| | | THE OFFER WILL EXPIRE AT 11:59 P.M., NEW YORK CITY TIME, ON MAY 16, 2022, UNLESS EXTENDED BY THE COMPANY (SUCH TIME AND DATE, AS THE SAME MAY BE EXTENDED, THE “EXPIRATION DATE”). | | |
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Dated: , 2022 |
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SUBSTITUTE
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| | PART 1 — PLEASE PROVIDE YOUR TIN IN THE BOX AT RIGHT AND CERTIFY BY SIGNING AND DATING BELOW | | | Social Security Number or Employer Identification Number | |
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Form W-9
Department of the Treasury, Internal Revenue Service |
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| | Payer’s Request | | | PART 2 — CERTIFICATION. — Under penalties of perjury, I certify that: | | | | |
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For Taxpayer Identification Number (“TIN”)
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(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 failure to report all interest or dividends or (c) the IRS has notified me that I am no longer subject to backup withholding.
CERTIFICATION INSTRUCTION — You must cross out item (2) in Part 2 above if you have been notified by the IRS that you are subject to backup withholding because of underreporting interest or dividends on your tax returns. However, if after being notified by the IRS that you are subject to backup withholding, you received another notification from the IRS stating that you are no longer subject to backup withholding, do not cross out such item (2). If you are exempt from backup withholding, check the box in Part 4 below.
Part 3
Awaiting TIN ☐
Part 4
Exempt TIN ☐
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| | | | | Signature: | | | Date: | |
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Signature
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| | By Facsimile Transmission for | | | By Registered or Certified Mail: | | | By Hand Delivery or Overnight Courier: | |
| | Eligible Institutions Only: (212) 616-7610 | | | | | | | |
| | For Confirmation of Receipt Only: (212) 509-4000 ext. 536 | | | Continental Stock Transfer & Trust Company | | | Continental Stock Transfer & Trust Company | |
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1 State Street — 30th Floor
Attn: Reorg
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1 State Street — 30th Floor
Attn: Reorg
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| | | | | New York, New York 10004 | | | New York, New York 10004 | |