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HomeMy WebLinkAboutContract 53971-NC1CSC No. 53971-NC1 FORTWORTH MEMORANDUM Date: 8/10/2023 To: Assistant City Attorney From: Tracy Walter — FMS/Vendor Management Re: Name Change Only: D&S Engineering Labs, LLC to Geotex Engineering, LLC Prior Name: D&S Engineering Labs, LLC New Name: Geotex Engineering, LLC Supplier id: 0000037945 Note: Supplier updated name only and the tax id (EIlN) number remained the same. APPROVED BY: -P Aug 14, 2023 Assistant City Attorney OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX July 10, 2023 Department of the Treasury Internal Revenue Service Ogden, LIT 84201-0011 Taxpayer: D&S Engineering Labs, LLC Type of Tax: 1065 Tax Year: December 31, 2022 Tax I D: 47-1859071 To Whom it May Concern: We are writing to advise that the company name has changed to Geotex Engineering, LLC. We request that you send us written acknowledgement of the name change to: Geotex Engineering, LLC Attn: Amy Brothers PO Box 855 Collinsville, TX, 76233 Should you have any questions or need additional information, please do not hesitate to contact me at (903) 420-0014. Thank you for your time and consideration. Geotex Engineering, LLC am'r Aw� ot#� Amy Brothers, President Form w_9 Request for Taxpayer Give Form to the (Rev. October2018) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service ► Go to www.irs.gov1For7nW9 for instructions and the latest information. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Geotex Engineering, LLC 2 Business name/disregarded entity name, if different from above M 3 Check a ro riate box for federal tax classification of the erson whose name is entered on line 1. Check only one of the PP P P 4 Exem tions codes a onl to P � ( PPN Y m following seven boxes. certain entities, not individuals; see a p ❑ IndlvlduaUsole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate instructions on page 3): di single -member LLC Exempt payee code (f any) 2 ❑ Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) ► P o` 2 Note: Check the appropriate box in the line above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting w LLC If the LLC is classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC Is code (If any) d another LLC that Is not disregarded from the owner for U.S, federal tax purposes. Otherwise, a single -member LLC that 0 is disregarded from the owner should check the appropriate box for the tax classification of its owner. V d ❑ Other (see instructions)►CL UWpliesto •ccounh mein�ned aurslde fh•U.S.J 5 Address (number, street, and apt. or suite no.) See Instructions. Requesters name and address (optional) m U), P. O. Box 855 (Physical Address 106 1/2 West Hughes Street) 6 City, state, and ZIP code Collinsville, Texas 76233 7 List account number(s) here (optional) 1 JJM Taxpayer Identification Number )TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line i to avoid I Social security number backup withholding. For individuals, this is generally your social security number (SSN). However, for a i + M —� resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other I entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. or Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and j Employer Idf entMeation number I jj Number To Give the Requester for guidelines on whose number to enter. M47 — { 1 18 f 5 19 { 0 ` 7 { 1 f Certification I I I I 111 f! 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. 1 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. 1 am a U.S. citizen or other U.S, person (defined below); and 4. The FATCA cade(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 It, later. Sign 1 Signature of J A 0(71,& Here U.S. person ► General Instructio 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.gov1FormW9. Purpose of Form An Individual or entity (Form W-9 requester) who is required to file an Information return with the IRS must obtaln 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 retum. Examples of information retums include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) Date ► (o f 1 1 �1.0,P.3 • 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, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) I® BUSINESS ORGANIZATIONS INC X Q Interactive TIN Session1meractit X + F 3 C 0 it direct,sos.state.tx.us/corp_I ,A j,L-, ,._inquiry-entity.asp?spage=ae&:Spagefrom=&:Sfiling_number=602055399&:Ndocument_number=I272b25020004&-.Npgcurrent=t&:Norder_item_type... LS' 4 Suggested Sites rM e-Services I Internal... 40 Accurint® I LemsNe... ® Adobe Sign, an Ad... © PS Test Envircments j§ Purchasing— Welco .. Tj Welcome to Laserh T CFWnet.org I City o... 0 SOSDirect - An Onli,.. © Supplier UCC Business Organizations Trademarks Notary Account Help/Fees Briefcase Logout BUSINESS ORGANIZATIONS INQUIRY - VIEW ENTITY Filing Number: 802056399 Entity Type: Domestic Limited Liability Company (LLC) Original Date of Filing: September 3, 2014 Entity Status: In existence Formation Date: N/A Tax ID: 32055052883 FEIN: Duration: Perpetual Name: Geotex Engineering LLG Address: 106 112 HUGHES STREET COLL1 NSVI LLE, TX 76233-0000 USA REG4STERED.AGEN1'� irfLY Name Entity Type LThere are no documents listed for this entity which match your inquiry. Order I Return to Search Instructions- 0 To place an order for additional information about a fling press the 'Order' button_ NAMES �W MANAGEMENT Filing Date ASSUMED NAMES ASSOCIATED ENTITIES Entity Filing Number Jurisdiction INITIAIADDRESS: Capaci