Time is Critical
|
Please Complete and Return Promptly
|
If delivering by mail:
Computershare Trust Company, N.A. c/o Voluntary Corporate Actions
P.O. Box 43011
Providence, RI 02940
|
If delivering by overnight courier:
Computershare Trust Company, N.A. c/o Voluntary Corporate Actions
250 Royall Street, Suite V
Canton, MA 02021
|
Name(s) and Address of Registered Holder(s)
(Please correct details if incorrect or fill in, if blank) (Please ensure name(s) appears exactly as on Certificate(s) (or confirmation of book-entry transfer, as applicable)) (Attach additional signed list if necessary). See Instruction 6 |
Certificate No(s).,
if any. See Instruction 6 |
Number of Shares
Represented by Each Certificate, if any. See Instruction 6 |
Number of
Book-Entry Shares, if any. See Instruction 6 |
|||
|
||||||
TOTAL SHARES SURRENDERED FOR EXCHANGE OR GUARANTEED FOR DELIVERY:
|
||||||
£ Shares of common stock will be issued in non-certificated book-entry form via a Direct Registration System® (DRS) stock distribution statement. Please check this box if you would like to receive a physical stock certificate in lieu of non-certificated book-entry shares in respect of any shares of common stock that you are entitled to receive.
|
£ | STOCK ELECTION—You elect to receive stock consideration with respect to ALL of your shares of RockTenn common stock (one share of Holdings common stock for each share of RockTenn common stock). |
£ | CASH ELECTION—You elect to receive cash consideration with respect to ALL of your shares of RockTenn common stock (an amount in cash equal to the volume weighted average price per share of RockTenn common stock on the New York Stock Exchange for the consecutive period over the five trading days immediately preceding (but not including) the third trading day prior to the effective time of the Combination for each share of RockTenn common stock). |
£ | MIXED ELECTION—You elect to receive a combination of cash consideration and stock consideration, as specified below: |
£ | NO ELECTION—You make no election with respect to ALL of your shares of RockTenn common stock. If you check this box, or otherwise fail to make a proper or timely election, your shares will be treated as described in Instruction 11. |
SPECIAL ISSUANCE/PAYMENT
INSTRUCTIONS Complete ONLY if the new certificates or book-entry statement for the shares and/or the check for cash are to be issued in the name(s) of someone other than the registered holder(s) in the box below.
|
SPECIAL DELIVERY
INSTRUCTIONS Complete ONLY if the new certificates or book-entry statement for the shares and/or the check for cash are to be mailed to an address other than the address reflected below.
|
|||
Issue to:
|
Mail to:
|
|||
Name(s):
|
Name(s):
|
|||
Address:
|
Address:
|
|||
(See Instruction 8)
|
(See Instruction 7)
|
REGISTERED HOLDER(S)
MUST SIGN IN THIS BOX SIGNATURE(S) REQUIRED
Signature(s) of Registered Holder(s) or Agent Must be signed by the registered holder(s) EXACTLY as name(s) appears on stock certificate (or confirmation of book-entry transfer, as applicable). All registered holders must sign. If signature is by a trustee, executor, administrator, guardian, Attorney-in-fact, officer for a corporation in a fiduciary or representative capacity, or other person, please set forth full title. See Instruction 8.
|
SIGNATURE(S) GUARANTEED
(IF REQUIRED) See Instruction 8
A signature guarantee is required on the Form of Election and Letter of Transmittal if the name(s) of the person(s) executing the Form of Election and Letter of Transmittal is different from the name(s) of the registered holder(s). If the election is not for the account of a member of a Securities Transfer Agents’ Medallion Program, Stock Exchange Medallion Program or New York Stock Exchange Medallion Signature Program (an “Eligible Institution”), your signature(s) must be guaranteed by an Eligible Institution. Note: A notarization by a notary public is not acceptable.
|
|
Registered Holder
|
Authorized Signature
|
|
Registered Holder
|
Name of Firm
|
|
Title, if any
|
||
Address of Firm—Please Print
|
||
Area Code/Phone No.
