to" W-8BE!,-EIRev. Apr1120i6)Department o1 the TreasuryInternal Revenue Service

Do NOT use this form for: Instead use Form:

. U. S. entity or U. S. citizen or resident W-9

. A foreign individual W-8BEN (Individual) or Form 8233

. A foreign individual or entity claiming that income is effective Iy connected with the conduct of trade or business within the UsIunless claiming treaty benefits)

. A foreign partnership, a foreign simple trust, or a foreign grantor trust (unless claiming treaty benefits) Isee instructions for exceptions)

. A foreign government. international organization, foreign central bank of issue, foreign tax-exempt organization, foreign private foundation, orgovernment of a U. S. possession claiming that incomeis effectiveIy connected U. S. income or that is claiming the applicability of section(s) I $5(2),501 (c), 892,895, or 1443(b) (unless claiming treaty benefits) Isee instructions for other exceptions) W-BEGl or W-BEXP

. Any person acting as an intermediary W-81MY

Certificate of Status of Beneficial Owner forUnited States Tax Withholding and Reporting (Entities)

> For use by entities. Individuals must use Form W-88EN. > Section references are to tile Internal Rovenuo Code> Information about Form W-8BEN-E and its separate instructions is at WWW. 113.90v/formw8ben@.

> Give this form to 1110 withholding agent or payer. Do riot send to the IRS.

Identification of Beneficial Owner

, Name of organization that is the beneficial ownerCLSA AUSTRALIA NOMINEES PTY LTD

3 Name of disregarded entity receiving the payment Of applicable, see instructions)

4 I^ corporation . Disregarded entityChapter 3 Status tentity type) (Must check one box onin. Simple trust . Grantor trust . Estate. Complex trust. Central Bank of Issue . Tax-exempt organization . Private foundation . International organizationIf you entered disregarded entity. partnership, simple trust, or grantor trust above, is the entity a hybrid making a treatyclaim? If "Yes" complete Part 1/1

5 Chapter 4 Status (FATCA status) (See instructions for details and complete the certification below for the entity's applicable status). Nonparticipating FFl (including a limited FFl or an FFl related to a . Nonreporting IGA FFl. Complete Part XII.

Reporting IGA FFl other than a deemed-compliant FFl, . Foreign government, government of a U. S. possession, or foreignparticipating FFl, or exempt beneficial owner) central bank of issue. Complete Part XIIl

. Participating FFl . International organization. Complete Part XIVI^ Reporting Model I FF!. . Exempt retirement plans. Complete Part XV. Reporting Model2 FFl . Entity wholly owned by exempt beneficial owners. Complete Part XVl.. Registered deemed-compliant FF1 10ther than a reporting Model I . Territory financial institution. Complete Part XVll

FFl, sponsored FFl. or nonreporting IGA FFl covered in Part XII). . Norifinancial group entity. Complete Part XVlll.See instructions

. Excepted nonfinancial start-up company. Complete Part XIX. Sponsored FFl. Complete Part IV. . Excepted nonfinancial entity in liquidation or bankruptcy. Certified deemed-compliant noriregistering local bank. Complete Complete Part XX

. 501 (c) organization. Complete Part XXl.Part V.

. Certified deemed-compliant FFl with only low-value accounts . Nonprofit organization. Complete Part XXll.. Publicly traded NFFE or NFFE affiliate of a publicly tradedComplete Part Vl

. Certified deemed-compliant sponsored, closely held investment corporation. Complete Part XXlllvehicle. Complete Part Vll . Excepted territory NFFE. Complete Part Xi(IV

. Certified deemed-compliantlimited life dentinvestment entity . Active NFFE. Complete Part XXV. Passive NFFE. Complete Part XXVl.Complete Part Vill

. Certified deemed-compliant investment advisors and investment . Excepted inter-affiliate FFl. Complete Part XXVll. Direct reporting NFFEmanagers. Complete Part IX

. Owner-documented FFl. Complete Part X . Sponsored direct reporting NFFE. Complete Part XXVlll

. Restricted distributor. Complete Part XI . Account that is not a financial account

