Thank you for your interest in ATI Industrial Automation /Novanta Corporation.
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Page 1 of 1

ATI INDUSTRIAL AUTOMATION, Inc
1031 Goodworth Drive
Apex, NC 27539
919-772-0115
919-772-8259 (fax)

ACH / WIRE TRANSFER INFORMATIONBANK: Truist BankBANK ADDRESS: 801 E Williams St. Apex, 27502
BANK TELEPHONE NUMBER: 919-362-7531
BANK ABA NUMBER: 053101121
ATI BANK ACCOUNT NUMBER: 0005211921295
SWIFT CODE: BRBTUS33

WHEN PAYMENTS ARE MADE PLEASE SENDREMITTANCE INFORMATION TO
ati-ar@novanta.com

W-9Form(Rev. October 2018)
Department of the Treasury
Internal Revenue Service

Request for Taxpayer
Identification Number and Certification

Give Form to therequester. Do notsend to the IRS.

▶ Go to www.irs.gov/FormW9 for instructions and the latest information.

1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.

ATI Industrial Automation Inc.

Print or type.
See Specific Instructions on page 3.

2 Business name/disregarded entity name, if different from above
4 Exemptions (codes apply only tocertain entities, not individuals; see
instructions on page 3):

3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of thefollowing seven boxes.
Individual/sole proprietor or
single-member LLC✔

C Corporation

S CorporationPartnership

Trust/estate
Exempt payee code (if any)

Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ▶
Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting
LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC iscode (if any)
another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC thatis disregarded from the owner should check the appropriate box for the tax classification of its owner.
Other (see instructions) ▶
5 Address (number, street, and apt. or suite no.) See instructions.

(Applies to accounts maintained outside the U.S.)

Requester’s name and address (optional)

1031 Goodworth Drive
6 City, state, and ZIP code

Apex, NC 27539-3869
7 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 generally your social security number (SSN). However, for aresident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For otherentities, it is your employer identification number (EIN). If you do not have a number, see How to get aTIN, later.
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name andNumber To Give the Requester for guidelines on whose number to enter.

Part II

Social security number––orEmployer identification number5 6–

16666

93Certification

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); and2. 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; and3. I am a U.S. citizen or other U.S. person (defined below); and4. 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 for Part II, later.

SignHere

Signature ofU.S. person ▶

Date ▶

General Instructions
Section references are to the Internal Revenue Code unless otherwise
noted.
Future developments. For the latest information about developments
related to Form W-9 and its instructions, such as legislation enacted
after they were published, go to www.irs.gov/FormW9.

Purpose of Form
An individual or entity (Form W-9 requester) who is required to file aninformation return 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 otheramount reportable on an information return. Examples of information
returns include, but are not limited to, the following.
• Form 1099-INT (interest earned or paid)
Cat. No. 10231X1-10-22• Form 1099-DIV (dividends, including those from stocks or mutualfunds)• Form 1099-MISC (various types of income, prizes, awards, or grossproceeds)• Form 1099-B (stock or mutual fund sales and certain othertransactions by brokers)• Form 1099-S (proceeds from real estate transactions)• Form 1099-K (merchant card and third party network transactions)• Form 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 only if you are a U.S. person (including a residentalien), to provide your correct TIN.
If you do not return Form W-9 to the requester with a TIN, you might
be subject to backup withholding. See What is backup withholding,later.
Form W-9 (Rev. 10-2018)

To Our Valued Customer:
We are in need of your current Sales Tax Exemption Certificate or Resale Certificate for our files.
If you believe that your purchases are exempt from sales tax, please check the box and return with the appropriate tax document.

_____ Purchase is taxable_____ Purchases are for resale or are component parts to be used in manufacturing_____ We have a Direct Pay Permit from the state
We appreciate your prompt assistance in this matter.
Thank you in advance for your cooperation,
Angela Dunn
Credit & Collection Manager
ATI Industrial Automation Inc, a Novanta Company
Direct Phone: 315-218-1331
angela.dunn@novanta.com