2016 HOBBY STOCK DIVISION RULES 2016 REVISIONS ARE UNDERLINED

Transcription

1 2016 HOBBY STOCK DIVISION RULES 2016 REVISIONS ARE UNDERLINED 1

2 2017 HOBBY STOCK RULES The Hobby Stock Division is intended to be a progressive entry-level class of racecars. All cars shall maintain a stock appearance while utilizing original manufactured parts. No high performance equipment is allowed except for the sake of safety. * Please familiarize yourself with the General Track Rules which is an extension/part of these rules. THE HEAD OF TECH: (THIS IS FROM GENERAL RULES PAGE# 3 ITEM# 3) Appointed by Lee USA Speedway, is authorized to enforce all rules. If there is any piece of equipment, car, engine, or any modification that anyone has any doubt or question about, it should be referred to the Tech staff. The Head of Tech may inspect any car at any time. The tech director can confiscate any part found to be not in compliance with the technical rules of Lee USA Speedway. This part, if returned may not be in the original condition. The head of tech may reject any car that he considers unsafe, illegal, or inappropriate for the class he/she is running. The driver is the only person allowed to be with the car during the post-race weigh-in. No one will be allowed in the infield tech area unless specifically requested to be there by the Tech staff. NASCAR license will be required for any competition during a NASCAR weekly racing series sanctioned race meet. The fee will be held from the payoff. Scanners / radio communications from the race tower to the race car is mandatory. Radios will be available for rent from the handicappers shack. Penalty - car will be placed last in your heat or feature for not having the radio. Transponders are required for ALL practices, heats and features. Rentals are available from the handicappers shack. 1. ELIGIBLE MODELS: A. Cars 1972 model year or newer. No convertibles, station wagons, or truck. Four passenger American made hardtops only. 2. BODIES / CHASSIS: A. Wheelbase must be the same length as the car came manufactured with (OEM). Minimum OEM wheelbase allowed to complete in this division will be 101 inches. No shortening, lengthening or widening of the chassis is allowed. B. Body and Frame must remain the same as manufactured, as in Camaro Body on a Camaro Frame and the same goes for a GM metric body on a GM car. All bodies must appear stock and have an OEM roof panel. Body panels may be changed, but must remain steel except for the hood, front bumper cover and rear bumper cover. No swapping of bodies as in taking a leaf spring car body and swapping it over onto a coil spring car, same goes for a coil spring car, no changing over the body onto a leaf spring car. C. Front firewall and floor must be original (Stock) with any/all holes patched with steel sheet metal only. Engine/front firewall must remain in the stock position, No relocating of front firewall. Rear firewall may be moved, but must be position behind the driver s seat and needs to be constructed of a minimum of steel sheet metal. D. All glass must be removed. The windshield shall be replaced with minimum of 1/8 Lexan. Full front windshield required. No side windows permitted. 2

3 E. No radios allowed for the purpose of two way communications. Cars can have the two way track radio with the single channel configured for one way communications from the Race Director. F. Cars must have full front and rear bumpers. Bumpers may be reinforced but reinforcement must be behind the bumper. No where is there to be anything beyond the front and rear bumpers. Stock appearing aftermarket bumper covers may be used but must be trimmed to give a stock appearance. Bumper covers like those used for Pro Stocks and Busch cars are not allowed. G. Rub rails are allowed between the tires only. Bars must be mounted flush to the body and doors, and welded to the cage. Rub rails must be made of 1 x 1 square tubing only with the ends cut at a 45 angle sloping into the body. Ends must be sealed and any sharp edges must be removed. One rail per side maximum. H. No letters or three digit numbers. Track reserves the right to reassign numbers to avoid duplication. Scoring will be by number only. Cars registered during the previous racing season (car must race a minimum of 3 races) will have first refusal of numbers up until, but no later than 3:00PM on January 31 st of the current racing season. All others will be on a first come basis. Numbers only will be assigned, no letters, such as 50X, will be available or issued no exceptions during regular season. I. No front or rear spoilers of any kind permitted. Side skirts must clear ride height tool. 3. FRAMES / SUSPENSION: A. Frames must remain as manufactured. No cutting or altering of stock frames permitted. Sections may be replaced with tubing from rear axle to rear bumper and from steering box forward to front bumper. These changes MUST have approval of Head of Tech. No altering of any mounting brackets of any kind. Unibody cars (i.e. Firebirds and Camaros) may have sub frame connectors. Stock front snouts may not be interchanged. B. Front and rear suspension components must remain stock. Front spindles must be for make of car as it came manufacture with (OEM), No changing of spindles or Lower Control Arms allowed, must be as manufactured (OEM). No cutting or altering of spindles or Lower A- frames. Lower Control Arms must remain stock with stock ball joints. No relocating of Lower Control Arm mounts. *Aftermarket replacement upper A-Frames are allowed. Aftermarket A-Frames must fit stock perch along with having a stock bolt on ball joint. Maximum cost of Upper A-Frame shall not exceed $75.00 dollars each. No roller bearings, No mono bushings or mono ball joints allowed. Example: Speedway Motors metric steel tubular upper A-Frame with a 6⅞ mount, P/N: LH 8½ / RH 8 these are priced around $50.00 dollars each. Speedway Motors (IMCA) spec stock tubular upper A-Frame with a 6⅞ mount, P/N: LH 8½ / RH 8 priced around $50.00 dollars each. Speedway Motors Camaro steel tubular upper A-Frame with a 7¾" mount P/N: (LH/RH) these are priced around $43.00 dollars each. Lefthander Mid American 1¾ Offset Upper Control Arms P/N: (8 ) & P/N: (8½ ) are allowed, fits GM Intermediate Chassis, priced around $52.00 dollars each. Aftermarket upper A-Frame length can be no less than 8 inches and no longer than 9½" in length, measured from center mounting shaft to center of ball joint. A maximum one inch length difference will be allowed from left upper A-Frame to the right upper A-Frame. Stock or aftermarket (stock fitting) steel replacement rear trailing arms are allowed. No relocating of mounts. No mono type ball bushings are allowed. 3