OMB Not545-, 621

2 Country of incorporation or organizationAUSTRAUA

6 Permanent residence address (stree!, apt. or suite no. , or rural rou!e). Do not use a P. 0. box or in-care-of address (other than a registered address).LEVEL 15.20 HUNTER STREET

City or town, state or province. Include postal code where appropriate. CountrySYDNEY NSW 2000 AUSTRALIA

W-BEGl

W-81MY

7 Mailing address (if different from above)

8 U. S. taxpayer identification number in my. if required 9a GIIN

City or town, state or province. Include postal code where appropriate,

10

In Partnership. Government

Note: Please complete remainder of the form including signing the form in Part XXX

Reference number(s) (seemstruciions)

For Paperwork Reduction Act Notice, see separate instructions.

. Yes . N,

Cat. No. 59689N

Country

b Foreign TIN9,6393977

to, in W~8BEN. E (Rev. 4-2016)

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31

,L

Form W-8BEN-E IRev. 4-2016)

18 . I certify that the FFl identified in Part I:, Operates and is licensed solely as a bank or credit union 10r similar cooperative credit organization operated without profit) in its country ofincorporation or organization;

. Engages primarily in the business of receiving deposits from and making loans to, with respect to a bank, retail customers unrelated to suchbank and, with respect to a credit union or similar cooperative credit organization, members. provided that no member has a greater than fivepercent interest in such credit union or cooperative credit organization;

. Does not solicit account holders outside its country of organization;

. Has no fixed place of business outside such country Cor this purpose, a fixed place of business does riot include a location that is notadvertised to the public and from which the FFl performs solely administrative support functions);

. Has no more than $175 million in assets on its balance sheet and, if it is a member of an expanded affiliated group, the group has no morethan $500 million in total assets on its consolidated or combined balance sheets; and

. Does riot have any member of its expanded affiliated group that is a foreign financial institution, other than a foreign financial institution thatis incorporated or organized in the same country as the FFl identified in Part I and that meets the requirements set forth in this Part V.

Certified Deemed-Compliant Noriregistering Local Bank

19 . I certify that the FFl identified in Part I:. Is not engaged primarily in the business of investing, reinvest ing, or trading in securlties, partnership interests, commodities, notionalprincipal contracts, insurance or annuity contracts. or any interest jincluding a futures or forward contract or option) in such securlty.partnership interest. commodity, notional principal contract. insurance contract or annuity contract;

. No financial account maintained by the FFl or any member of its expanded affiliated group, if any, has a balance or value in excess of$50,000 (as determined after applying applicable account aggregation rules); and

. Neither the FFl nor the entire expanded affiliated group, if any, of the FFl, have more than $50 million in assets on its consolidated orcombined balance sheet as of the end of its most recent accounting year

Certified Deemed-Compliant FFl with Only Low-Value Accounts

20

2,

Name of sponsoring entity:. I certify that the entity identified in Part I:. Is an FFl solely because it is an investment entity described in 51,471-5(e)!4);. Is not a 01, WP, or WF;

. Will have all of its due diligence, withholding, and reporting responsibilities (determined as if the FFl were a participating FFl) fulfilled by thesponsoring entity identified on line 20; and

. Twenty or fewer individuals own all of the debt and equity interests in the entity (disregarding debt interests owned by U. S. financialinstitutions. participating FFls, registered deemed-compliant FFls. and certified deemed-compliant FFls and equity interests owned by anentity if that entity owns too percent of the equity interests in the FFl and is itself a sponsored FFl).

Certified Deemed-Compliant Sponsored, Closely Held Investment Vehicle

22 . I certify that the entity identified in Part I:. Was in existence as of January 17,2013;, Issued all classes o1 i!s debt or equity interests to investors on or before January 17,2013, pursuant to a trust indenture or similar agreement; and. Is certified deemed-compliant because it satisfies the requirements to be treated as a limited life debt investment entity (such as theresindions with respect to its assets and other requirements under g 1,147, -5(or2j(mm).

Certified Deemed-Compliant Limited Life Debt Investment Entity

23

page 3

. I certify that the entity identified in Part I:. Is a financial institution solely because it is an investment entity described in 51,471 -51e)(41n)(A), and. Does not maintain financial accounts.

