of the undersigned. Except as
stated in the Offer to Purchase, this tender is irrevocable.
The undersigned hereby acknowledges that delivery of any Share
Certificate shall be effected, and risk of loss and title to
such Share Certificate shall pass, only upon the proper delivery
of such Share Certificate to the Depositary.
The undersigned understands that the valid tender of Shares
pursuant to any of the procedures described in the Offer to
Purchase and in the Instructions hereto will constitute the
undersigned’s acceptance of the terms and conditions of the
Offer. Purchaser’s acceptance of such Shares for payment
will constitute a binding agreement between the undersigned and
Purchaser upon the terms and subject to the conditions of the
Offer (and if the Offer is extended or amended, the terms of or
the conditions of any such extension or amendment).
Unless otherwise indicated under “Special Payment
Instructions,” please issue the check for the purchase
price of all of Shares purchased and, if appropriate, return any
Share Certificates not tendered or accepted for payment in the
name(s) of the registered holder(s) appearing above under
“Description of Shares Tendered.” Similarly,
unless otherwise indicated under “Special Delivery
Instructions,” please mail the check for the purchase price
of all Shares purchased and, if appropriate, return any Share
Certificates not tendered or not accepted for payment (and any
accompanying documents, as appropriate) to the address(es) of
the registered holder(s) appearing above under “Description
of Shares Tendered.” In the event that the boxes
entitled “Special Payment Instructions” and
“Special Delivery Instructions” are both completed,
please issue the check for the purchase price of all Shares
purchased and, if appropriate, return any Share Certificates not
tendered or not accepted for payment (and any accompanying
documents, as appropriate) in the name(s) of, and deliver such
check and, if appropriate, return any such Share Certificates
(and any accompanying documents, as appropriate) to, the
person(s) so indicated. Unless otherwise indicated herein in the
box entitled “Special Payment Instructions,” please
credit any Shares tendered herewith by book-entry transfer that
are not accepted for payment by crediting the account at DTC.
The undersigned recognizes that Purchaser has no obligation,
pursuant to the “Special Payment Instructions,” to
transfer any Shares from the name of the registered holder
thereof if Purchaser does not accept for payment any of such
Shares so tendered.
LOST CERTIFICATES: PLEASE CALL THE BANK OF NEW YORK MELLON AT 1
(800) 524-4458
TO OBTAIN NECESSARY DOCUMENTS TO REPLACE YOUR LOST SHARE
CERTIFICATES.
4
SPECIAL PAYMENT INSTRUCTIONS
(See Instructions 1, 5, 6 and 7)
To be completed ONLY if the check for the purchase price of
Shares accepted for payment
and/or Share
Certificates not tendered or not accepted for payment are to be
issued in the name of someone other than the undersigned.
Issue o Check
and/or o
Share Certificates to:
(Please Print)
(Include Zip Code)
(Taxpayer Identification or
Social Security No.)
(Also Complete IRS
Form W-9
Included Herein)
SPECIAL DELIVERY INSTRUCTIONS
(See Instructions 1, 5, 6 and 7)
To be completed ONLY if the check for the purchase price of
Shares accepted for payment
and/or Share
Certificates not tendered or not accepted are to be mailed to
someone other than the undersigned or to the undersigned at an
address other than that shown above.
Mail o Check
and/or o
Share Certificates to:
(Please Print)
(Include Zip Code)
(Taxpayer Identification or
Social Security No.)
(Also Complete IRS
Form W-9
Included Herein)
5
IMPORTANT
STOCKHOLDER: SIGN HERE
(PLEASE COMPLETE AND RETURN THE IRS
FORM W-9
INCLUDED IN THIS LETTER OF TRANSMITTAL OR AN APPLICABLE IRS
FORM W-8)
Signature(s) of Holder(s) of
Shares
Dated:
, 2010
(Please Print)
|
|
| Capacity (full title) (See Instruction 5) |
|
(Include Zip Code)
|
|
| Area Code and Telephone No. |
|
|
|
| Tax Identification or Social Security No. (See IRS Form W-9 included herein) |
|
Must be signed by registered holder(s) exactly as name(s)
appear(s) on Share Certificate(s) or on a security position
listing or by person(s) authorized to become registered
holder(s) by Share Certificates and documents transmitted
herewith. If signature is by a trustee, executor, administrator,
guardian, attorney-in-fact, agent, officer of a corporation or
other person acting in a fiduciary or representative capacity,
please set forth full title and see Instruction 5.
GUARANTEE
OF SIGNATURE(S)
(IF REQUIRED — SEE INSTRUCTIONS 1 AND
5)
(Include Zip Code)
|
|
| Area Code and Telephone No. |
|
Dated:
, 2010
6
INSTRUCTIONS
FORMING PART OF THE TERMS AND CONDITIONS OF THE
OFFER
1. Guarantee of Signatures. No signature
guarantee is required on this Letter of Transmittal (a) if
this Letter of Transmittal is signed by the registered holder(s)
(which term, for purposes of this Instruction 1, includes
any participant in DTC’s systems whose name(s) appear(s) on
a security position listing as the owner(s) of Shares) of Shares
tendered herewith, unless such registered holder(s) has
completed either the box entitled “Special Payment
Instructions” or the box entitled “Special Delivery
Instructions” on the Letter of Transmittal or (b) if
such Shares are tendered for the account of a financial
institution (including most commercial banks, savings and loan
associations and brokerage houses) that is a participant in the
Securities Transfer Agents Medallion Program or by any other
“eligible guarantor institution,” as such term is
defined in
Rule 17Ad-15
under the United States Securities Exchange Act, as amended
(each, what we refer to as an “Eligible Institution”).
In all other cases, all signatures on this Letter of Transmittal
must be guaranteed by an Eligible Institution. See
Instruction 5.
