FannW-9

Request for Taxpayer
Identification Number and Certification

Give Fonn to therequester. Do notsend to the IRS.

!Rev.October2018)� ot the T-.yInt► Go to www.lra.f10V/FormW9 for Instructions and the lat.eat lnfonnatlon.
emal Revenue Service
1 Name (as shown on your lnoome tax return). Name Is required on this line; do not leave this line blank.
Global Empowennent Mission
2 Business nam!l/dlsnigarded entity name, If din-rt from above..;

3 Check appropriate box for federal tax classification of the person whose name Is enten,d on line1. Check only - of theID01

following seven boxes.

llD lndtviduaVsole proprietor or D C CorporationC:
0single-member U.C□ s Corporation

0 Partnership

0 Trust/estate.!
Jo0 Limited llablllty oompaiy. Enter the tax classiflcatlon (C=C COIJ)Orllllon, S=S corporatlon, P=Partnership)►

..

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4 Exemptions (codes apply only tocertain entitles, not Individuals; seelnstructlons on page 3):
Exempt payee code (If any)

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 II the U.C Is classlfled as a single-member U.C that Is dlsn,garded from the owner unless the owner ot the U.C is code (If any)
another U.C that Is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member U.C thatIs disregarded from the owner should check the appropriate box for the tax classification of its owner.

A. �u�loar:oooolt __ ,,_ U.S./[!] Other (see instructions)►
non-profit charitable organization under IRS code 501(c)3Req�er's name and address (optlonal)
6 Address (number, street, and apt or suite no.) See Instructions.

NW 84th Ave STE 100! 1850
e City, state, and ZIP code

Miami, Florida 33126
7 Ustaccount number(s)here(optional)■::r.r••Taxpayer Identification Number (TIN)
Enter you � TIN in the appro �ri�te box. '!he TIN provided must match t�e name given on line 1 to avoid.
_backup withholding. For lndMduals, this Is generally your social secunty 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.

ITO -[I] -I I I I I

I Social security numberIor- 3 782 0 6

1Certification
Under penalties of perjury, I certify that;
1. The number shown on this fonn 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 ORS) 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 fonn (rf 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 ORA), and generally, payments
otherlhan 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.
SignHereSlgnaueofU.S. penon ►Date►

Section references are to the Internal Revenue Code unless otherwise
noted.
Future developments. For the latest infonnation about developments
related to Fonn 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 taxpayerIdentification number (TIN) which may be your social security number(SSN), Individual taxpayer identification number (mN), adoption
taxpayer Identification number (ATIN), or employer identification number(EIN), to report on an infonnation 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.
• Fonn 1099-INT Onterest earned or paid)
Cal No.10231X

01/15/2024• Fonn 1099-0IV (dividends, Including those from stocks or mutualfunds)• Fonn 1099-MISC (various types of income, prizes, awards, or grossproceeds)• Fonn 1099-B (stock or mutual fund sales and certain othertransactions by brokers)• Fonn 1099-S (proceeds from real estate transactions)• Fonn 1099-K (merchant card and third party network transactions)• Fonn 1098 (home mortgage interest), 1098-E (student loan Interest),
1098-T (tuition)• Fonn 1099-C (canceled debt)• Fonn 1099-A (acquisition or abandonment of secured property)
Use Fonn W-9 only if you are a U.S. person Qncluding a residentalien), to provide your correct TIN.

ff 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.
FormW-9(Rev.10-2018)