Certified Deemed-Compliant Investment Advisors and Investment Managers

Note: This status only applies if the Us. financial institution, participating FFl, or reporting Model t FFl to which this form is given has agreed that it willtreat the FFl as an owner-documented FFI Isee instructions for eligibility requirements). In addition, the FFl must make the certifications below.

. (All owner-documented FFls check here) I certify that the FFl identified in Part I:24a

. Does riot act as an intermediary;

. Does not accept deposits in the ordinary course of a banking or similar business;

. Does riot hold, as a substantial portion of its business. financial assets for the account of others;

. Is riot an insurance company for the holding company of an insurance company) that issues or is obligated to make payments with respect toa financial account;

. Is not owned by or in an expanded affiliated group with an entity that accepts deposits in the ordinary course of a banking or similarbusiness, holds. as a substantial portion of its business, financial assets for the account of others, or is an insurance company (or the holdingcompany of an insurance company) that issues or is obligated to make payments with respect to a financial account;

. Does not maintain a financial account for any noriparticipating FFl; and

. Does not have any specified U. S. persons that own an equity interest or debt interest 10ther than a debt interest that is not a financialaccount or that has a balance or value riot exceeding $50,000) in the FFl other than those identified on the FFl owner reporting statement.

Owner Documented FFl

Form W-8BEN-E (Rev. 4-2016)

Form W-8BEN-E (Rev. 4-?010

Check box 24b or 24c, whichever applies.b . I certify that the FFl identified in Part I^

, Has provided, or will provide, an FFl owner reporting statement that contains:

. The name, address, TIN (if any), chapter 4 status, and type of documentation provided (if required) of every individual and specified U. S.person that owns a direct or indirect equity interest in the owner-documented FFl (looking through all entities other than spermed U. S.persons);

. The name, address. TIN (if any), and chapter 4 status of every individual and specified U. S. person that owns a debt interest in the ownerdocumented FFl (including any indirect debt interest, which includes debt interests in any entity that directly or indirectly owns the payee orany direct or indirect equity interest in a debt holder of the payee) that constitutes a financial account in excess of $50,000 (disregarding allsuch debt interests owned by participating FFls, registered deemed-compliant FFls. certified deemed-compliant FF!s, excepted NFFEs,exempt beneficial owners, or U. S. persons other than specified U. S. persons); and

. Any additional information the withho!ding agent requests in order to fulfill its obligations with respect to the entity.. Has provided, or will provide. valid documentation meeting the requirements of 51,147, -3(d)(611ii) for each person identified in the FFl ownerreporting statement

c . I certify that the FFl identified in Part I has provided, or will provide. an auditor's letter, signed within four years of the date of payment,from an independent accounting firm or legal representative with a location in the United States stating that the firm or representative hasreviewed the FFl's documentation with respect to all of its owners and debt holders identified in 51,471-3(d)(6)(joyA)(2), and that the FFlmeets all the requirements to be an owner"documented FFl. The FFl identified in Part I has also provided, or will provide, an FFl ownerreporting statement of its owners that are specified Us. persons and Form(SI W-9, with applicable waivers.

Owner-Documented FF1 1130ntihued)

Check box 24d if applicable (optional, see instructions).

d . I certify that the entity identified on line I is a trust that does not have any contingent beneficiaries or designated classes with unidentifiedbeneficiaries.

25a . (All restricted distributors check here) I certify that the entity identified in Part I:. Operates as a distributor with respect to debt or equity interests of the restricted fund with respect to which this form is furnished;. Provides investment services to at least 30 customers unrelated to each other and less than half of its customers are related to each other;

. Is required to perform AML due diligence procedures under the anti-money laundering laws of its country of organization (which is an FATF-compliantjurisdiction);

. Operates solely in its country of incorporation or organization, has no fixed place of business outside of that country, and has the samecountry of incorporation or organization as all members of its affiliated group, if any;

. Does not solicit customers outside its country of incorporation or organization;

. Has 00 more than $175 million in total assets under management and no more than $7 million in gross revenue on its income statement forthe most recent accounting year;

. Is not a member of an expanded affiliated group that has more than $500 million in total assets under management or more than $20 millionin gross revenue for its most recent accounting year on a combined or consolidated income statement; and

. Does not distribute any debt or secunties of the restric*ed fund to specified U. S. persons, passive NFFEs with one or more substantial U. S.owners, or nonparticipa!ing FFls.