2. Requirements of Tender. This Letter of
Transmittal is to be completed if Share Certificates are to be
forwarded herewith or, unless an Agent’s Message (as
defined below) is utilized, if tenders are to be made pursuant
to the procedure for tender by book-entry transfer set forth in
Section 3 of the Offer to Purchase. Share Certificates
evidencing tendered Shares, or timely confirmation of a
book-entry transfer of Shares (which we refer to as a
“Book-Entry Confirmation”) into the Depositary’s
account at DTC, as well as this Letter of Transmittal (or a
manually signed facsimile hereof), properly completed and duly
executed, with any required signature guarantees, or an
Agent’s Message in connection with a book-entry transfer,
and any other documents required by this Letter of Transmittal,
must be received by the Depositary at one of its addresses set
forth herein prior to the Expiration Date (as defined in
Section 1 of the Offer to Purchase). Stockholders whose
Share Certificates are not immediately available, or who cannot
complete the procedure for delivery by book-entry transfer on a
timely basis or who cannot deliver all other required documents
to the Depositary prior to the Expiration Date, may tender their
Shares by properly completing and duly executing a Notice of
Guaranteed Delivery pursuant to the guaranteed delivery
procedure set forth in Section 3 of the Offer to Purchase.
Pursuant to such procedure: (i) such tender must be made by
or through an Eligible Institution; (ii) a properly
completed and duly executed Notice of Guaranteed Delivery,
substantially in the form made available by Purchaser, must be
received by the Depositary prior to the Expiration Date; and
(iii) Share Certificates (or a Book-Entry Confirmation)
evidencing all tendered Shares, in proper form for transfer, in
each case together with this Letter of Transmittal (or a
manually signed facsimile hereof), properly completed and duly
executed, with any required signature guarantees (or, in the
case of a book-entry delivery, an Agent’s Message) and any
other documents required by this Letter of Transmittal, must be
received by the Depositary within two (2) New York Stock
Exchange trading days after the date of execution of such Notice
of Guaranteed Delivery. If Share Certificates are forwarded
separately to the Depositary, a properly completed and duly
executed Letter of Transmittal must accompany each such delivery.
The term “Agent’s Message” means a message,
transmitted by DTC to, and received by, the Depositary and
forming part of a Book-Entry Confirmation, which states that DTC
has received an express acknowledgment from the participant in
DTC tendering the Shares which are the subject of such
Book-Entry Confirmation that such participant has received and
agrees to be bound by the terms of this Letter of Transmittal
and that Purchaser may enforce such agreement against the
participant.
The method of delivery of this Letter of Transmittal, Share
Certificates and all other required documents, including
delivery through DTC, is at the election and the risk of the
tendering stockholder and the delivery of all such documents
will be deemed made (and the risk of loss and title to Share
Certificates will pass) only when actually received by the
Depositary (including, in the case of Book-Entry Transfer, by
Book-Entry Confirmation). If delivery is by mail, registered
mail with return receipt requested, properly insured, is
recommended. In all cases, sufficient time should be allowed to
ensure timely delivery prior to the expiration of the Offer.
Purchaser will not accept any alternative, conditional or
contingent tenders, and no fractional Shares will be purchased.
By executing this Letter of Transmittal (or facsimile thereof),
the tendering stockholder waives any right to receive any notice
of the acceptance for payment of Shares.
3. Inadequate Space. If the space
provided herein is inadequate, Share Certificate numbers, the
number of Shares represented by such Share Certificates
and/or the
number of Shares tendered should be listed on a signed separate
schedule attached hereto.
7
4. Partial Tenders (Not Applicable to Stockholders who
Tender by Book-Entry Transfer). If fewer than all
Shares represented by any Share Certificate delivered to the
Depositary are to be tendered, fill in the number of Shares
which are to be tendered in the box entitled “Total Number
of Shares Tendered.” In such case, a new certificate
for the remainder of Shares represented by the old certificate
will be sent to the person(s) signing this Letter of
Transmittal, unless otherwise provided in the appropriate box on
this Letter of Transmittal, as promptly as practicable following
the expiration or termination of the Offer. All Shares
represented by Share Certificates delivered to the Depositary
will be deemed to have been tendered unless otherwise indicated.
5. Signatures on Letter of Transmittal; Stock Powers and
Endorsements.
(a) Exact Signatures. If this Letter of
Transmittal is signed by the registered holder(s) of Shares
tendered hereby, then the signature(s) must correspond with the
name(s) as written on the face of such Share Certificates for
such Shares without alteration, enlargement or any change
whatsoever.
(b) Holders. If any Shares tendered
hereby are held of record by two or more persons, then all such
persons must sign this Letter of Transmittal.
(c) Different Names on Share
Certificates. If any Shares tendered hereby are
registered in different names on different Share Certificates,
then it will be necessary to complete, sign and submit as many
separate Letters of Transmittal as there are different
registrations of Share Certificates.
(d) Endorsements. If this Letter of
Transmittal is signed by the registered holder(s) of Shares
tendered hereby, then no endorsements of Share Certificates for
such Shares or separate stock powers are required unless payment
of the purchase price is to be made, or Shares not tendered or
not purchased are to be returned, in the name of any person
other than the registered holder(s). Signatures on any such
Share Certificates or stock powers must be guaranteed by an
Eligible Institution.
If this Letter of Transmittal is signed by a person other than
the registered holder(s) of Shares tendered hereby, then such
Share Certificates for such Shares must be endorsed or
accompanied by appropriate stock powers, in either case, signed
exactly as the name(s) of the registered holder(s) appear(s) on
such Share Certificates for such Shares. Signature(s) on any
such Share Certificates or stock powers must be guaranteed by an
Eligible Institution. See Instruction 1.
