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HomeMy WebLinkAbout062381-NC1 - General - Contract - The Fain Group, LLCFORT WORTH,, Memorandum Date: 3/16/2026 CSC No. 62381-NC1 To: Hye Won Kim, Assistant City Attorney r-K To: Fanta Kaba- SR. Professional Engineer, Transportation and Public Works FK Lauren Prieur - Director, Transportation and Public Works Laur nn Pf1eur To: Jannette Goodall, City Secretary rl - A -&n" Re: The Fain Group, Inc to LLC - IRS Legal Classification update only Prior Name: The Fain Group, Inc New Name: The Fain Group, LLC CSC: 62381 IRS Legal Classification update only, tax id number remains the same. Approved By: Hye Won Kim, Assistant City Attorney Approval Date: 03/18/2026 Financial Management Services Purchasing — Vendor Management City of Fort Worth • 100 Fort Worth Trail, Fort Worth, TX 76102 817-392-0000 • FAX 817-392-0000 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Corporations Section �� E 0 Jane Nelson P.O.Box 13697 �,�� Secretary of State Austin, Texas 78711-3697 ` Office of the Secretary of State CERTIFICATE OF CONVERSION The undersigned, as Secretary of State of Texas, hereby certifies that a filing instrument for The Fain Group, Inc. File Number: 800392913 Converting it to THE FAIN GROUP, LLC File Number: 806066775 has been received in this office and has been found to conform to law. ACCORDINGLY, the undersigned, as Secretary of State, and by virtue of the authority vested in the secretary by law, hereby issues this certificate evidencing the acceptance and filing of the conversion on the date shown below. Dated: 06/02/2025 Effective: 06/02/2025 204 Jane Nelson Secretary of State Come visit us on the internet at https://www. sos. texas.gov/ Phone: (512) 463-5555 Fax: (512) 463-5709 Dial: 7-1-1 for Relay Services Prepared by: Bryan Martin TID: 10340 Document: 1486089730002 Building Relationships Constructing Futures P.O. Box 164308 Fort Worth, TX 76161 817.927.4388 817-927-4389 Fax www.faingp.com Re: The Fain Group Reorganization To whom it may concern: On June 2nd, 2026 The Fain Group, Inc. converted to and LLC as The Fain Group, LLC. Thank you, Larry Frazier President Form W=9 Request for Taxpayer Give form to the (Rev. March 2024) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service Go to www.irs.gov/FormW9 for instructions and the latest information. 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.) The Fain Group, LLC 2 Business name/disregarded entity name, if different from above. co 3a Check the appropriate box for federal tax classification of the entftyfindividual whose name is entered on line 1. Check 4 Exemptions (codes apply only to Ca 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 e ❑✓ LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . S Exempt payee code (if any) a « Note: Check the "LLC" box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax Q 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 H S ❑ Other (see instructions) code (if any) a � (Applies to accounts maintained 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 have foreign outside the United States. ) y you any partners, owners, or beneficiaries. See instructions . . . . . . . . . ❑ ca) 5 Address (number, street, and apt. or suite no.). See instructions. Requester's name and address (optional) 2500 Great Southwest Parkway 6 City, state, and ZIP code Fort Worth, TX 76106 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 (SHowever, 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 LL I I 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. 720 - 1 1 6 5 1 8 1 4 1 4 1 3 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 dividen you art required to sign the certification, but you must provide your correct TIN. See the instructions for Part 11, later. Sign IU.S. pensgnature of /� Date Here U.S. person J,�., General InstYuctilahs 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 Cat. No. 10231X Form W-9 (Rev. 3-2024) FORT WORTH. City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: CSC 62381- The Fain Group Inc to LLC Subject of the Agreement: Entity classification updated from Inc to LLC. Supplier kept same tax id number. M&C Approved by the Council? * Yes ❑ No 0 If so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes ❑ No ❑✓ If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes ❑ No ❑✓ If unsure, see back page for permanent contract listing. Is this entire contract Confidential? *Yes ❑ No ❑✓ If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: NA If different from the approval date. Expiration Date: NA If applicable. Is a 1295 Form required? * Yes ❑ No ❑✓ *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. NA *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes ❑✓ No ❑ Contracts need to be routed for CSO processing in the followingorder: rder: 1. Katherine Cenicola (Approver) 2. Jannette S. Goodall (Signer) 3. Allison Tidwell (Form Filler) *Indicates the information is required and if the information is not provided, the contract will be returned to the department. 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