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Home My WebLink AboutBack-up - Ceres EnvironmentalForm _ [Rev. August2913j Department of theTruasury' Internal Revenue SEKVIC6 Request for Taxpayer kientifi tat Ott Number and Certifl (3i Give FDtt1 to the requester. Do not send to the IRS, Print cr type See Specific Instructions an page 2. Name (as sk rlwn en your tnet lit a [aX ratum) Ceres Environrnenta) Services, -Inc. ESuslraosetattmoldferwpan'ied entity name, if differert from above sapproprt rto box for federal tnx cIicatb m 0 indlvidtaaltsclapropykaor 0 C'Crtrp€eration El Scorporation Limrtsd ti tbirsiy ccirrr[',ahy. Enter that tax e:faasitic ation (G-C corporati . rothma (see tnatructlorrs) 6 r t.0 Partnership Trust/estate ortncrsi'sfp) F° �..,_._.__... Exemptions Exempt payea Exemption ctn3c (t any} (sae Ins #n:otionnk I from FATCA reporting Addrose. (xurn 4*t, etrai3t, .arid apt. or xui r1 J,) 25 85th Avenue North lieeyUaxtat`kt n R9me ar . address tQpt6oxa2I) City, state, and 1IP cods rc�oklyn Park, MN 55443 t t.acotD•u+t numbers} here (optionaI) :payer t(7eftUFTt:WtUE p urnuer Enter y°rxrttrT1 In the -appropriate box, The TIN provided must match the name glve#.1 is the "Name" Tine to avoid backup withholding. For ktdlviduals, this is your social security num4ler (SSN), However, for a resident atien, carte proprietor, or disregarded entity, see the Pert 1 instructione 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 nN an page 3. Note. if the account is in more than one haute, see live chart on page 4 for guidelines on whose number to enter. Certification 4 Under p n€sfi'ses of perjury, l certify that 1. The number shown on this form Is my correct taxpayer identification number (or I am 3v:al mbar to be issued to me), and 2. I am not subject to backup withholding because: (a) 1 am exempt from backup withholding, or )1 have not been notified by the Internal Revenue Service (IRS) that I am subject te' backup withholding es a result of a failure to report all Interes or dividends, or (o) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. citizen or other US. person (defined below), and 4. The FATCA code(s) entered on this form( if any) indicating that f am exempt from FATCA reportin Certification instructions. You must cruse out item 2 above if you have been notified by the IRS that you are ctrrrsrtly subject to backup withholding because you have failed to report ail 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, contribution, to'an individual retirement arrangement (IRA), and generally, payments other tttk t tterest and dividends, you not required to sign thec rYIeil1on but you must provide your correct TIN. See the instruction s en page 3, / f% Sign Nero General Instruc Section rater 06S are to th Internet Ravens Code unless otherwise future developments. The IRS has created a page on 1RS.gov for information about Form W.9, at wvr 'kxpov/w3, tnfor'mationabout any future developments affecting Form W-tt (such 2, legistation enacted after we release It) wltl be pasted on that page. Purpose of Form A person who Is required to filo an Information rat uraz with the IRS must obtain your correct taxpayer identification number (Till) to report, for example, income bard to you, payments made to you in settlement of payment card and third party network transactions, real estate transactices, rnortflago Interest you paid, acquisition or abandonment of accrued property.: cancellation of debt, or contributions you made to an IRA. Use form W9 only if you area U.S. person (including a: resident alien), to provide your correct 1114 to the porton requesting It (the requester) and, whorl applicable, to: 1, Certify that the Tin you aro giving is correct (or you are waitingfor a number fp be Issued), 2. t eriity that you are not subject to backup withholding, er 3. Clain examptiun from backup- withholding if you are a 1.1.E, exempt. payao. If applicable, you are also certifying that as a U.S. person, your: allocable share of any partnership Income (ram a U.S, trade er business is not subject to the g tax tan foreign partners" share $1 lfociivufy connected income. and tify that FATCA codalp) enteral on #his Form f l any) indicating that you are xempt from 1no FATCA reporting, Is come Note, If you are a U.S. person and a requester gives you a form other than Form N!