If this Letter of Transmittal or any Share Certificate or stock
power is signed by a trustee, executor, administrator, guardian,
attorney-in-fact, officer of a corporation or other legal entity
or other person acting in a fiduciary or representative
capacity, then such person should so indicate when signing, and
proper evidence satisfactory to the Depositary of the authority
of such person so to act must be submitted.
6. Stock Transfer Taxes. Except as
otherwise provided in this Instruction 6, Purchaser or any
successor entity thereto will pay all stock transfer taxes with
respect to the transfer and sale of any Shares to it or its
order pursuant to the Offer (for the avoidance of doubt,
transfer taxes do not include United States federal income tax
or backup withholding taxes). If, however, payment of the
purchase price is to be made to, or if Share Certificate(s) for
Shares not tendered or not accepted for payment are to be
registered in the name of, any person(s) other than the
registered holder(s), or if tendered Share Certificate(s) are
registered in the name of any person(s) other than the person(s)
signing this Letter of Transmittal, then the amount of any stock
transfer taxes or other taxes required by reason of the payment
to a person other than the registered holder(s) of such Share
Certificate (in each case whether imposed on the registered
holder(s) or such other person(s)) payable on account of the
transfer to such other person(s) will be deducted from the
purchase price of such Shares purchased unless evidence
satisfactory to Purchaser of the payment of such taxes, or
exemption therefrom, is submitted.
Except as provided in this Instruction 6, it will not be
necessary for transfer tax stamps to be affixed to Share
Certificate(s) evidencing the Shares tendered hereby.
7. Special Payment and Delivery
Instructions. If a check is to be issued for the
purchase price of any Shares tendered by the Letter of
Transmittal in the name of, and, if appropriate, Share
Certificates for Shares not tendered or not accepted for payment
are to be issued or returned to, any person(s) other than the
signer of this Letter of Transmittal or if a check and, if
appropriate, such Share Certificates are to be returned to any
person(s) other than the person(s) signing this Letter of
Transmittal or to an address other than that shown in this
Letter of Transmittal, then the appropriate boxes on this Letter
of Transmittal must be completed.
8
8. IRS
Form W-9. To
avoid backup withholding, a tendering stockholder that is a
United States person (as defined for United States federal
income tax purposes) is required to provide the Depositary with
a correct Taxpayer Identification Number (which we refer to as
“TIN”) on IRS
Form W-9,
which is included herein following “Important Tax
Information” below, and to certify, under penalties of
perjury, that such number is correct and that such stockholder
is not subject to backup withholding of federal income tax, and
that such stockholder is a United States person (as defined for
United States federal income tax purposes). If the tendering
stockholder has been notified by the United States Internal
Revenue Service (which we refer to as “IRS”) that such
stockholder is subject to backup withholding, such stockholder
must cross out item (2) of the Certification section of the
IRS
Form W-9,
unless such stockholder has since been notified by the IRS that
such stockholder is no longer subject to backup withholding.
Failure to provide the information on the IRS
Form W-9
may subject the tendering stockholder to federal income tax
withholding on the payment of the purchase price of all Shares
purchased from such stockholder. If the tendering stockholder
has not been issued a TIN and has applied for one or intends to
apply for one in the near future, such stockholder should write
“Applied For” in the space for the TIN on the IRS
Form W-9,
sign and date the IRS
Form W-9
and sign and date the Certificate of Awaiting Taxpayer
Identification Number under “Important Tax
Information” below. If you write “Applied For” in
the space for the TIN and the Depositary is not provided with a
TIN by the time of payment, the Depositary will withhold a
portion of all payments of the purchase price to such
stockholder until a TIN is provided to the Depositary.
Certain stockholders (including, among others, all corporations
and certain foreign individuals and entities) may not be subject
to backup withholding. Foreign stockholders that are not United
States persons (as defined for United States federal income tax
purposes) should submit an appropriate and properly completed
applicable IRS
Form W-8,
a copy of which may be obtained from the Depositary, in order to
avoid backup withholding. Such stockholders should consult a tax
advisor to determine which
Form W-8
is appropriate. See the instructions enclosed with the IRS
Form W-9
included in this Letter of Transmittal for more instructions.
9. Irregularities. All questions as to
purchase price, the form of documents and the validity,
eligibility (including, without limitation, time of receipt) and
acceptance for payment of any tender of Shares will be
determined by Purchaser in its sole discretion, which
determinations shall be final and binding on all parties.
Purchaser reserves the absolute right to reject any or all
tenders of Shares it determines not to be in proper form or the
acceptance of which or payment for which may, in the opinion of
Purchaser, be unlawful. Purchaser also reserves the absolute
right to waive any of the conditions of the Offer (other than
the Minimum Condition (as defined in the Offer to Purchase),
which may only be waived with the consent of Burger King) and
any defect or irregularity in the tender of any particular
Shares, and Purchaser’s interpretation of the terms of the
Offer (including, without limitation, these instructions), will
be final and binding on all parties. No tender of Shares will be
deemed to be properly made until all defects and irregularities
have been cured or waived. Unless waived, any defects or
irregularities in connection with tenders must be cured within
such time as Purchaser shall determine. None of Purchaser, the
Depositary, the Information Agent (as the foregoing are defined
in the Offer to Purchase) or any other person is or will be
obligated to give notice of any defects or irregularities in
tenders, and none of them will incur any liability for failure
to give any such notice.
10. Requests for Additional
Copies. Questions or requests for assistance may
be directed to the Information Agent at its address and
telephone number set forth below or to your broker, dealer,
commercial bank or trust company. Additional copies of the Offer
to Purchase, this Letter of Transmittal, the Notice of
Guaranteed Delivery and other tender offer materials may be
obtained from the Information Agent as set forth below, and will
be furnished at Purchaser’s expense.