4 C. One shock per wheel allowed. No take-apart shocks allowed. Shock price must not exceed $95.00 dollars (each). No bump stops. Shocks will comply with the following - Steel body with factory welded ends and no external valves or Schrader valves. All shocks will be inspected by the Lee USA tech department for compliance. D. Springs must remain/mounted in stock location. Steel racing springs are allowed with a minimum of 5 inches outside diameter and a minimum length of 9 inches. Rear spring buckets may be extended to allow for taller springs. No jacking bolts or any other external jacking devices are allowed. No spring binding allowed in this division. E. There will be no mechanical tie downs or any other mechanical/suspension device that limits or binds any suspension travel. Suspension must travel a minimum of 2 inches in both directions when stationary, at ride height with driver in car. E. Minimum chassis to ground clearance is 6 inches with driver in car. Minimum engine cross member to ground is 5¼ inches with driver in car. F. Engine must be in stock location as manufactured. No engine set back allowed. G. Minimum crankshaft height will be 14 inches when measured from center of crankshaft to the ground. 4. ROLL CAGE: A. All cars must have a four (4) point roll cage constructed of 1¾ outside diameter X.095 wall steel tubing. The roll cage shall consist of 4 vertical upright bars connected at the top on all sides and shall be adequately cross braced. The base of the upright members shall be solidly welded to the frame of the car. Four curved door bars on the left side and three curved or straight door bars on the right side are mandatory. Offset cages are not allowed. Roll bars within the driver's reach must be padded. Lee Tech Inspectors must approve all roll cages. (See Diagram) Roll cages: Main bar must not have more than 10 degrees lay back. Engine bay hoop is permitted. The rear roll cage upright may not extend past the rear door seam more than two (2) inches. B. Inside front and rear cage bars allowed, one per side. Rear bars from center cage to rear most part of chassis. Front bars from center cage to front part of chassis. 5. DRIVE TRAIN: A. Stock clutch rule; Minimum 10.5 inch diameter assemblies only, pressure plate must be made entirely of magnetic steel with a minimum weight of 14 pounds, No ultra-light or aluminum pressure rings allowed. No light-weight or lighting of flywheels permitted, No aluminum flywheels. Hydraulic clutch pedals are allowed. Scatter shields are mandatory for manual transmissions. Minimum 2 inspection-hole must be cut in the bottom of the scatter shield. B. Any stock OEM transmission with all working gears from driver's compartment. Cast iron 3-speed or automatic transmission equipped with the stock torque converter. No racing transmissions or 4-speed transmissions allowed. C. Driveshaft must be steel only and painted white. No aluminum driveshaft s allowed. Must have two driveshaft loops with a minimum 1/8 diameter and 2 width. One located just behind the front U-Joint and the second one located in front of the rear U-Joint. D. Rear ends must be original for make of car. Ford rear end in a Ford car, GM rear end Etc. No Grand National, Ford or Chevy full floating rear ends allowed. No aluminum components allowed. No Posi rear ends, black gold track, triple track, etc. allowed. No other type of rear end components that would be considered traction controlled units. Rear ends are required to be locked for 2016 season. 4

