Extract W-9 tax form information from the document below. Some pages could not be read by OCR - they are marked "OCR-unreadable, see image below". Use the images (in order) for those pages.
Document content:
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Form W-9 Request for Taxpayer Give form to the<br>(Rev. March 2024) Identification Number and Certification requester. Do not<br>Department of the Treasury send to the IRS.<br>Internal Revenue Service Go to www.irs.gov/FormW9 for instructions and the latest information.<br>Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form , below.<br>1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded<br>entity’s name on line 2.)<br>Pulsecaster, Inc.<br>2 Business name/disregarded entity name, if different from above.<br>Serious Development<br>3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check 4 Exemptions (codes apply only to<br>only one of the following seven boxes. certain entities, not individuals;<br>see instructions on page 3):<br>Individual/sole proprietor C corporation 3 S corporation Partnership Trust/estate<br>LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Exempt payee code (if any)<br>Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax<br>classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate Exemption from Foreign Account Tax<br>box for the tax classification of its owner. Compliance Act (FATCA) reporting<br>Other (see instructions) code (if any)<br>3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification,<br>(Applies to accounts maintained<br>and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check<br>this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . outside the United States.)<br>5 Address (number, street, and apt. or suite no.). See instructions. Requester’s name and address (optional)<br>1430 E Mountain Street<br>6 City, state, and ZIP code<br>Pasadena, CA 91104<br>7 List account number(s) here (optional)<br>Part I Taxpayer Identification Number (TIN)<br>Social security number<br>Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid<br>backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other – –<br>entities, it is your employer identification number (EIN). If you do not have a number, see How to get a or<br>TIN , later.<br>Employer identification number<br>Note: If the account is in more than one name, see the instructions for line 1. See also What Name and<br>Number To Give the Requester for guidelines on whose number to enter. 2 7 – 2 1 8 8 2 0 7<br>on page 3.<br>Print or type. Specific Instructions<br>See<br>**----- End of picture text -----**<br>
**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 for Part II, later.
**Sign Signature of Here U.S. person**
**Date**
## 02/15/2025
## **General Instructions**
Section references are to the Internal Revenue Code unless otherwise noted.
**Future developments** . For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to _www.irs.gov/FormW9_ .
## **What’s New**
Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification.
New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065).
## **Purpose of Form**
An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they
Form **W-9** (Rev. 3-2024)
Cat. No. 10231X
Page **2**
Form W-9 (Rev. 3-2024)
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-NEC (nonemployee compensation).
- 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), and 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.
**Caution:** If you don’t return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See _What is backup withholding_ , later.
**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; and
4. Certify to your non-foreign status for purposes of withholding under
chapter 3 or 4 of the Code (if applicable); and
5. Certify
Pre-extracted NER entities:
- ADDRESS: the United States.)<br>5 Address, U.S., the United States, The United States, the District of Columbia
- BUSINESS_TYPE: Individual/sole proprietor, C corporation, S corporation, Partnership, partnership, Limited liability company
The images below correspond to the unreadable pages in order. Extract from both the markdown and the images.
Return ONLY a valid JSON object with these exact keys: taxpayer_name, business_name, tax_classification, ssn, ein, address (object with street, city, state, zip), signature_date, is_signed (boolean). No other text or markdown.