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HomeMy WebLinkAboutContract 56623-NC1Memorandum CSC No. 56623-NC1 Date: 7/17/2025 To: Hye Won Kim, Assistant City Attorney Inq To: Monty Hall — Assistant TPW Director Re: Name Change Only: Pape -Dawson Consulting Engineers, Inc to Pape -Dawson Consulting Engineers, LLC Prior Name: Pape -Dawson Consulting Engineers, Inc New Name: Pape -Dawson Consulting Engineers, LLC CSCO: 56623 Entity change from Inc to LLC only. TIN remained the same. APPROVED BY: Hye Won Kim, Assistant City Attorney APPROVAL DATE: 07/ 17/2025 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Filing#:804999260 Document#:1356603720002 Filed On 4/19/2024 received by Upload Form 503 (Revised 08119) Return in duplicate to: Secretary of State P.O. Box 13697 Austin, TX 78711-3697 512 463-5555 FAX: 512 463-5709 Filing Fee: $25 Assumed Name Certificate Assumed Name This space reserved for office use. 1. The assumed name under which the business or professional service is, or is to be, conducted or rendered is: Pape -Dawson Entity Information 2. The legal name of the entity fling the assumed name is: Pape -Dawson Consulting Engineers, LLC Stale the name of the entity as currently shown in the records of the secretary of stare or on its organizational documents, ii not filed with the secretary of stale. 3. The entity Fling the assumed name is a: (Select the appropriate entity type below.) ❑ For -profit Corporation ❑ Nonprofit Corporation ❑ Professional Corporation ❑ Professional Association © Limited Liability Company ❑ Limited Partnership ❑ Limited Liability Partnership ❑ Cooperative Association ❑ Other Speck type of entity. For example, foreign real estate investment trust, state bank, insurance company, etc. 4. The file number, if any, issued to the entity by the secretary of state is: 804999260 5. The state, country, or other jurisdiction of formation of the entity is: Texas 6. The entity's principal office address is: 2000 NW Loop 410 Street or Mailing Address San Antonio TX USA 78213-2251 City State Country Postal or Zip Code Period of Duration d❑ 7a. The period during which the assumed name will be used is 10 years from the date of filing with the secretary of state. OR ❑ 7b. The period during which the assumed name will be used is years from the date of filing with the secretary of state (not to exceed 10 years). OR ❑ 7c. The assumed name will be used until (not to exceed 10 years). mmlddlym Form 503 County or Counties in which Assumed Name Used 8. The county or counties where business or professional services are being or are to be conducted or rendered under the assumed name are: 21 All counties ❑ All counties with the exception of the following counties: ❑ Only the following counties: Execution The undersigned signs this document subject to the penalties imposed by law for the submission of a materially false or fraudulent instrument and also certifies that the person is authorized to sign on behalf of the identified entity. If the undersigned is acting in the capacity of an attorney in fact for the entity, the undersigned certifies that the entity has duly authorized the undersigned in writing to execute this document. Date: April 10, 2024 Todd A. Wilson, Chief Financial Officer Signature of a person authorized by law to sign on behalf of the identified entity (see instructions) Form 503 Form W-9 Request for Taxpayer Give form to the (Rev. March 2024) Identification Number and Certification requester. Do not Department of the Treasury Go to www.irs.gov/FormW9 for instructions and the latest information. Send to the IRS. Internal Revenue Service Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below. 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 entity's name on line 2.) Pape -Dawson Consulting Engineers, LLC 2 Business name/disregarded entity name, if different from above. Pape -Dawson Engineers M 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 0 only one of the following seven boxes. certain entities, not individuals; 0- C ❑ Individual/sole proprietor ❑ C corporation ❑ S corporation ❑ Partnership ❑ Trust/estate see instructions on page 3): 0 C [� LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) P Exempt payee code (if any) a o 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 Exemption from Foreign Account Tax o .� box for the tax classification of its owner. Compliance Act (FATCA) reporting ❑ Other (see instructions) code (if any) 1 `` s; 3b If on line 3a you checked "Partnership" or "Trust/estate," or checked "LLC" and entered "P" as its tax classification, (Applies to accounts maintained � and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check outside the United States.) this box if you have any foreign partners, owners, or beneficiaries. See instructions . ❑ Q ) Address (number, street, and apt. or suite no.). See instructions. Requester's name and address (optional) 15 2000 NW Loop 410 City, state, and ZIP code San Antonio, Texas 78213 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 I I I _ 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 TIN, 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. M74 I 1 6 7 6 2 15 2 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 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 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 dividenrqurp not required tp n the certi ' tion, but you must provide your correct TIN. See the instructions for Part II, later. Sign I U.S.pture;y1.� �7 /G � Here U.S. erson t l� �\ �( 1 Date 1/2/2025 General Instructions New line 3b has been added to this form. A flow -through entity is 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. required to complete this Ime 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)