5 E. All cars must have four wheel brakes in working order and remain stock. No racing brake components allowed. Single piston brake calibers only, No aluminum calipers. No drilling or lightening of brake rotors or any other brake components allowed. Stock rear disc brakes are allowed. Rear drum brakes may be converted over to disc brakes, but must use stock brake components with the only exception allowed will be the rear end caliber mounting bracket. Aftermarket brake pedal and master cylinders are allowed, but there will be No driver brake bias adjuster allowed in this division. 6. WHEELS / TREAD WIDTH: A. Maximum 7 inch wide steel wheels only, as measured bead to bead with a minimum weight of 19 pounds. No aluminum, magnesium, or lightweight wheels allowed. Camaros are limited to 3 back space. Metric cars may use 2 backspace. All four wheels must have same back space. *After verifying tread width in 2015 from various makes & models it has been agreed to add a maximum tread width for 2016 to equal the differences in makes. B. The maximum tread width allowed will be 71 inches measured from outside to outside of the wheel rim bead flanges when measured with Lee s tread width gage. 7. TIRES: C. Rim rule above (6. A) still applies, but a ½ inch maximum wheel spacer may be used as long as you don t exceed the tread width rule. If a spacer is used no more than one spacer per wheel and the wheel studs must be a minimum of 5/8 of an inch and at least a couple threads must be showing beyond the tighten lug nuts. A. Tire Purchase - 1 new tire may be purchased every other race meet after the initial inventory of 6 new tires are purchased. For cost savings and drivers feedback there will be 2 less tires purchased in All cars will be on the same schedule for purchasing tires. If you miss purchasing a tire or choose not to buy one for that race meet you will have to wait 2 weeks until tires are sold again for your division. Race meet #1 will be your first opportunity to purchase a tire. B. Lee track tires must be used. C. No tire-softening compound of any kind allowed. D. Tire slips must be turned in at the mandatory drivers meeting. See race meet tire procedures in General Rules. Failure to do so will place you at the rear of the nights racing events 8. ENGINE / BUILT: A. GM: 350 cubic inch displacement block plus a maximum of.040 inch overbore per cylinder. 358 is the maximum cubic inches allowed. Stroker engines are not allowed or any other engine combination which exceeds 358 cubic inches. Ford: 351 cubic inch displacement block plus a maximum of.040 inch overbore per cylinder. Ford 351 engines must be approved by head of tech before being allowed to compete. Chrysler: 340 or 360 cubic inch displacement block plus a maximum of.040 inch overbore per cylinder. Chrysler 340 or 360 engines must be approved by head of tech before being allowed to compete. 5

6 B. Any stock cast iron production cylinder head, including cast iron vortec heads with 1.94 intake valves and 1.5 exhaust valves. No Dart, Bowtie, Turbo, Chrysler W-2 or any other aftermarket cylinder head allowed. Angle plug heads must have exhaust cross over port. No gasket matching, porting, polishing, acid dipping or filling of any ports allowed. Valve springs shall not exceed 1.26 on outside diameter. No Roller Rockers or Stud Girdles allowed. C. Stock hydraulic diameter lifters for that engine must be used. No mushroom or roller type allowed, flat tappet only. No roller cams allowed, must be a hydraulic camshaft with a.450 maximum lift at both intake and exhaust valves with 0 lash. Cam lope measurement cannot exceed rocker arm ratio only, roller type rocker arms are not allowed. D. Flat top or dish pistons only. 10.5:1 compression ratio maximum. E. No machining of heads, blocks, or intake manifolds permitted except to clean up the heads or block during rebuild. F. Stock two barrel cast iron intake manifold including two barrel Merc cruiser cast iron manifold allowed. No Brezinski or other aftermarket intakes. G. Ford and Chrysler products may use a stock unaltered 4412 Holly 2 barrel 500 CFM carburetor with choke horn, No HP bodies or high performance component allowed. General Motor s products must use a stock 2 barrel Rochester carburetor with a maximum venturi diameter not exceeding 1 3/8 inches in diameter. No removal of choke horn. No adapters or carburetor spacers of any kind allowed. No modifications of any kind to any carburetor, it must be as manufactured only. Stock type air cleaners with paper elements only. No ram or type of induction allowed. H. Stock ignition for make and year of car. No magnetos or MSD ignitions allowed. Kill switch must be located within drivers reach No traction control devices of any kind. Tachs are allowed. Distributor will have a single wire for power ONLY. I. Starter must be in working order. J. No electric fuel pumps allowed. K. Crate engine P/N must use a stock unaltered 4412 Holley 2 barrel 500 CFM carburetor with choke horn, No HP bodies or high performance component allowed, must use a Canton carburetor spacer P/N FUEL CELLS: A. Fuel cells are mandatory and must be securely mounted behind the rear axle and between the frame rails. The fuel cell must have an 8 clearance at its lowest point. Check ball required on return. Fuel cells must be protected by rear skid bar. This bar must extend at least 1 below the lowest point of the fuel cell. A fuel shutoff must be located within driver s reach, or an inline positive flow valve or fuel safe. 10. FUEL INCENTIVE PROGRAM: 11. FUEL: A. The speedway welcomes New England Racing Fuels & Sunoco. We endorse New England Racing Fuels as part of our sponsorship program, where you, the racer can reap the benefits. You must be a customer and purchase fuel at the speedway; you then will become part of their Fuel Incentive Program and have a chance to be rewarded at the season year end banquet. We want to welcome John Holland and New England Racing Fuels to our family of sponsors to where you can be the beneficiary. A. It is not mandatory to purchase all Sunoco Fuel from New England Racing Fuels at the Speedway. Petroleum based automotive gasoline is the only fuel allowed. No alcohol, No 6