|
||
APPLY MEDALLION GUARANTEE STAMP BELOW
|
||
Address—Please Print
|
||
Notice of Guaranteed Delivery
See Instruction 9
Persons to whom certificate(s) or confirmations of delivery of shares in book-entry form are not immediately available may make an election by completing the Form of Election and Letter of Transmittal and submitting it to the Exchange Agent by the Election Deadline, and by completing the attached Notice of Guaranteed Delivery. The signature(s) must be guaranteed by an Eligible Institution. Note: A notarization by a notary public is not acceptable.
|
Authorized Signature
|
Name of Firm
|
Title
|
Address of Firm—Please Print
|
APPLY MEDALLION GUARANTEE
STAMP BELOW |
1. | Introduction |
2. | Delivery Instructions and Election Deadline |
3. | Surrender of Certificate(s), Lost Certificate(s) |
4. | Termination of Business Combination Agreement |
5. | Method of Delivery |
6. | Description of Shares of RockTenn Common Stock Surrendered |
7. | Special Delivery Instructions |
8. | Signatures |
9. | Notice of Guaranteed Delivery |
10. | IRS Form W-9 |
11. | Proration, Reallocation and No Election |
12. | Fractional Interests |
13. | Revocation or Change of Form of Election and Letter of Transmittal |
14. | Purchase, Sale or Transfer of RockTenn Shares |
15. | Disputes |
16. | Cash Allocation Addendum (Optional) |
17. | Elections Effective Only upon Completion of the Combination |
18. | Miscellaneous |
19. | Inquiries |
Form W-9
(Rev. December 2014)
Department of the Treasury Internal Revenue Service
|
Request for Taxpayer
Identification Number and Certification |
Give Form to the
requester. Do not
send to the IRS.
|
Print or type
See Specific Instructions on page 2.
|
1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.
|
|||||
2 Business name/disregarded entity name, if different from above
|
||||||
3 Check appropriate box for federal tax classification; check only one of the following seven boxes:
|
4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):
Exempt payee code (if any)_______
Exemption from FATCA reporting
code (if any)_________
(Applies to accounts maintained outside the U.S.)
|
|||||
□ Individual/sole proprietor or single-member LLC
|
□ C Corporation
|
□ S Corporation
|
□ Partnership
|
□Trust/estate
|
||
□ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) ▶ _________
|
||||||
Note. For a single-member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for the tax classification of the single-member owner.
|
||||||
□ Other (see instructions) ▶
|
||||||
5 Address (number, street, and apt. or suite no.)
|
Requester’s name and address (optional)
|
|||||
6 City, state, and ZIP code
|
||||||
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 a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.
|
Social security number
|
||||||||||||
–
|
–
|
||||||||||||
or
|
|||||||||||||
Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for guidelines on whose number to enter.
|
Employer identification number
|
||||||||||||
–
|
|||||||||||||
|
Part II
|
Certification
|
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); 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 below); and
|
|
4. 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 on page 3.
|
Sign
Here
|
Signature of U.S. person ▶
|
Date ▶
|
General Instructions
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. Information about developments affecting Form W-9 (such as legislation enacted after we release it) is at www.irs.gov/fw9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an information 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 other amount reportable on an information return. Examples of information returns include, but are not limited to, the following:
● Form 1099-INT (interest earned or paid)
● Form 1099-DIV (dividends, including those from stocks or mutual funds)
● Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)
● Form 1099-B (stock or mutual fund sales and certain other transactions 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 resident alien), 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? on page 2.
By signing the filled-out form, you:
1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and
4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting? on page 2 for further information.
|
|
Cat. No. 10231X | Form W-9 (Rev. 12-2014) |
Form W-9 (Rev. 12-2014) | Page 2 |
Note. If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9.
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).
Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners’ share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income.
In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States:
● In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity;
● In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and
● In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust.
Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Publication 515, Withholding of Tax on Nonresident Aliens and Foreign Entities).
Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a “saving clause.” Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes.
If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items:
1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien.
2. The treaty article addressing the income.
3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions.
4. The type and amount of income that qualifies for the exemption from tax.
5. Sufficient facts to justify the exemption from tax under the terms of the treaty article.
Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption.
If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233.
Backup Withholding
What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 28% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding.
You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return.
Payments you receive will be subject to backup withholding if:
1. You do not furnish your TIN to the requester,
2. You do not certify your TIN when required (see the Part II instructions on page 3 for details),
|
3. The IRS tells the requester that you furnished an incorrect TIN,
4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or
5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only).
Certain payees and payments are exempt from backup withholding. See Exempt payee code on page 3 and the separate Instructions for the Requester of Form W-9 for more information.
Also see Special rules for partnerships above.
What is FATCA reporting?
The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code on page 3 and the Instructions for the Requester of Form W-9 for more information.
Updating Your Information
You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies.
Penalties
Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.
Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.
Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.
Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.
Specific Instructions
Line 1
You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return.
If this Form W-9 is for a joint account, list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9.
a. Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name.
Note. ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application.
b. Sole proprietor or single-member LLC. Enter your individual name as shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or “doing business as” (DBA) name on line 2.
c. Partnership, LLC that is not a single-member LLC, C Corporation, or S Corporation. Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or DBA name on line 2.
d. Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on line 2.
e. Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a “disregarded entity.” See Regulations section 301.7701-2(c)(2)(iii). Enter the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2, “Business name/disregarded entity name.” If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN.
|
Form W-9 (Rev. 12-2014) | Page 3 |
Line 2
If you have a business name, trade name, DBA name, or disregarded entity name, you may enter it on line 2.
Line 3
Check the appropriate box in line 3 for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box in line 3.
Limited Liability Company (LLC). If the name on line 1 is an LLC treated as a partnership for U.S. federal tax purposes, check the “Limited Liability Company” box and enter “P” in the space provided. If the LLC has filed Form 8832 or 2553 to be taxed as a corporation, check the “Limited Liability Company” box and in the space provided enter “C” for C corporation or “S” for S corporation. If it is a single-member LLC that is a disregarded entity, do not check the “Limited Liability Company” box; instead check the first box in line 3 “Individual/sole proprietor or single-member LLC.”
Line 4, Exemptions
If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space in line 4 any code(s) that may apply to you.
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, including interest and dividends.
● Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions.
● 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.
The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space in line 4.
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 U.S. commonwealth or possession
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
The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13.
|
2However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys' fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency.
Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) written or printed on the line for a FATCA exemption code.
A–An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37)
B–The United States or any of its agencies or instrumentalities
C–A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities
D–A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i)
E–A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i)
F–A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state
G–A real estate investment trust
H–A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940
I–A common trust fund as defined in section 584(a)
J–A bank as defined in section 581
K–A broker
L–A trust exempt from tax under section 664 or described in section 4947(a)(1)
M–A tax exempt trust under a section 403(b) plan or section 457(g) plan
Note. You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed.
Line 5
Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns.
Line 6
Enter your city, state, and ZIP code.
Part I. Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below.
If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. However, the IRS prefers that you use your SSN.
If you are a single-member LLC that is disregarded as an entity separate from its owner (see Limited Liability Company (LLC) on this page), enter the owner’s SSN (or EIN, if the owner has one). Do not enter the disregarded entity’s EIN. If the LLC is classified as a corporation or partnership, enter the entity’s EIN.
Note. See the chart on page 4 for further clarification of name and TIN combinations.
How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.ssa.gov. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/businesses and clicking on Employer Identification Number (EIN) under Starting a Business. You can get Forms W-7 and SS-4 from the IRS by visiting IRS.gov or by calling 1-800-TAX-FORM (1-800-829-3676).
If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and write “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester.
Note. Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon.
Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8.
|
||
IF the payment is for . . .
|
THEN the payment is exempt for . . .
|
||
Interest and dividend payments
|
All exempt payees except for 7
|
||
Broker transactions
|
Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012.
|
||
Barter exchange transactions and patronage dividends
|
Exempt payees 1 through 4
|
||
Payments over $600 required to be reported and direct sales over $5,0001
|
Generally, exempt payees 1 through 52
|
||
Payments made in settlement of payment card or third party network transactions
|
Exempt payees 1 through 4
|
||
1See Form 1099-MISC, Miscellaneous Income, and its instructions.
|
|||
Form W-9 (Rev. 12-2014) | Page 4 |
Part II. Certification
To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if items 1, 4, or 5 below indicate otherwise.
For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code earlier.
Signature requirements. Complete the certification as indicated in items 1 through 5 below.
1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification.
2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form.
3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification.
4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations).
5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification.
|
3 You must show your individual name and you may also enter your business or DBA name on the “Business name/disregarded entity” name line. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN.
4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) Also see Special rules for partnerships on page 2.
*Note. Grantor also must provide a Form W-9 to trustee of trust.
Note. If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.
Secure Your Tax Records from Identity Theft
Identity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund.
To reduce your risk:
● Protect your SSN,
● Ensure your employer is protecting your SSN, and
● Be careful when choosing a tax preparer.
If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter.
If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039.
For more information, see Publication 4535, Identity Theft Prevention and Victim Assistance.
Victims of identity theft who are experiencing economic harm or a system problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059.
Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft.
The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts.
If you receive an unsolicited email claiming to be from the IRS, forward this message to phishing@irs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at: spam@uce.gov or contact them at www.ftc.gov/idtheft or 1-877-IDTHEFT (1-877-438-4338).
Visit IRS.gov to learn more about identity theft and how to reduce your risk.
|
|||
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 account1
|
||
3. |
Custodian account of a minor
(Uniform Gift to Minors Act) |
The minor2
|
||
4. |
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-trustee1
The actual owner1
|
||
5. |
Sole proprietorship or disregarded entity owned by an individual
|
The owner3
|
||
6. |
Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A))
|
The grantor*
|
||
Privacy Act Notice | ||||
For this type of account:
|
Give name and EIN of:
|
Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information.
|
||
7. |
Disregarded entity not owned by an individual
|
The owner | ||
8. |
A valid trust, estate, or pension trust
|
Legal entity4 | ||
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 Regulations section 1.671-4(b)(2)(i)(B))
|
The trust | ||
1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished.
|
||||
2 Circle the minor’s name and furnish the minor’s SSN.
|
Block Number
|
Purchase Date
|
Number of Shares
|
Price Per Share
|
Total Purchase
Price |
||||
1
|
||||||||
2
|
||||||||
3
|
||||||||
4
|
||||||||
5
|
Signature of Shareholder
|
Date
|
1. | The chart expresses your intent that cash will be treated as being allocated first to all the shares of RockTenn common stock in Block Number 1, then to all the shares of RockTenn common stock in Block Number 2, and so on, until all of the cash you receive is allocated by this Addendum or until no more blocks of shares are designated by this Addendum, and that if there is enough cash to exchange for some but not all of the shares in a particular block, that cash will be allocated to the maximum possible number of shares within that particular block. |
2. | Any block of shares that you include in this Addendum should consist only of shares that you bought on the same date and for the same price per share. If there is not enough space provided above, you may copy this Addendum as many times as necessary and complete and sign each copy in accordance with these instructions, adjusting the “Block Numbers” as appropriate. |
3. | Under “Purchase Date,” provide the date on which you purchased the corresponding block of shares of RockTenn common stock. |
4. | Under “Number of Shares,” provide the number of shares of RockTenn common stock that you purchased on the same date for the same price. |
5. | Under “Price Per Share” and “Total Purchase Price,” provide the price per share and the total purchase price of the corresponding block of shares of RockTenn common stock. |
If delivering by mail:
Computershare Trust Company, N.A.