Check box 25b or 25c, whichever applies,I further certify that with respect to all sales of debt or equity interests in the restricted fund with respect to which this form is furnished that are madeafter December 31,201*, the entity identified in Part I:

b . Has been bound by a distribution agreement that contained a general prohibition on the sale of debt or securities to U. S. entities and U. S.resident individuals and is currently bound by a distribution agreement that contains a prohibition of the sale of debt or securlties to anyspecified U. S. person, passive NFFE with one or more substantial U. S. owners, or nonparticipating FFl.

c . Is currently bound by a distribution agreement that contains a prohibition on the sale of debt or securities to any specified U. S. person,passive NFFE with one or more substantial U. S. owners. or noriparticipating FFl and, for all sales made prior to the time that such arestriction was included in its distribution agreement, has reviewed all accounts related to such sales in accordance with the proceduresidentified in 51,471.4(c) applicable to preexisting accounts and has redeemed or retired any, or caused the restricted fund to transfer thesecurtties to a distrlbutor that is a participating FFl or reporting Model I FFl securities which were sold to specified U. S. persons, passiveNFFEs with one or more substantial U. S. owners, or nonpar!to ipating FFls.

Restricted Distributor

page 4

Form W. 8BEN. E (Rev. 4-2016)

Form W-aBEN-E (Rev. 4-2016)

26

Norireporling IGA FFl. I certify that the entity identified in Part I:. Meets the requirements to be considered a nonreporting financial institution putsuant to an applicable IGA between the United States and

. Th^ applicable IGA is a . Model I IGA or , . Model21GA; andis treated as a

If applicable. see instructions);

. If you are a trustee documented trust or a sponsored entity, provide the name of the trustee or sponsor whose GIIN is provided online 9a (if any) - and our GIIN Of issued to ou

27

Foreign Government, Government of a U. S. Possession, or Foreign Central Bank of Issue. I certify that the entity identified in Part I is the beneficial owner of the payment and is not engaged in commercial financial activities of a

Check box 28a or 28b, whichever applies.

28a . I certify that the entity identified in Part I is an international organization described in section 7701(a)(181,b . I certify that the entity identified in Part I:

. Is comprised primarily of foreign governments;

. Is recognized as an intergovernmental or supranational organization under a foreign law similar to the International Organizations jinmunitiesAct or that has in effect a headquarters agreement with a foreign government;

. The benefit of the entity's income does not inure to any private person;

. Is the beneficial owner of the payment and is riot engaged in commercial financial activities of a type engaged in by an insurance company,Gustodial institution, or depository institution with respect to the payments, accounts, or obligations for which this form is submitted (except aspermitted in 51,471"6th)(2)).

type engaged in by an insurance company, Gustodial institution, or depository institution with respect to the payments, accounts, orobligations for which this form is submitted (except as permitted in 51,471-6th)t2)).

International Organization

Check box 29a, b, c, d, e, or f, whichever applies.29a . I certify that the entity identified in Part I:

. Is established in a country with which the United States has an income tax treaty in force (see Part 111 if claiming treaty benefits);, Is operated principally to administer or provide pension or retirement benefits; and

. Is entitled to treaty benefits on income that the fund derives from U. S. sources (or would be entitled to benefits if it derived any such income)as a resident of the other country which satisfies any applicable limitation on benefits requirement.

b . I certify that the entity identified in Part I^. Is organized for the provision of retirement, disability, or death benefits 10r any combination thereof) to beneficiaries that are formeremployees of one or more employers in consideration for services rendered;

. No single beneficiary has a right to more than 5% of the FFl's assets;

. Is subject to government regulation and provides annual information reporting about its beneficiaries to the relevant tax authorities in thecountry in which the fund is established or operated; and

. Is generaliy exempt from tax on investment income under the laws of the country in which it is established or operates due to its status asa retirement or pension plan;

. Receives at least 50% of its total contributions from sponsoring employers (disregarding transfers of assets from other plans described inthis part, retirement and pension accounts described in an applicable Model I or Model2 IGA, other retirement funds described in anapplicable Model I or Model21GA, or accounts described in 51,147t -51b)(2)(I)(A));