11. Lost, Destroyed or Stolen
Certificates. If any Share Certificate
representing Shares has been lost, destroyed or stolen, then the
stockholder should promptly notify the Transfer Agent at
(800) 524-4458.
The stockholder will then be instructed as to the steps that
must be taken in order to replace such Share Certificate(s).
This Letter of Transmittal and related documents cannot be
processed until the procedures for replacing lost, destroyed or
stolen Share Certificates have been followed.
This Letter of Transmittal, properly completed and duly
executed, together with Share Certificates representing Shares
being tendered (or confirmation of book-entry transfer) and all
other required documents, must be received before Midnight, New
York City time, on the Expiration Date, or the tendering
stockholder must comply with the procedures for guaranteed
delivery.
9
IMPORTANT
TAX INFORMATION
Under United States federal income tax law, a stockholder who is
a United States person (as defined for United States federal
income tax purposes) surrendering Shares must, unless an
exemption applies, provide the Depositary (as payer) with the
stockholder’s correct TIN on IRS
Form W-9,
a copy of which is included in this Letter of Transmittal. If
the stockholder is an individual, then the stockholder’s
TIN is such stockholder’s Social Security number. If the
correct TIN is not provided, then the stockholder may be subject
to a $50.00 penalty imposed by the IRS and payments of cash to
the stockholder (or other payee) pursuant to the Offer may be
subject to backup withholding of a portion of all payments of
the purchase price.
Certain stockholders (including, among others, corporations and
certain foreign individuals and entities) may not be subject to
backup withholding and reporting requirements. In order for an
exempt foreign stockholder to avoid backup withholding, such
person should complete, sign and submit an appropriate IRS
Form W-8
signed under penalties of perjury, attesting to his, her or its
exempt status. An IRS
Form W-8
can be obtained from the Depositary. Such stockholders should
consult a tax advisor to determine which IRS
Form W-8
is appropriate. Exempt stockholders, other than foreign
stockholders, should furnish their TIN, check the “Exempt
payee” box on the IRS
Form W-9
and sign, date and return the IRS
Form W-9
to the Depositary in order to avoid erroneous backup
withholding. See the instructions enclosed with the IRS
Form W-9
included in this Letter of Transmittal for additional
instructions.
If backup withholding applies, the Depositary is required to
withhold and pay over to the IRS a portion (currently, 28%) of
any payment made to a stockholder. Backup withholding is not an
additional tax. Rather, the United States federal income tax
liability of persons subject to backup withholding will be
reduced by the amount of tax withheld. If backup withholding
results in an overpayment of taxes, a refund may be obtained
from the IRS if required information is timely furnished to the
IRS.
Purpose
of IRS
Form W-9
To prevent backup withholding on payments that are made to a
stockholder that is a United States person with respect to
Shares purchased pursuant to the Offer, the stockholder is
required to notify the Depositary of the stockholder’s
correct TIN by completing the IRS
Form W-9
included in this Letter of Transmittal certifying that
(1) the TIN provided on the IRS
Form W-9
is correct (or that such stockholder is awaiting a TIN),
(2) the stockholder is not subject to backup withholding
because (i) the stockholder is exempt from backup
withholding, (ii) the stockholder has not been notified by
the IRS that the stockholder is subject to backup withholding as
a result of a failure to report all interest and dividends or
(iii) the IRS has notified the stockholder that the
stockholder is no longer subject to backup withholding, and
(3) the stockholder is a United States person (as defined
for United States federal income tax purposes). The following
section, entitled “What Number to Give the
Depository,” is applicable only to stockholders that are
United States persons.
What
Number to Give the Depositary
The tendering stockholder is required to give the Depositary the
TIN, generally the Social Security number or employer
identification number, of the record holder of all Shares
tendered hereby. If such Shares are in more than one name or are
not in the name of the actual owner, consult the instructions
enclosed with the IRS
Form W-9
included in this Letter of Transmittal for additional guidance
on which number to report. If the tendering stockholder has not
been issued a TIN and has applied for a number or intends to
apply for a number in the near future, such stockholder should
write “Applied For” in the space for the TIN on the
IRS
Form W-9,
sign and date the IRS
Form W-9
and sign and date the Certificate of Awaiting Taxpayer
Identification Number below. If the tendering stockholder
writes “Applied For” in the space for the TIN and the
Depositary is not provided with a TIN by the time of payment,
the Depositary will withhold a portion of all payments of the
purchase price, which will be refunded if a TIN is provided to
the Depositary within sixty (60) days of the
Depositary’s receipt of the Certificate of Awaiting
Taxpayer Identification Number. If the Depositary is
provided with an incorrect TIN in connection with such payments,
then the stockholder may be subject to a $50.00 penalty imposed
by the IRS.
10
NOTE: FAILURE TO COMPLETE AND RETURN THE IRS
FORM W-9
INCLUDED IN THIS LETTER OF TRANSMITTAL MAY RESULT IN BACKUP
WITHHOLDING OF A PORTION OF ANY PAYMENTS MADE TO YOU PURSUANT TO
THE OFFER. PLEASE REVIEW THE ENCLOSED INSTRUCTIONS ENCLOSED
WITH THE IRS
FORM W-9
INCLUDED IN THIS LETTER OF TRANSMITTAL FOR ADDITIONAL DETAILS.
YOU MUST COMPLETE THE FOLLOWING CERTIFICATE IF YOU WROTE
“APPLIED FOR” IN THE SPACE FOR THE TIN ON THE IRS
FORM W-9.
