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Home My WebLink AboutContract 56219-NC1Memorandum Date:7/18/2024 To:JB Strong, Sr. Assistant City Attorney To: Christian McCoy Financial Services Manager Reginald Zeno Chief Financial Officer Re: Forvis, LLP to Forvis Mazars, LLP - Name change only Prior Name:Forvis, LLP New Name: Forvis Mazars, LLP Supplier id: 7000002708 CSCO:56219 APPROVED BY:__________________________________________ JB Strong, Sr. Assistant City Attorney APPROVAL DATE:_____________________ Forvis Mazars, LLP is an independent member of Forvis Mazars Global Limited July 16, 2024 City of Fort Worth 100 Fort Worth Trail Fort Worth, TX 76102 Re: FORVIS, LLP To Whom It May Concern: Effective June 1, 2024, our name changed to Forvis Mazars, LLP. This letter provides notification of the name change. Supporting documents enclosed include Texas and Delaware Secretary of State amendments for Forvis Mazars, LLP. Thank you for your assistance in this matter. If you need any additional information, I can be reached at 417.831.7283 or by email at Mike.Wolfe@us.forvismazars.com. Sincerely, Michael G. Wolfe Partner/Chief Risk Officer Enclosures � Form � (Rev. March 2024) Department of the Treasury Internal Revenue Service For guidance related to the Request for Taxpayer Identification Number and Certification Go to www.irs.gov/FormW9 for instructions and the latest information. Before 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 entity's name on line 2.) FORVIS MAZARS, LLP 2 Business name/disregarded entity name, if different from above. e� a� m a c 0 Gi G C O � V o i « "" c = 'C � a� w U d � a� a� � 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. ❑ Individual/sole proprietor ❑ C corporation ❑ S corporation ❑✓ Partnership ❑ Trust/estate ❑ LLC. Enter the tax classification (C = C corporation, S= S corporation, P= Partnership) . . . . Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. ❑ Other (see instructions) 3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . .❑ 5 Address (number, street, and apt. or suite no.). See instructions. PO BOX 200870 6 City, state, and ZIP code DALLAS, TX 75320-0870 7 List account number(s) here (optional) Give form to the requester. Do not send to the IRS. 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any) (Applies to accounts maintained outside the United States.) Requester's name and address (optional) 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—� resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a or T/N,later. Employer identification number Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. 4 4 — 0 1 6 0 2 6 0 �� certitication 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, vou are not required to siqn the certification, but you must provide vour correct TIN. See the instructions for Part II, later. Sign Signature of /�✓v`^-x+'""�` 0 (� Here U.S. person l f a�X�J oate lune 1, 2024 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. of Form W-9, see Purpose of Form, below. 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 Cat. No. 10231X Form W-9 (Rev. 3-2024) Corporations Section ,�� E Q P.O.Box 13697 �,�� ,.� Austin, Texas 78711-3697 W � �`�, '� !a � � '� Office of the Secretary of State CERTIFICATE OF AMENDED REGISTRATION OF Forvis Mazars, LLP 805113067 [formerly: FORVIS, LLP] Jane Nelson Secretary of State The undersigned, as Secretary of State of Texas, hereby certifies that an Application for Amended Registration to transact business in this state for the above named entity has been received in this office and has been found to conform to the applicable provisions of law. ACCORDINGLY, the undersigned, as Secretary of State, and by virtue of the authority vested in the secretary by law, hereby issues this Certificate of Amended Registration to transact business in this state under the name o£ Forvis Mazars, LLP Dated: 06/07/2024 Effective: 06/07/2024 ► iyr�,?� �� 1 �V �K;f ~� �l � ��t- �� r � � ��I�� . �� ° ' � � .� u�u�� ;, Jane Nelson Secretary of State Come visit us on the internet at https://www. sos. texas.gov/ Phone: (512) 463-5555 FaY: (512) 463-5709 Dial: 7-1-1 for Relay Services Prepared by: Shonda Scales TID: 10301 Document: 1370985640002