. Either does riot permit or penalizes distributions or \,, ithdrawals made before the occurrence of specified events related to retirement, disability, or death(except rollover distributions to accounts described in 51,471-51b)(2111(A) Ireferring to reliremenland pension accounts), to retirement and pension accountsdescribed in an applicable Model I or Model21GA, or to other retirement funds described in this part or in an applicable Model I or Model21GA); or

. Limits contributions by employees to the fund by reference to earned income of the employee or may not exceed $50,000 annually. . I certify that the entity identified in Part I^

. Is organized for the provision of retirement. disability, or death benefits (or any combination thereof) to beneficiaries that ate formeremployees of one or more employers in consideration for services rendered;

, Has fewer than 50 participants;

. Is sponsored by one or more employers each of which is not an investment entity or passive NFFE;

. Emp!oyee and employer contrlbutions to the fund Idisrega!ding transfers of assets from other plans described in this part, retirement andpension accounts described in an applicable Model I or Model21GA, or accounts described in 51,471-5(by(2)!i)(A)) are limited by reference toearned income and compensation of the employee. respectively;

. Participants that are not residents of the country in which the fund is established or operated are riot entitled to more than 20 percent of thefund's assets; and

. Is subject to government regulation and provides annual information reporting about its beneficiaries to the relevant tax authorities in thecountry in which the fund is established or operates.

Exempt Retirement Plans

under the provisions of the applicable IGA or Treasury regulations

page 5

Form W-8BEN-E (Rev. 4-2016j

Form W-aBEN-EIRev. 4-2016j

Exempt Retirement Plans icontinued)d . I certify that the entity identified in Part I is formed pursuant to a pension plan that would meet the requirements of section 40f tai. other

than the requirement that the plan be funded by a trust created or organized in the United States.e . I certify that the entity identified in Part I is established exclusively to earn income for the benefit of one or more retirement funds

described in this part or in an applicable Model I or Model21GA, accounts described in 51,471-51b)(21(I)(A) 12eferring to retirement andpension accounts), or retirement and pension accounts described in an applicable Model I or Model21GA.

f . I certify that the entity identified in Part I:. Is established and sponsored by a foreign government, international organization. central bank of issue, or government of a U. S. possessionteach as defined in ^1,147t-6) or an exempt beneficial owner described in an applicable Model I or Model21GA to provide retirement,disability, or death benefits to beneficiaries or participants that are current or former employees of the sponsor (or persons designated by suchemployees); or

. Is established and sponsored by a foreign government, international organization, central bank of issue, or government of a U. S. possession(each as defined in 51.1471"6) or an exempt beneficial owner described in an applicable Model I or Model21GA to provide retirement,disability. or death benefits to beneficiales or participants that are not current or former employees of such sponsor, but are in considerationof personal services performed for the sponsor

30

Entity Wholly Owned by Exempt Beneficial Owners. I certify that the entity identified in Part L. Is an FFl solely because it is an investment entity;

. Each direct holder of an equity interest in the investment entity is an exempt beneficial owner described in 61,1471-6 or in an applicableModel I or Model21GA;

. Each direct holder of a debt interest in the investment entity is either a depository institution (with respect to a loan made to such entity) or anexempt beneficial owner described in 51,471-6 or an applicable Model I or Model21GA.

. Has provided an owner reporting statement that contains the name, address, TIN If any), chapter 4 status, and a description of the type ofdocumentation provided to the withholding agent for every person that owns a debt interest constituting a financial account or direct equityinterest in the entity; and

. Has provided documentation establishing that every owner of the entity is an entity described in 51,471-61b), (c). Id), (e). In and/or (9) withoutregard to whether such owners are beneficial owners

at

Territory Financial Institution. I certify that the entity identified in Part I is a financial institution (other than an investment entity) that is incorporated or organized under

the laws of a possession of the United States.

