HomeMy WebLinkAboutBack-Up DocumentsCUbfll7 fltIfRICflll SCfIOLfRSf1IP d flID fODUDflT1OU
Noviembre 30, 2016
Sr. Alcalde Tomas Regalado
3500 Pan American Drive
Miami, F1.,33133
Estimado Tomas:
Gracias por su generosa contribucion a CASAF, la cual se seguira
usando para la ayuda de alimentos y medicinas, para las comunidades
de esta Ciudad de Miami ,en general.
Hemos estado dando por varios ems :
Iglesia Bautista Buenas Nuevas Corpus Christi Catholic Church
1351 NW32Ct 3220NW7Ave
Miami, F133125 Miami F!, 33127
Church World Services Holy Comfort Episcopal Church
1924 N W 84 Ave 150 S W 13 Ave
Doral, FI 33126 Miami, FI 33135
(world refugee center)
Ademas de muchos otros lugares en Miami,incluyendo families de bajos
ingresos en el area de Grapeland High ,y mucho otros lugares que con la
gracia de Dios hemos podido ayudar, ver si es necesario en (www.casafusa.org)
Agradeciendole de antemano su fina atencion , y esperando que esto ,llene
los parametros de su peticion.
Me reitero S.S y amigo
errrro A Revuelta,
Cuban American Scholarship & Aid Foundation SAF)
PD: incluimos la forma W.9
3437 N W 15 ST, MIAMI, FL 33125 .TELEPHONE : 7862871702 E-MAIL: GREVU50688@AOL.COM
Form ■ -9
(Rev. December 2014)
Department of the Treasury
Internal Revenue Service
Request for Taxpayer
Identification Number and certification
Give Form to the
requester. Do not
send to the IRS.
Print or type
See Specific Instructions on page 2_
1 Name (as shown on your income tax return). Name is required on this line; do not leave thus line btank.
Cuban American Scholarship & Aid Foundation Corp.
2 Business nameidisregarded entity name, if different from above
3 Check appropriate box for federal tax classification; check only one of the following seven boxes:
In Individual/solo proprietor or C Corporation ❑ S Corporation Partnership TrusVestate
single -member LLC
❑ Limited liability Enter the tax classification (C=C corporation, S=S corporation, P=partnership) ►
4 Exemptions (codes apply only to
certain strut ionsentiton, not Individuals; see
instructions on page 3):
Exempt payee code (if any)
company.
Note. For a single -member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for
the tax classification of the single -member owner.
Exemption from FATCA reporting
code (if any)
iiW Other (see instructions) ► Corporation -Exempt under 501 (c) (3) Status
(Apraes to ecrounds mafnteinsd outside dna U.S1
6 Address (number, street, and apt. or suite no.)
3437 N.W. 151h Street
Requester's name and address (optional)
6 City, state, and ZIP code
Miami, Florida 33125
7 List account number(s) here (optional)
Part
I
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided muss match the name given on line 1 to avoid
backup withholding. For individuals, this is generally 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
Social security number
-
-
TIN on page 3.
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.
or
Employer ldentl Icatlon number
0
3
0
5
1
6
5
8
0
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); 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 interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the
instructions on page 3.
Sign Signature of
Here U.S. person le
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 Et) is at www.irs.gov/iw9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an Information
retum 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 1099-0 (stock or mutual fund safes and certain other transactions by
brokers)
• Form 1099-5 (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
Date ► 12/3/15
• Forrn 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 onfy if you are a U.S. person (Including a resident alien), to
provide your correct TIN.
it you do not return Form W-9 fo the requester with a TIN, you might be subject
to backup withholding. See What Is backup withholding? en 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)