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Home My WebLink AboutContract 51101-NC1 FFA 41 RECEIVED csco#511D 1- NCl JUN -) 2020 CITY OF FORT WORTH Memorandum CITY SECRETARY Date: 5/26/2020 To: JB Strong, Assistant City Attorney Return to: Tracy Walter, Vendor Management—Purchasing Re: The Radiant Group to Radiant Mission Solutions, Inc.—Name change on y Prior Name: The Radiant Group—Supplier ID: 0000043866 New Name: Radiant Mission Solutions, Inc. ****City Secretary Agreement 51101**** APPROVED BY: JB Strong,Assistant City Attorney APPROVAL DATE: June 4,2020 n I a'n z SOLUTIONS May 19, 2020 Due to an acquisition AFIX Technologies, Inc./The Radiant Group is now Radiant Mission Solutions, Inc. Our physical location and mailing address will remain 205 North Walnut Pittsburg, KS 66762. Attached is a W-9 for your records. For billing, payments and correspondence, please update your records to reflect our new official business name and federal tax identification number as follows: Radiant Mission Solutions, Inc. Tax ID#: 20-2909698 Please make checks payable to Radiant Mission Solutions, Inc. If you prefer to pay via EFT/ACH, please contact our office for updated corporate bank account information. We hope you will join us in celebrating this news, as it provides a tremendously exciting opportunity for all involved. As always, if there is anything we can do for your agency, please let us know. Sincerely, Radiant Solutions Team REVEALING INSIGHTS 205 North Walnut Street Pittsburg,KS 66762 620.232.6420 AFIX.net Radiant5olutions.com 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 wwwJmgov/FormW9 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 Radiant Mission Solutions,Inc. 2 Business name/disregarded entity name,if different from above y3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions(codes apply only to m following seven boxes. certain entities.not individuals;see a instructions on page 3): o ❑ Individualisoie proprietor or ❑J C Corporation ❑ S Corporation ❑ Partnership ❑TrusVestate c single-member LLC Exempt payee code(it any) o o ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P-Partnership)► 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 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 an a another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that n is disregarded from the owner should check the appropriate box for the tax classification of its owner. E 8 ❑ Other(see instructions)► 4AWb m —1.—d aUW*rh,u S.. y 6 Address(number.street,and apt.or suite no.)See instructions. Requester's name and address(optional) 11 205 N.Walnut 6 City,state,and ZIP code Pittsburg, KS 66762 7 List account number(s)here(optional) • Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box The TIN provided must match the name given on line 1 to avoid social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a --M -m - resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For otherH -H entities,it is your employer identification number(EIN).0 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 Employer identification number Number To Give the Requester for guidelines on whose number to enter. M2O - 2 9 0 9 6 9 8 JIM 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 2.1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Interpal 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 notifidd 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 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 it you have been notified by the IRS that you are currently subject to backup wrthholding 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 11,later. Sign signature of i / May 13, 2020 Here U.S.person► I ( Date► General Instructions •Form 1099-DIV(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise .Form 1099-MISC(various types of income,prizes,awards,or gross noted. proceeds) Future developments.For the latest information about developments •Form 1099-B(stock or mutual fund sales and certain other related to Form W-9 and its instructions,such as legislation enacted transactions by brokers) after they were published,go to www.irs.gov/FormW9. •Form 1099-S(proceeds from real estate transactions) Purpose of Form •Form 1099-K(merchant card and third party network t nsactions) An Individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage Interest),1098-E(student Ian interest), information return with the IRS must obtain your correct taxpayer 1098-T(tuition) identification number(TIN)which may be your social security number •Form 1099-C(canceled debt) (SSN),individual taxpayer identification number(ITIN),adoption taxpayer identification number(ATIN),or employer identification number •Form 1099-A(acquisition or abandonment of secured property) (EIN),to report on an information return the amount paid to you,or other Use Form W-9 only If you are a U.S.person(including a resident amount reportable on an Information return.Examples of information alien),to provide your correct TIN. returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might •Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding, later. Cat.No.10231X Form w-9(Rev.10-2018)