32

Excepted Nonfinancial Group Entity. I certify that the entity identified in Part I:. Is a holding company, treasury center. or captive finance company and substantially all of the entity's activities are functions described in^1,1471-51e)(510(01 through (E);

. Is a member of a norifinancial group described in 51,1471-51e)(5)(illB);

. Is not a depository or custodial institution (other than for members of the entity's expanded affiliated group); and

. Does not function (or hold its err out) as an investment fund. such as a private equity fund, venture capital fund, leveraged buyout fund, or anyinvestment vehicle with an investment strategy to acquire or fund companies and then hold interests in those companies as capital assets forinvestment purposes.

33

page 6

. I certify that the entity identified in Part L. Was formed on (or, in the case of a new line of business, the date of board resolution approving the new line of business)

Excepted Nonfinancial Start-up Company

Idate must be less than 24 months prior to date of payment);

. Is not yet operating a business and has no prior operating history or is investing capital in assets with the intent to operate a new line ofbusiness other than that of a financial institution or passive NFFE;

. Is investing capital into assets with the intent to operate a business other than that of a financial institution; and

. Does riot function (or hold itself out) as an investment fund, such as a private equity fund, venture capital fund. leveraged buyout fund, or anyinvestment vehicle whose purpose is to acquire or fund companies and then hold interesis in those companies as capital assets for investment purposes.

34 . I rentfy that the entity identified in Part I^, Filed a plan of liquidation, filed a plan of reorganization, or filed for bankruptcy on

Excepted Norifinancial Entity in Liquidation or Bankruptcy

. During the past 5 years has not been engaged in business as a financial institution or acted as a passive NFFE;

. Is either liquidating or emerging from a reorganization or bankruptcy with the intent to continue or recommence operations as a norifinancialentity; and

. Has, or will provide, documentary evidence such as a bankruptcy filing or other public documentation that supports its claim if it remains inbankruptcy or liquidation for more than three years,

Form W. 8BEN. E IRGv. 4-20.6)

Form W-8BEN-E (Rev. 4-2016)

35

501 (c) Organization. I certify that the entity identified in Part lis a 501(c) organization that:. Has been issued a determination letter from the IRS that is currently in effect concluding that the payee is a section 501 (c) organization that isdated ; or

. Has provided a copy of an opinion from U. S. counsel certifying that the payee is a section 501 (0) organization (without regard to whether thepayee is a foreign private foundation),

36

Non-profit Organization. I certify that the entity identified in Part I is a non-profit organization that meets the following requirements;. The entity is established and maintained in its country of residence exclusively for '91/9bus. chantsble, scientific, artistic, cultural or educational purposes:. The entity is exempt from income tax in its country of residence;. The entity has no shareholders or members who have a proprietary or beneficial interest in its income or assets;. Neither the applicable laws of the entity's country of residence nor the entity's formation documents permit any income or assets of the entityto be distrlbuted to, or applied for the benefit of, a private person or non-charitable entity other than pursuant to the conduct of the entity'schantsble activities or as payment of reasonable compensation for services rendered or payment representing the fair market value of propertywhich the entity has purchased; and

. The applicable laws of the entity's country of residence or the entity's formation documents require that, upon the entity's liquidation ordissolution, all of its assets be distrlbuted to an entity that is a foreign government, an integral part of a foreign government. a controlled entityof a foreign government, or another organization that is described in this Part XXll or escheats to the government of the entity's country ofresidence or any political subdivision thereof.

Check box 37a or 37b, whichever applies.37^ . I certify that:

, The entity identified in Part I is a foreign corporation that is not a financial institution; and

. The stock of such corporation is regularly traded on one or more established securlties markets, including

Publicly Traded NFFE or NFFE Affiliate of a Publicly Traded Corporation

Iname one securities eXchange upon which the stock is regularly traded)

b . Icertifythat:, The entity identified in Part I is a foreign corporation that is not a financial institution;. The entity identified in Part I is a member of the same expanded affiliated group as an entity Ihe stock of which is regularly traded on anestablished securities market;

. The name of the entity. the stock of which is regularly traded on an established securities market, is

. The name of the securities market on which the stock is regularly traded is

38 . I certify that:. The entity identified in Part I is an entity that is organized in a possession of the United States;. The entity identified in Part I:

. Does not accept deposits in the ordinary course of a banking or similar business,

. Does not hold, as a substantial portion of its business, financial assets for the account of others, or

. Is riot an insurance company (or the holding company of an insurance company) that issues or is obligated to make payments with respectto a financial account; and

. Allof the owners of the entity identified in Part I are bona fide residents of the possession in which the NFFE is organized or incorporated.