c/o Voluntary Corporate Actions
P.O. Box 43011
Providence, RI 02940
|
If delivering by overnight courier:
Computershare Trust Company, N.A.
c/o Voluntary Corporate Actions
250 Royall Street, Suite V
Canton, MA 02021
|
Please type or print.
|
|||||||
Certificate Nos. (if available):
|
|
||||||
(Signature)
|
|||||||
|
Date:
|
||||||
Number of Shares:
|
If the shares will be delivered by book-entry delivery, fill in the applicable account number below:
|
||||||
Name(s):
|
|||||||
Address:
|
The Depository Trust Company (DTC)
|
||||||
DTC Account Number:
|
|||||||
Area Code(s) and Telephone Number(s):
|
Transaction Code Number:
|
||||||
Authorized Signature:
|
|||||
Name:
|
|||||
Title:
|
|||||
Name of Firm:
|
|||||
Address (including zip code):
|
|||||
Area Code and Telephone Number:
|
|||||
Date:
|
THE RIGHT TO MAKE AN ELECTION IS EXPECTED TO EXPIRE AT 5:00 P.M., EASTERN TIME, ON JUNE 23, 2015, THE DATE IMMEDIATELY PRIOR TO THE ROCKTENN SHAREHOLDERS MEETING (THE “ELECTION DEADLINE”). FORMS OF ELECTION AND LETTERS OF TRANSMITTAL MUST BE RECEIVED BY COMPUTERSHARE TRUST COMPANY, N.A. (THE “EXCHANGE AGENT”) NO LATER THAN THE ELECTION DEADLINE. MEADWESTVACO CORPORATION (“MWV”) AND ROCK-TENN COMPANY (“ROCKTENN”) WILL PUBLICLY ANNOUNCE, BY PRESS RELEASE, THE ANTICIPATED ELECTION DEADLINE NOT MORE THAN FIFTEEN BUSINESS DAYS BEFORE, AND AT LEAST FIVE BUSINESS DAYS PRIOR TO, THE ANTICIPATED ELECTION DEADLINE. IF THE ROCKTENN SHAREHOLDERS MEETING IS RESCHEDULED TO A SUBSEQUENT DATE OR IF CERTAIN REGULATORY APPROVALS ARE NOT OBTAINED PRIOR TO THE ROCKTENN SHAREHOLDERS MEETING, THE ELECTION DEADLINE WILL BE RESCHEDULED TO A SUBSEQUENT DATE. ROCKTENN AND MWV WILL PROMPTLY PUBLICLY ANNOUNCE SUCH RESCHEDULED ELECTION DEADLINE.
|
· | A Form of Election and Letter of Transmittal, together with instructions for completing the Form of Election and Letter of Transmittal; and |
· | a form of client letter, including an Election Instruction Form and an optional Cash Allocation Addendum, which you may use to obtain election instructions from your client(s). |
THE RIGHT TO MAKE AN ELECTION IS EXPECTED TO EXPIRE AT 5:00 P.M., EASTERN TIME, ON JUNE 23, 2015, THE DATE IMMEDIATELY PRIOR TO THE ROCKTENN SHAREHOLDERS MEETING (THE “ELECTION DEADLINE”). FORMS OF ELECTION AND LETTERS OF TRANSMITTAL MUST BE RECEIVED BY COMPUTERSHARE TRUST COMPANY, N.A. (THE “EXCHANGE AGENT”) NO LATER THAN THE ELECTION DEADLINE. MEADWESTVACO CORPORATION (“MWV”) AND ROCK-TENN COMPANY (“ROCKTENN”) WILL PUBLICLY ANNOUNCE, BY PRESS RELEASE, THE ANTICIPATED ELECTION DEADLINE NOT MORE THAN FIFTEEN BUSINESS DAYS BEFORE, AND AT LEAST FIVE BUSINESS DAYS PRIOR TO, THE ANTICIPATED ELECTION DEADLINE. IF THE ROCKTENN SHAREHOLDERS MEETING IS RESCHEDULED TO A SUBSEQUENT DATE OR IF CERTAIN REGULATORY APPROVALS ARE NOT OBTAINED PRIOR TO THE ROCKTENN SHAREHOLDERS MEETING, THE ELECTION DEADLINE WILL BE RESCHEDULED TO A SUBSEQUENT DATE. ROCKTENN AND MWV WILL PROMPTLY PUBLICLY ANNOUNCE SUCH RESCHEDULED ELECTION DEADLINE. PLEASE RETURN YOUR ELECTION INSTRUCTION FORM TO US IN SUFFICIENT TIME IN ADVANCE OF THE ELECTION DEADLINE TO PERMIT US TO SUBMIT AN ELECTION ON YOUR BEHALF TO THE EXCHANGE AGENT.