CERTIFICATE OF AWAITING TAXPAYER IDENTIFICATION NUMBER
I certify under penalties of perjury that a taxpayer
identification number has not been issued to me, and either
(1) I have mailed or delivered an application to receive a
taxpayer identification number to the appropriate IRS Center or
Social Security Administration Office, or (2) I intend to
mail or deliver an application in the near future. I understand
that if I do not provide a taxpayer identification number by the
time of payment, a portion of all reportable payments made to me
will be withheld, but that such amounts will be refunded to me
if I then provide a Taxpayer Identification Number within sixty
(60) days.
| |
|
|
|
|
|
|
|
|
|
|
|
Form W-9
|
|
|
|
|
|
|
(Rev. October
2007)
|
|
|
|
|
|
|
|
|
Give
form to the
|
Department of the
Treasury
|
|
|
Request
for Taxpayer
|
|
|
requester.
Do not
|
|
Internal Revenue
Service
|
|
|
Identification
Number and Certification
|
|
|
send
to the IRS.
|
|
Print or type
See Specific Instructions on page 2.
|
|
Name (as shown on your income tax return)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Business name, if different from above
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Check appropriate box:
o
Individual/Sole
proprietor o
Corporation o
Partnership
o
Limited liability company. Enter the tax classification
(D=disregarded entity, C=corporation, P=partnership) >_ _ _ _
_
o
Other (see instructions)
|
|
|
Exempt
o
payee
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Address (number, street, and apt. or suite no.)
|
|
|
Requester’s name and address (optional)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
City, state, and ZIP code
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
List account number(s) here (optional)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
Part I Taxpayer
Identification Number (TIN)
|
|
|
|
|
|
|
|
Enter your TIN in the appropriate box. The TIN provided must
match the name given on Line 1 to
avoid backup withholding. For individuals, this is 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 (EIN). If you do not have a number, see
How to get a TIN on page 3.
Note. If the account is in more than one name, see the
chart on page 4 for guidelines on whose
number to enter.
|
|
Social security number
or Employer Identification number
|
|
|
|
|
|
|
|
|
Part II Certification
|
|
|
|
|
|
|
|
|
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. 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 (defined
below).
|
|
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 interest
and dividends, you are not required to sign the Certification,
but you must provide your correct TIN. See the instructions on
page 4.
|
|
|
|
|
|
|
|
Sign
Here
|
|
|
Signature of
U.S. person >
|
|
Date >
|
|
|
|
|
|
|
|
General
Instructions
Section
references are to the Internal Revenue Code unless otherwise
noted.
Purpose
of Form
A
person who is required to file an information return with the
IRS must obtain your correct taxpayer identification number
(TIN) to report, for example, income paid to you, real estate
transactions, mortgage interest you paid, acquisition or
abandonment of secured property, cancellation of debt, or
contributions you made to an IRA.
Use
Form W-9
only if you are a U.S. person (including a resident alien), to
provide your correct TIN to the person requesting it (the
requester) and, when applicable, to:
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.
Note.
If a requester gives you a form other than
Form W-9
to request your TIN, you must use the requester’s form if
it is substantially similar to this
Form W-9.
Definition
of a U.S. person.
For
federal tax purposes, you are considered a U.S. person if you
are:
• An
individual who is a U.S. citizen or U.S. resident alien,
• A
partnership, corporation, company, or association created or
organized in the United States or under the laws of the United
States,
• An
estate (other than a foreign estate), or
• A
domestic trust (as defined in Regulations
section 301.7701-7).
Special
rules for
partnerships.
Partnerships that conduct a trade or business in the United
States are generally required to pay a withholding tax on any
foreign partners’ share of income from such business.
Further, in certain cases where a
Form W-9
has not been received, a partnership is required to presume that
a partner is a foreign person, and pay the withholding tax.
Therefore, if you are a U.S. person that is a partner in a
partnership conducting a trade or business in the United States,
provide
Form W-9
to the partnership to establish your U.S. status and avoid
withholding on your share of partnership income.
The
person who gives
Form W-9
to the partnership for purposes of establishing its U.S. status
and avoiding withholding on its allocable share of net income
from the partnership conducting a trade or business in the
United States is in the following cases:
• The
U.S. owner of a disregarded entity and not the entity,
|
|
| Cat.
No. 10231X
|
Form
W-9
(Rev. 10-2007)
|
|
|
| Form W-9
(Rev. 10-2007)
|
Page 2 |
• The
U.S. grantor or other owner of a grantor trust and not the
trust, and
• The
U.S. trust (other than a grantor trust) and not the
beneficiaries of the trust.
Foreign
person.
If you are a foreign person, do not use
Form W-9.
Instead, use the appropriate
Form W-8
(see Publication 515, Withholding of Tax on Nonresident Aliens
and Foreign Entities).
Nonresident
alien who becomes a resident
alien.
Generally, only a nonresident alien individual may use the terms
of a tax treaty to reduce or eliminate U.S. tax on certain types
of income. However, most tax treaties contain a provision known
as a “saving clause.” Exceptions specified in the
saving clause may permit an exemption from tax to continue for
certain types of income even after the payee has otherwise
become a U.S. resident alien for tax purposes.
If
you are a U.S. resident alien who is relying on an exception
contained in the saving clause of a tax treaty to claim an
exemption from U.S. tax on certain types of income, you must
attach a statement to
Form W-9
that specifies the following five items:
1. The
treaty country. Generally, this must be the same treaty under
which you claimed exemption from tax as a nonresident alien.
2. The
treaty article addressing the income.
3. The
article number (or location) in the tax treaty that contains the
saving clause and its exceptions.
4. The
type and amount of income that qualifies for the exemption from
tax.
5. Sufficient
facts to justify the exemption from tax under the terms of the
treaty article.
Example.
Article 20 of the
U.S.-China
income tax treaty allows an exemption from tax for scholarship
income received by a Chinese student temporarily present in the
United States. Under U.S. law, this student will become a
resident alien for tax purposes if his or her stay in the United
States exceeds 5 calendar years. However, paragraph 2 of
the first Protocol to the
U.S.-China
treaty (dated April 30, 1984) allows the provisions of
Article 20 to continue to apply even after the Chinese
student becomes a resident alien of the United States. A Chinese
student who qualifies for this exception (under paragraph 2
of the first protocol) and is relying on this exception to claim
an exemption from tax on his or her scholarship or fellowship
income would attach to
Form W-9
a statement that includes the information described above to
support that exemption.