Excepted Territory NFFE

39

page 7

Active NFFE

. I coinfy that. The entity identified in Part I is a foreign entity that is nor a financial institution;. Less than 50% of such entity's gross income for the preceding calendar year is passive income; and

. Less than 50% of the assets held by such entity are assets that produce or are held for the production of passive income (calculated as aweighted average of the percentage of passive assets measured quarterly) Isee instructions for the definition of passive income).

40a . I certify that the entity identified in Part I is a foreign entity that is not a financial institution (other than an investment entity organized in apossession of the United States) and is riot certifying its status as a publicly traded NFFE (or affiliate). excepted territory NFFE, activeNFFE. direct reporting NFFE, or sponsored direct reporting NFFE.

Check box 40b or 40c, whichever applies.

b . I further certify that the entity identified in Part I has no substantial U. S. owners (or. if applicable, no controlling U. S. persons), orc . I further certify that the entity identified in Part I has provided the name, address. and TIN of each substantial U. S. owner 10r, if applicable.

controlling U. S. person) of the NFFE in Part MIX

Q Passive NFFE

;and

FC, in W. 8BEN. E (Rev. a-2016)

Form W-8BEN-E IRev. a-2016j

41

Excepted Inter-Affiliate FFl. I certify that the entity identified in Part I:. Is a member of an expanded affiliated group;

. Does not maintain financial accounts 10th or than accounts maintained for members of its expanded amiiated group);

. Does riot make withholdable payments to any person other than to members of its expanded affiliated group that are not limited FFls orlimited branches;

. Does not hold an account (other than a depository account in the country in which the entity is operating to pay for expenses) with or receivepayments from any withholding agent other than a member of its expanded affiliated group; and

. Has not agreed to report under 51,471-41d)(2)(lip) or otherwise act as an agent for chapter 4 purposes on behalf of any financial institution, includinga member of its expanded affiliated group.

42 Name of sponsoring entity:GIIN of sponsoring entity

43.

Sponsored Direct Reporting NFFE (see instructions for when this is permitted)

As required by Part XXVl, provide the name, address. and TIN of each substantial U. S. owner of the NFFE. Please see instructions for definition ofsubstantial U. S. owner. If providing the form to an FFl treated as a reporting Model I FFl or reporting Model2 FFl, an NFFE may also use this Part forreporting its controlling U. S. persons under an applicable IGA

. I cent that the enti identified in Part I is a direct reportin NFPE that is sponsored by the entit identified on line 42.Substantial U. S. Owners of Passive NFFE

Name

Under oenalties of penury. I declare that I have examined the Information on this form and to the best of my knowledge and belief it is true. correct. and complete. I furthercertify under penalties of perjury that

. The entity identified on line I of this form is the beneficial owner of all the income to which this form relates. is using this form to certify its status joy chapter 4purposes. or is a merchant submitting this form for purposes of section 6050W,

. The ent!ty identified on line I of this form is riot a U. S. person.

. The Income to which this form relates Is Iai not effectiveIy connected with the conduct of a trade or business in the United States. to) effectiveIy connected but isriot subiec! 10 tax under an Income tax treaty. or lei the partner's share o1 a partnership's effectiveIy connected income. and

. For broker transactions or barter exchanges. the beneficial owner Is an exempt foreign person as defined in the instructions

Furthermore. I authorize this form to be provided to any withholding agent that has control, receip!, or CUSIody of the income of which the entity on line I Is the beneficial

page 8

Address

Certification

owner or any withholding agent that cam disburse or in a e payments of the income o1 vJhich the entity on line I is the beneficial owner.

I agree Inat I will submit a new form withi 30 ays I ny certification on this form becomes incorrect.

Sign HereSignature of indiv;du

TIN

I^ I certify that I have e capacity to sign for the entity identified on line I of this form.

.

I orized to sign for beneficial ownerAf, \ ,o1 """a'

Print Name019.01 - 2,016

Dale IMM-Do-myY)

Form W-8BEN-E (Rev. 4-2016}