|
·
|
If you wish to exercise dissenters’ rights with respect to your shares of RockTenn common stock, you should instruct us to not make an election. By instructing us to make an election, you are waiving your dissenters’ rights. RockTenn shareholders who desire to exercise dissenters’ rights should review carefully Article 13 of the Georgia Business Corporation Code and are urged to consult a legal advisor before electing or attempting to exercise these rights.
|
·
|
The Election Deadline is expected to be 5:00 p.m., Eastern Time, on June 23, 2015, the date immediately prior to the RockTenn shareholders meeting. RockTenn and MWV will publicly announce, by press release, the anticipated Election Deadline not more than fifteen business days before, and at least five business days prior to, the anticipated Election Deadline. Your Election Instruction Form (and, if you so choose, the optional Cash Allocation Addendum) must be returned to us in sufficient time in advance of the Election Deadline to permit us to submit an election on your behalf to the Exchange Agent.
|
·
|
If you instruct us to make no election on your behalf, or fail to timely instruct us as to the election you would like to make, and the shares of RockTenn common stock for which stock consideration is elected (the “stock electing shares”) exceeds the maximum number of shares of Holdings common stock that can be issued to RockTenn shareholders as consideration in the RockTenn Merger, such that the RockTenn shareholders’ pro forma ownership of Holdings immediately after the effective time of the Combination does not exceed 49.9% of the issued and outstanding shares of Holdings common stock (the “stock cap number”), then your shares will be converted into the right to receive cash consideration. If you instruct us to make no election on your behalf, or fail to timely instruct us as to the election you would like to make, and the aggregate number of stock electing shares (the “stock election number”) is less than or equal to the stock cap number (the difference between the stock election number and stock cap number being the “shortfall number”), then your shares will be treated in the following manner: (1) if the shortfall number is less than or equal to the aggregate number of all the shares for which no election is made (the “non-electing shares”), then your shares will be converted into the right to receive stock consideration in respect of that number of shares equal to the product obtained by multiplying (x) the number of shares you own by (y) a fraction, the numerator of which is the shortfall number and the denominator of which is the aggregate number of non-electing shares, with your remaining shares being converted into the right to receive the cash consideration, and (2) if the shortfall number exceeds the aggregate number of non-electing shares, then your shares will be converted into the right to receive the stock consideration.
|
·
|
You may direct us to revoke or change your election at any time, provided that such revocation or new election must be submitted by us and received by the Exchange Agent prior to the Election Deadline. Please contact us for instructions if you wish to do so. Please keep in mind that if we revoke your election, unless we thereafter receive new election instructions from you and submit a valid election to the Exchange Agent prior to the Election Deadline, the shares of RockTenn common stock that we hold for your account will be treated as shares in respect of which “NO ELECTION” has been made.
|
·
|
If you are making a mixed stock and cash election and purchase, through your account with us, additional shares of RockTenn common stock after we submit an election to the Exchange Agent on your behalf, you may submit to us a new Election Instruction Form in sufficient time in advance of the Election Deadline to permit us to submit an election to the Exchange Agent to cover all of your shares, including such additional shares. If you are making a mixed stock and cash election and do not timely provide us with a new Election Instruction Form, you will be deemed to have made “NO ELECTION” with respect to the additional shares of RockTenn common stock that you have acquired.