If
you are a nonresident alien or a foreign entity not subject to
backup withholding, give the requester the appropriate completed
Form W-8.
What
is backup
withholding?
Persons making certain payments to you must under certain
conditions withhold and pay to the IRS 28% of such payments.
This is called “backup withholding.” Payments that may
be subject to backup withholding include interest, tax-exempt
interest, dividends, broker and barter exchange transactions,
rents, royalties, nonemployee pay, and certain payments from
fishing boat operators. Real estate transactions are not subject
to backup withholding.
You
will not be subject to backup withholding on payments you
receive if you give the requester your correct TIN, make the
proper certifications, and report all your taxable interest and
dividends on your tax return.
Payments
you receive will be subject to backup withholding if:
1. You
do not furnish your TIN to the requester,
2. You
do not certify your TIN when required (see the Part II
instructions on page 3 for details),
3. The
IRS tells the requester that you furnished an incorrect TIN,
4. The
IRS tells you that you are subject to backup withholding because
you did not report all your interest and dividends on your tax
return (for reportable interest and dividends only), or
5. You
do not certify to the requester that you are not subject to
backup withholding under 4 above (for reportable interest and
dividend accounts opened after 1983 only).
Certain
payees and payments are exempt from backup withholding. See the
instructions below and the separate Instructions for the
Requester of
Form W-9.
Also
see Special rules for partnerships on page 1.
Penalties
Failure
to furnish TIN.
If
you fail to furnish your correct TIN to a requester, you are
subject to a penalty of $50 for each such failure unless your
failure is due to reasonable cause and not to willful neglect.
Civil
penalty for false information with respect to withholding.
If
you make a false statement with no reasonable basis that results
in no backup withholding, you are subject to a $500 penalty.
Criminal
penalty for falsifying information.
Willfully
falsifying certifications or affirmations may subject you to
criminal penalties including fines
and/or
imprisonment.
Misuse
of TINs.
If
the requester discloses or uses TINs in violation of federal
law, the requester may be subject to civil and criminal
penalties.
Specific
Instructions
Name
If
you are an individual, you must generally enter the name shown
on your income tax return. However, if you have changed your
last name, for instance, due to marriage without informing the
Social Security Administration of the name change, enter your
first name, the last name shown on your social security card,
and your new last name.
If
the account is in joint names, list first, and then circle, the
name of the person or entity whose number you entered in
Part I of the form.
Sole
proprietor. Enter your individual name as shown on your
income tax return on the “Name” line. You may enter
your business, trade, or “doing business as (DBA)”
name on the “Business name” line.
Limited
liability company (LLC). Check the “Limited liability
company” box only and enter the appropriate code for the
tax classification (“D” for disregarded entity,
“C” for corporation, “P” for partnership) in
the space provided.
For
a single-member LLC (including a foreign LLC with a domestic
owner) that is disregarded as an entity separate from its owner
under Regulations
section 301.7701-3,
enter the owner’s name on the “Name” line. Enter
the LLC’s name on the “Business name” line.
For
an LLC classified as a partnership or a corporation, enter the
LLC’s name on the “Name” line and any business,
trade, or DBA name on the “Business name” line.
Other
entities.
Enter your business name as shown on required federal tax
documents on the “Name” line. This name should match
the name shown on the charter or other legal document creating
the entity. You may enter any business, trade, or DBA name on
the “Business name” line.
Note.
You are requested to check the appropriate box for your status
(individual/sole proprietor, corporation, etc.).
Exempt
Payee
If
you are exempt from backup withholding, enter your name as
described above and check the appropriate box for your status,
then check the “Exempt payee” box in the line
following the business name, sign and date the form.
|
|
| Form W-9
(Rev. 10-2007)
|
Page 3 |
Generally,
individuals (including sole proprietors) are not exempt from
backup withholding. Corporations are exempt from backup
withholding for certain payments, such as interest and dividends.
Note.
If you are exempt from backup withholding, you should still
complete this form to avoid possible erroneous backup
withholding.
The
following payees are exempt from backup withholding:
1. An
organization exempt from tax under section 501(a), any IRA,
or a custodial account under section 403(b)(7) if the
account satisfies the requirements of section 401(f)(2),
2. The
United States or any of its agencies or instrumentalities,
3. A
state, the District of Columbia, a possession of the United
States, or any of their political subdivisions or
instrumentalities,
4. A
foreign government or any of its political subdivisions,
agencies, or instrumentalities, or
5. An
international organization or any of its agencies or
instrumentalities.
Other
payees that may be exempt from backup withholding include:
6. A
corporation,
7. A
foreign central bank of issue,
8. A
dealer in securities or commodities required to register in the
United States, the District of Columbia, or a possession of the
United States,
9. A
futures commission merchant registered with the Commodity
Futures Trading Commission,
10. A
real estate investment trust,
11. An
entity registered at all times during the tax year under the
Investment Company Act of 1940,
12. A
common trust fund operated by a bank under section 584(a),
13. A
financial institution,
14. A
middleman known in the investment community as a nominee or
custodian, or
15. A
trust exempt from tax under section 664 or described in
section 4947.