•9 to request your TIN, you must usa the requoater's form it it is substantially similar to this Form 1N-9. nefinitfen of a ti$. parson. For federal tax purposes, you are considered aU:9. person if yeti are: r An individual who is a U.S. citizen or U;6. resident Oao, a A. partnership, corporation, company, or association created or or il24d fit -aloe United States or under the laws of the United States, r. An estate (other Than a foreign estate),. or r A, dornestic tnrnt (as defined. in. Regulations section 301,77Lat.7). Special rules for partnerships.. Partrtersh)a that conduct a trade or business In the United Statesaro: generally required to pay a withholding tax- under section 1446 on any foreign partners' share of offactivety connected taxable Income from such business. Further, in certain cases Where a Form W-9 hoe not been received, the rules under section 1446 regular a partnership to presume that a partner le a foreign person, and pay the section 1446 withholding tax. Therefore, it you am e U.S. parson that U a partner in a partnership conducting n trade or business in the United Stales, provide Form W9 to the partnership to establish your U.B. status and avoid section 1446 withholding on your share of partnership Income, - Gal No. 10231X Form W-9 (Rev.8.2di1S) State of Florida Department of State I certify from the records of this office that CERES ENVIRONMENTAL SERVICES, INC. is a Minnesota corporation authorized to transact business in the State of Florida, qualified on June 19, 1996. The document number of this corporation is F96000003145. I further certify that said corporation has paid all fees due this office through December 31, 2013, that its most recent annual report/uniform business report was filed on February 1, 2013, and its status is active. I further certify that said corporation has not filed a Certificate of Withdrawal. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this is the First day of February, 2013 1644. 04.0.4% Secretary of Authentication ID: CC6085072402 To authenticate this certificate,visit the following site,enter this ID, and then follow the instructions displayed. https://efile.sunbiz.orgicertauthver.html Detail by Entity Name Page 1 of 3 FLORIDA DEPARTMENT 'VISION OF ' Rr1.T Detail by Entity Name Foreign Profit Corporation CERES ENVIRONMENTAL SERVICES, INC. Filing Information Document Number F96000003145 FEI/EIN Number 411816075 Date Filed 06/19/1996 State MN Status ACTIVE Last Event REINSTATEMENT Event Date Filed 01/28/2005 Event Effective Date NONE Principal Address 3825 85TH AVE N BROOKLYN PARK, MN 55443 Changed: 03/12/2012 Mailing Address 3825 85TH AVE N BROOKLYN PARK, MN 55443 Changed: 03/12/2012 Registered Agent Name & Address NATIONAL CORPORATE RESEARCH LTD., INC. 155 OFFICE PLAZA DRIVE TALLAHASSEE, FL 32301 Name Changed: 08/16/2010 Address Changed: 01/03/2012 Officer/Director Detail Name & Address Title DCT MCINTYRE, DAVID 2635 CASEY KEY RD NOKOMIS, FL 34275 http://search. sunbiz.org/Inquiry/CorporationSearch/SearchResu ltDetail/EntityName/forp-f... 6/ 10/2014 Detail by Entity Name Page 2 of 3 J{}HNGON.GTEVEMK8 37O2DUNBARKNOLL BROC}KLYNPARK, KUN55443 PREU8.OAV|[}A 863OGCEOLA Title President MC|NTYRE.DAVOA 2635CA8EYKEY RO NOKOM|G.FL3427 Annual Reports Report Year 2012 2013 2014 Filed Date O2/O1/2O12 O2/01/2O13 O1/D7/2O14 Document|maqes O107/2O14—ANNUAL REPORT U201/2U13—ANNUAL REPORT O3/12/2O12—ANNUAL REPORT O2/O1/2U12—ANNUAL REPORT O2/D2/2O11—ANNU/\LREPORT O8K1O/2O1U—Reg. Agent Change O3/202O1O—ANNUALREPORT O1/19/2OOS-ANNUALREPORT 04/15/2OOG—ANNUAL REPORT 01/29/2OO7—ANNUAL REPORT D7/1312OO6—ANNUAL REPORT O7/O7/2UO8—Reg. Agent Change 01/28/2005—RE|NGTATEMENT O2/24/2OOO—ANNUAL REPORT O2/2019SS—ANNUAL REPORT D4/2O/19S8—ANNUAL REPORT O5/12Y1987—ANNUAL REPORT OtV18/1BS0—DOCUMENTS PRIOR TO1SS7 View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format hfh`JY3eorch.ouobiz. e8ruhIS-[. 6/10/2014 2014 FOREIGN PROFIT CORPORATION ANNUAL REPORT DOCUMENT# F96000003145 Entity Name: CERES ENVIRONMENTAL SERVICES, INC. Current Principal Place of Business: 3825 85TH AVE N BROOKLYN PARK, MN 55443 Current Mailing Address: 3825 85TH AVE N BROOKLYN PARK, MN 55443 FEI Number: 41-1816075 Name and Address of Current Registered Agent: NATIONAL CORPORATE RESEARCH LTD., INC. 155 OFFICE PLAZA DRIVE TALLAHASSEE, FL 32301 US FILED Jan 07, 2014 Secretary of State CC5511921443 Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Officer/Director Detail : Title Name Address City -State -Zip: Title Name Address City -State -Zip: DCT MCINTYRE, DAVID 2635 CASEY KEY RD NOKOMIS FL 34275 VP PREUS, DAVID A 863 OSCEOLA ST PAUL MN 55105 Title Name Address City -State -Zip: Title Name Address City -State -Zip: S JOHNSON, STEVEN M 3702 DUNBAR KNOLL BROOKLYN PARK MN 55443 PRESIDENT MCINTYRE, DAVID A 2635 CASEY KEY RD NOKOMIS FL 34275 Date I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that / am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: DAVID A MCINTYRE PRESIDENT 01/07/2014 Electronic Signature of Signing Officer/Director Detail Date