Exhibit 99(a)(1)(vi)
| Useblack ink. Print in CAPITAL letters inside the grey areas as shown in this example. |  |
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| Computershare | | |
| PO Box 505000 | | |
| Louisville, KY 40233-5000 | | |
| Within USA, US territories & Canada | 866 437 0252 | | |
| Outside USA, US territories & Canada | 201 680 6578 | | |
| www.computershare.com/investor | | |
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| Form W-9 Request for Taxpayer Identification Number and Certification |
Dear Shareholder:
Our records indicate that your U.S. Social Security Number or Employer Identification Number is not certified. If this Form W-9 is not completed and returned, your account may be subject to backup withholding at the applicable tax rate on all dividends and sale proceeds.
For joint tenant accounts, the TIN provided must belong to the first owner listed above to avoid backup withholding.
| A | | Taxpayer Identification Number (TIN) |
Enter your TIN for the above registered name and address in the appropriate box. For individuals, this is your Social Security number (SSN).
For other entities, it is your Employer Identification Number (EIN). COMPLETE ONLY ONE BOX.
| Social Security Number | | | | Employer Identification Number |
 | | OR | |  |
Limited Liability Company
or
Other Classification |
| If you are an LLC or Other Classification, do not complete this form. You must complete an IRS Form W-9. This form can be found on the IRS website atwww.irs.gov. See “Limited Liability Company or Other Classification” on the back of this form for more information. |
| |
Exemption from FATCA reporting code (if any)
Not Applicable
(Applies to accounts maintained outside the U.S.) |
Under penalties of perjury, I certify that:
| 1. | The number shown on this form is my correct Taxpayer Identification Number, 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 on reverse). |
| 4. | The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct (defined on reverse). |
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.
This form must be signed and dated for us to accept as proper certification.
 | | Signature of U.S. Person - Please keep signature within the box | | Date (mm/dd/yyyy) | | Daytime Telephone Number |
| |  | |  | |  |
Send form to Computershare. Do not send to the IRS.
 | 2 3 U W 9 | | D E X |  |
| How to complete this form |
Backup Withholding
The Internal Revenue Service (IRS) requires us to withhold taxes for the applicable rate of backup withholding for U.S. persons without a W-9 tax certification who are not otherwise exempt. Parties acting as disbursement agents, such as Computershare, must withhold and pay to the IRS the applicable tax rate of such payments under certain conditions. This is called “backup withholding.” Payments that may be subject to backup withholding include interest, dividends, broker and barter exchange transactions, and royalties. Supplying us with your correct Taxpayer Identification Number (TIN), and signing this form will generally allow you to receive your payments without being subject to backup withholding. Failure to supply your TIN, or supplying us with an incorrect TIN, could result in a $50.00 penalty being assessed by the IRS. If the IRS has notified you that backup withholding applies, then you must strike out line 2 in the Certification. Instructions to Form W-9 will be provided upon request. Receipt of a completed Form W-9 will discontinue backup withholding unless otherwise required.
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 |
| 3. | Two or more U.S. persons (joint account maintained by an FFI)" | Each holder of the account |
| 4. | Custodial account of a minor (Uniform Gift to Minors Act) | The minor2 |
| 5. | a. The usual revocable savings trust (grantor is also trustee)
b. So-called trust account that is not a legal or valid trust under state law | The grantor-trustee The actual owner |
| 6. | Sole proprietorship or disregarded entity owned by an individual | The owner |
| 7. | Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulation section 1.671-4(b)(2)(i)(A)) | The grantor |
| For this type of account: | Give name and EIN of: |
| 7. | Disregarded entity not owned by an individual | The owner |
| 8. | A valid trust, estate, or pension trust | Legal entity |
| 9. | Corporation or LLC electing corporate status on Form 8832 or Form 2553 | The corporation |
| 10. | Association, club, religious, charitable, educational, or other tax-exempt organization | The organization |
| 11. | Partnership or multi-member LLC | The partnership |
| 12. | A broker or registered nominee | The broker or nominee |
| 13. | 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 |
| 14. | Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulation section 1.671-4(b)(2)(i)(B)) | The trust |
Exempt payee code. Generally, individuals (including sole proprietors) are not exempt from backup withholding. Except as provided below, corporations are exempt from backup withholding for certain payments, such as interest and dividends. Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC.
Note. If you are exempt from backup withholding, you should still complete this form to avoid possible erroneous backup withholding.
| The following codes identify payees that are exempt from backup withholding: Enter the appropriate code on line C. |
| 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 U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities |
| 4 -- | A foreign government or any of its political subdivisions, agencies, or instrumentalities |
| 5 -- | A corporation |
| 6 -- | A dealer in securities or commodities required to register in the United States, the District of Columbia, or a possession of the United States |
| 7 -- | A futures commission merchant registered with the Commodity Futures Trading Commission |
| 8 -- | A real estate investment trust |
| 9 -- | An entity registered at all times during the tax year under the Investment Company Act of 1940 |
| 10 -- | A common trust fund operated by a bank under section 584(a) |
| 11 -- | A financial institution |
| 12 -- | A middleman known in the investment community as a nominee or custodian |
| 13 -- | A trust exempt from tax under section 664 or described in section 4947 |
Limited Liability Company or Other Classification
If you are a Limited Liability Company or Other entity, complete an IRS Form W-9 found on the IRS websitewww.irs.gov. Be sure to include the information required in the IRS instructions for aLimited Liability Company (LLC)or forOther entitieson page 2. Return the completed form to the address below.
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). |
Exemption from FATCA reporting:If you are submitting this form for an account that is maintained in the United States, you are exempt from FATCA reporting.
Please return the completed form to: DID YOU KNOW?
You can certify your account online by visiting us at the website on the reverse side of this form.
While online, join the thousands of shareholders that have signed up for electronic delivery! | | Computershare
PO Box 505000
Louisville, KY 40233-5000 |