The
chart below shows types of payments that may be exempt from
backup withholding. The chart applies to the exempt payees
listed above, 1 through 15.
| |
|
|
IF the payment is
for . . .
|
|
THEN the payment
is exempt for . . .
|
|
Interest and dividend payments
|
|
All exempt payees except for 9
|
|
|
|
|
|
Broker transactions
|
|
Exempt payees 1 through 13. Also, a person registered under the
investment Advisers Act of 1940 who regularly acts as a broker
|
|
|
|
|
|
Barter exchange transactions and patronage dividends
|
|
Exempt payees 1 through 5
|
|
|
|
|
|
Payments over $600 required to be reported and direct sales over
$5,000 1
|
|
Generally, exempt payees 1 through 7
2
|
|
|
|
|
1See
Form 1099-MISC,
Miscellaneous Income, and its instructions.
2However,
the following payments made to a corporation (including gross
proceeds paid to an attorney under section 6045(f), even if
the attorney is a corporation) and reportable on
Form 1099-MISC
are not exempt from backup withholding: medical and health care
payments, attorneys’ fees, and payments for services paid
by a federal executive agency.
Part I.
Taxpayer Identification Number (TIN)
Enter
your TIN in the appropriate box.
If
you are a resident alien and you do not have and are not
eligible to get an SSN, your TIN is your IRS individual taxpayer
identification number (ITIN). Enter it in the social security
number box. If you do not have an ITIN, see How to get a TIN
below.
If
you are a sole proprietor and you have an EIN, you may enter
either your SSN or EIN. However, the IRS prefers that you use
your SSN.
If
you are a single-member LLC that is disregarded as an entity
separate from its owner (see Limited liability company
(LLC) on page 2), enter the owner’s SSN (or
EIN, if the owner has one). Do not enter the disregarded
entity’s EIN. If the LLC is classified as a corporation or
partnership, enter the entity’s EIN.
Note.
See the chart on page 4 for further clarification of name
and TIN combinations.
How
to get a
TIN.
If you do not have a TIN, apply for one immediately. To apply
for an SSN, get
Form SS-5,
Application for a Social Security Card, from your local Social
Security Administration office or get this form online at
www.ssa.gov. You may also get this form by calling
1-800-772-1213.
Use
Form W-7,
Application for IRS Individual Taxpayer Identification Number,
to apply for an ITIN, or
Form SS-4,
Application for Employer Identification Number, to apply for an
EIN. You can apply for an EIN online by accessing the IRS
website at www.irs.gov/businesses and clicking on
Employer Identification Number (EIN) under Starting a Business.
You can get
Forms W-7
and SS-4 from the IRS by visiting www.irs.gov or by
calling 1-800-TAX-FORM
(1-800-829-3676).
If
you are asked to complete
Form W-9
but do not have a TIN, write “Applied For” in the
space for the TIN, sign and date the form, and give it to the
requester. For interest and dividend payments, and certain
payments made with respect to readily tradable instruments,
generally you will have 60 days to get a TIN and give it to
the requester before you are subject to backup withholding on
payments. The
60-day rule
does not apply to other types of payments. You will be subject
to backup withholding on all such payments until you provide
your TIN to the requester.
Note.
Entering “Applied For” means that you have already
applied for a TIN or that you intend to apply for one soon.
Caution:
A
disregarded domestic entity that has a foreign owner must use
the appropriate
Form W-8.
Part II.
Certification
To
establish to the withholding agent that you are a U.S. person,
or resident alien, sign
Form W-9.
You may be requested to sign by the withholding agent even if
items 1, 4, and 5 below indicate otherwise.
For
a joint account, only the person whose TIN is shown in
Part I should sign (when required). Exempt payees, see
Exempt Payee on page 3.
Signature
requirements.
Complete the certification as indicated in 1 through 5 below.
1. Interest,
dividend, and barter exchange accounts opened before 1984 and
broker accounts considered active during 1983.
You
must give your correct TIN, but you do not have to sign the
certification.
2. Interest,
dividend, broker, and barter exchange accounts opened after 1983
and broker accounts considered inactive during 1983.
You
must sign the certification or backup withholding will apply. If
you are subject to backup withholding and you are merely
providing your correct TIN to the requester, you must cross out
item 2 in the certification before signing the form.
|
|
| Form W-9
(Rev. 10-2007)
|
Page 4 |
3. Real
estate transactions.
You
must sign the certification. You may cross out item 2 of
the certification.
4. Other
payments.
You
must give your correct TIN, but you do not have to sign the
certification unless you have been notified that you have
previously given an incorrect TIN. “Other payments”
include payments made in the course of the requester’s
trade or business for rents, royalties, goods (other than bills
for merchandise), medical and health care services (including
payments to corporations), payments to a nonemployee for
services, payments to certain fishing boat crew members and
fishermen, and gross proceeds paid to attorneys (including
payments to corporations).
5. Mortgage
interest paid by you, acquisition or abandonment of secured
property, cancellation of debt, qualified tuition program
payments (under section 529), IRA, Coverdell ESA, Archer
MSA or HSA contributions or distributions, and pension
distributions.
You
must give your correct TIN, but you do not have to sign the
certification.
| |
|
|
|
|
|
|
What Name and
Number To Give the Requester
|
|
For this type of
account:
|
|
|
Give name and SSN
of:
|
|
1.
|
|
Individual
|
|
|
The individual
|
|
2.
|
|
Two or more individuals (joint account)
|
|
|
The actual owner of the account or, if combined funds, the first
individual on the account
1
|
|
3.
|
|
Custodian account of a minor (Uniform Gift to Minors Act)
|
|
|
The minor
2
|
|
4.
|
|
a. The usual revocable savings trust (grantor is also trustee)
|
|
|
The grantor-trustee
1
|
|
|
|
b. So-called trust account that is not a legal or valid trust
under state law
|
|
|
The actual owner
1
|
|
5.
|
|
Sole proprietorship or disregarded entity owned by an individual
|
|
|
The owner
3
|
|
|
|
|
|
|
|
|
For this type of account:
|
|
|
Give name and EIN of:
|
|
|
|
|
|
|
|
|
6.