|
·
|
By signing and submitting an Election Instruction Form, you warrant that the shares of RockTenn common stock with respect to which you have instructed us to make an eletion will not be sold, including through limit order request, unless the Election Instruction Form has been properly revoked pursuant to the instructions herein.
|
·
|
Your Election Instruction Form applies only to those shares of RockTenn common stock that we hold for your account. If you own shares of RockTenn common stock registered directly with RockTenn or held through other nominees, you will receive additional election materials and will need to complete the Form(s) of Election and Letter(s) of Transmittal that you receive as part of those materials in order to make a valid election with respect to such shares.
|
·
|
The tax consequences of the Combination and your election will depend on your own situation. You should consult your own tax advisor as to the U.S. Federal income tax consequences of the Combination and any election you make, as well as the effects of state, local and non-U.S. tax laws.
|
☐ |
STOCK ELECTION: You elect to receive stock consideration with respect to ALL of your shares of RockTenn common stock that we hold for your account (one share of Holdings common stock for each share of RockTenn common stock).
|
☐ |
CASH ELECTION: You elect to receive cash consideration with respect to ALL of your shares of RockTenn common stock that we hold for your account (an amount in cash equal to the volume weighted average price per share of RockTenn common stock on the New York Stock Exchange for the consecutive period over the five trading days immediately preceding (but not including) the third trading day prior to the effective time of the Combination for each share of RockTenn common stock).
|
☐ |
MIXED ELECTION: You elect to receive a combination of cash consideration and stock consideration, as specified below:
|
You elect to receive stock consideration with respect to ______ shares of RockTenn common stock that we hold for your account (one share of Holdings common stock for each share of RockTenn common stock).
|
|
You elect to receive cash consideration with respect to ______ shares of RockTenn common stock that we hold for your account (an amount in cash equal to the volume weighted average price per share of RockTenn common stock on the New York Stock Exchange for the consecutive period over the five trading days immediately preceding (but not including) the third trading day prior to the effective time of the Combination for each share of RockTenn common stock).
|
£
|
NO ELECTION: You make no election with respect to your shares of RockTenn common stock that we hold for your account.
|
Account Number:
|
|
Signature of Accountholder:
|
|
Date:
|
|
Signature of Accountholder (if joint account):
|
|
Date:
|
Block Number
|
Purchase Date
|
Number of Shares
|
Price Per Share
|
Total Purchase Price
|
||||
1
|
||||||||
2
|
||||||||
3
|
||||||||
4
|
||||||||
5
|
INSTRUCTIONS FOR COMPLETING THIS ADDENDUM:
|
||
1.
|
The chart expresses your intent that cash will be treated as being allocated first to all the shares of RockTenn common stock in Block Number 1, then to all the shares of RockTenn common stock in Block Number 2, and so on, until all of the cash you receive is allocated by this Addendum or until no more blocks of shares are designated by this Addendum, and that if there is enough cash to exchange for some but not all of the shares in a particular block, that cash will be allocated to the maximum possible number of shares within that particular block.
|
2.
|
Any block of shares that you include in this Addendum should consist only of shares that you bought on the same date and for the same price per share. If there is not enough space provided above, you may copy this Addendum as many times as necessary and complete and sign each copy in accordance with these instructions, adjusting the “Block Numbers” as appropriate.
|
|
3.
|
Under “Purchase Date,” provide the date on which you purchased the corresponding block of shares of RockTenn common stock.
|
|
4.
|
Under “Number of Shares,” provide the number of shares of RockTenn common stock that you purchased on the same date for the same price.
|
|
5.
|
Under “Price Per Share” and “Total Purchase Price,” provide the price per share and the total purchase price of the corresponding block of shares of RockTenn common stock.
|