Required Document

Substitute IRS Form W-9

Substitute Form W-9 (Rev. December 2019) - Kayak Bass Fishing, LLC

Request for Taxpayer Identification Number and Certification

▶ Visit www.irs.gov/FormW9 for instructions. NOTE: This Form is sent to KBF, not to the IRS.

Purpose of Form

If you receive from Kayak Bass Fishing, LLC (KBF) various types of income, prizes, awards, or gross proceeds equaling $600 or more in a calendar year, KBF submits to the Internal Revenue Service a Form 1099-MISC, and you will receive copies of that form by January 31 to use in preparing your federal and state income tax returns.

By signing and submitting the form below, you: (1) certify that the TIN you are giving is correct, (2) certify you are not subject to backup withholding, (3) claim exemption from backup withholding if you are a U.S. exempt payee, and (4) certify that FATCA code(s) entered on this form (if any) are correct.

1. Name *

Enter your name as shown on your income tax return.

First Name *

M.I.

Last Name *

Suffix

Email *

This Substitute IRS Form W-9 will be sent in a secure, encrypted format to KBF and a copy will be sent to the email address you enter here.

Enter Email *

Confirm Email *

2. Business Name (optional)

Business name/disregarded entity name, if different from above.

3. Federal Tax Classification *

Click on the appropriate button for the federal tax classification of the person whose name is entered on line 1. Click only one.

4. Exemptions

Generally, individuals (including sole proprietors) are not exempt from backup withholding. If that's you, skip this section. Exemption codes apply only to certain entities, not individuals. See page 3 of the IRS Form W-9 instructions.

5. Address *

Enter the address to which an IRS Form 1099 should be mailed - same address as on your Federal Income Tax Return.

Street Address *

Address Line 2

City *

State *

ZIP Code *

Part I - Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. The TIN provided must match the name on line 1 to avoid backup withholding. For individuals, this is generally your SSN. For entities, it is your EIN. Enter either SSN or EIN - not both.

Social Security Number

Format: 999-99-9999

OR, Employer Identification Number

Format: 99-9999999

Your TIN is stored encrypted and never displayed in plain text.

Part II - Certifications *

Under penalties of perjury, I certify that:

Generally, KBF Prize recipients mark Boxes 1, 2, and 3.

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).

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 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.

3. I am a U.S. citizen or other U.S. person.

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Box 2: You must not check Box 2 if you have been notified by the IRS that you are currently subject to backup withholding. Box 4: Do not check Box 4 unless a participating foreign financial institution is required to report you as a United States person.

Sign Here *

Digital Signature of U.S. person. Type your full, legal name to sign electronically.

Signature *

Date * (not your Date of Birth)