|
|
Disregarded entity not owned by an individual
|
|
|
The owner
|
|
7.
|
|
A valid trust, estate, or pension trust
|
|
|
Legal entity
4
|
|
8.
|
|
Corporate or LLC electing corporate status on Form 8832
|
|
|
The corporation
|
|
9.
|
|
Association, club, religious, charitable, educational, or other
tax-exempt organization
|
|
|
The organization
|
|
10.
|
|
Partnership or multi-member LLC
|
|
|
The partnership
|
|
11.
|
|
A broker or registered nominee
|
|
|
The broker or nominee
|
|
12.
|
|
Account with the Department of Agriculture in the name of a
public entity (such as a state or local government, school
district, or prison) that receives agricultural program payments
|
|
|
The public entity
|
|
|
|
|
|
|
|
1List
first and circle the name of the person whose number you
furnish. If only one person on a joint account has an SSN, that
person’s number must be furnished.
2Circle
the minor’s name and furnish the minor’s SSN.
3You
must show your individual name and you may also enter your
business or “DBA” name on the second line. You may use
either your SSN or EIN (if you have one), but the IRS encourages
you to use your SSN.
4List
first and circle the name of the trust, estate, or pension
trust. (Do not furnish the TIN of the personal representative or
trustee unless the legal entity itself is not designated in the
account title.) Also see Special rules for partnerships
on page 1.
Note.
If no name is circled when more than one name is listed, the
number will be considered to be that of the first name listed.
Secure
Your Tax Records from Identity Theft
Identity
theft occurs when someone uses your personal information such as
your name, social security number (SSN), or other identifying
information, without your permission, to commit fraud or other
crimes. An identity thief may use your SSN to get a job or may
file a tax return using your SSN to receive a refund.
To
reduce your risk:
• Protect
your SSN,
• Ensure
your employer is protecting your SSN, and
• Be
careful when choosing a tax preparer.
Call
the IRS at
1-800-829-1040
if you think your identity has been used inappropriately for tax
purposes.
Victims
of identity theft who are experiencing economic harm or a system
problem, or are seeking help in resolving tax problems that have
not been resolved through normal channels, may be eligible for
Taxpayer Advocate Service (TAS) assistance. You can reach TAS by
calling the TAS toll-free case intake line at 1-877-777-4778 or
TTY/TDD
1-800-829-4059.
Protect
yourself from suspicious emails or phishing schemes.
Phishing is the creation and use of email and websites
designed to mimic legitimate business emails and websites. The
most common act is sending an email to a user falsely claiming
to be an established legitimate enterprise in an attempt to scam
the user into surrendering private information that will be used
for identity theft.
The
IRS does not initiate contacts with taxpayers via emails. Also,
the IRS does not request personal detailed information through
email or ask taxpayers for the PIN numbers, passwords, or
similar secret access information for their credit card, bank,
or other financial accounts.
If
you receive an unsolicited email claiming to be from the IRS,
forward this message to phishing@irs.gov. You may also
report misuse of the IRS name, logo, or other IRS personal
property to the Treasury Inspector General for Tax
Administration at
1-800-366-4484.
You can forward suspicious emails to the Federal Trade
Commission at: spam@uce.gov or contact them at
www.consumer.gov/idtheft or
1-877-IDTHEFT(438-4338).
Visit
the IRS website at www.irs.gov to learn more about
identity theft and how to reduce your risk.
Privacy Act
Notice
Section 6109
of the Internal Revenue Code requires you to provide your
correct TIN to persons who must file information returns with
the IRS to report interest, dividends, and certain other income
paid to you, mortgage interest you paid, the acquisition or
abandonment of secured property, cancellation of debt, or
contributions you made to an IRA, or Archer MSA or HSA. The IRS
uses the numbers for identification purposes and to help verify
the accuracy of your tax return. The IRS may also provide this
information to the Department of Justice for civil and criminal
litigation, and to cities, states, the District of Columbia, and
U.S. possessions to carry out their tax laws. We may also
disclose this information to other countries under a tax treaty,
to federal and state agencies to enforce federal nontax criminal
laws, or to federal law enforcement and intelligence agencies to
combat terrorism.
You
must provide your TIN whether or not you are required to file a
tax return. Payers must generally withhold 28% of taxable
interest, dividend, and certain other payments to a payee who
does not give a TIN to a payer. Certain penalties may also apply.
The Depositary
for the Offer is:
BNY
MELLON SHAREOWNER SERVICES
| |
|
|
|
|
|
By Registered or Certified Mail:
|
|
By Facsimile Transmission:
|
|
By Overnight Courier:
|
|
|
|
(For Eligible Institutions Only)
|
|
|
|
BNY Mellon Shareowner Services
|
|
|
|
BNY Mellon Shareowner Services
|
|
Corporate Action Department
|
|
(201) 680-4626
|
|
Corporate Action Department
|
|
P.O. Box 3301
|
|
|
|
27th Floor
|
|
South Hackensack, NJ 07606
|
|
Confirm Facsimile by Telephone:
|
|
480 Washington Blvd.
|
|
|
|
(201) 680-4860
|
|
Jersey City, NJ 07310
|
|
|
|
(For Confirmation Only)
|
|
|
Questions or requests for assistance may be directed to the
Information Agent at the address and telephone numbers listed
below. Additional copies of the Offer to Purchase, this Letter
of Transmittal and the Notice of Guaranteed Delivery may also be
obtained from the Information Agent. Stockholders may also
contact their broker, dealer, commercial bank or trust company
for assistance concerning the tender offer.
The
Information Agent for the Offer is:
D.F.
King & Co., Inc.
48
Wall Street, 22nd Floor
New York, New York 10005
Banks and Brokers Call Collect:
(212) 269-5550
All Others Call Toll-Free:
(800) 714-3313
Email: tender@dfking.com