7 12. MUFFLERS: methanol, No nitrous oxide or any other fuel additive may be used. See Fuel Incentive Program above 10 (A). A Mufflers are mandatory. Mufflers must be in good working condition and securely fastened. Exhaust must exit from under the car and behind the driver seat with the outlet pipes angled down towards the track surface not aimed to the side. All cars must meet mandated 96 db requirement at 21 ft from the car as defined in the OSHA specification. B. Only Street-type under-chassis headers are allowed. No headers allowed that require cutting a hole through the firewall or door panels. 13. WEIGHT: A. All cars must meet the weight requirement and weigh 3150lbs total weight and have a maximum 55% left side with a maximum 49% rear with driver immediately after heats and feature. Driver must sit in an upright position in seat, with helmet on or on lap, hands on steering wheel. B. Crate engine P/N: , May subtract 50 pounds off of total weight, but must weigh no less than 3100lbs. All other weight requirements above see A. remain the same. C. Additional weights added to the car must be securely mounted to the frame, in the trunk, or under the hood. No weights allowed in the driver s compartment. All weights must be painted white and identified with your car number on the weight. 14. DRIVER S COMPARTMENT: A. Approved aluminum racing type seat and five-point harness properly mounted to the cage is mandatory. Belts must be dated no more than three (3) years old. Minimum 3 belts and harnesses are mandatory. The only exception would be a 3 inch into 2 inch upper shoulder belt when a Hans device is used. B. All cars must have an approved window net properly installed in the left front window opening and must have a quick release. No string nets allowed. C. All cars must be equipped with a quick release steering wheel. Center of the wheel must be padded. D. Battery must be securely mounted under the hood or behind the driver s compartment and protected by a non-conductive cover. E. Neck restraints are highly recommended and should be used. 15. RADIATORS: A. Any radiator may be used as long as it fits under the hood. Radiators may be cooled by an electric fan. B. Water is the only coolant allowed. Liquid Cool or similar product allowed. No antifreeze allowed. 16. SCANNERS ARE MANDATORY: Each Driver will be equipped with a scanner with a single frequency to be programmed at ( ). This frequency will be the Lee Race Director and scoring for alignment purposes. You may not receive any radio communications from any other parties other than from a Lee Official. Failure to 7

8 respond to a command from the race director will result in being black flagged. My scanner is not working is not an excuse. Two way programmed radios offered by the track may also be used but only in a single communication configuration. 17. TRANSPONDER: Transponders are mandatory in all divisions. Transponders must be behind rear diagram. wheel. See All cars must be equipped with a transponder and be in operation at all times during practice, heats and features. AMB Transponders can be purchased by calling or go the web at See Diagram on page NASCAR LICENSE: A NASCAR License is required for ALL drivers in our weekly NASCAR Whelen All-American Series which includes the Small Block Super Modifieds, Late Model Sportsman, Hobby Stock and the Ironman Divisions. It is highly recommended for all pit crew members entering the pit area to hold a current NASCAR License so you too can acquire additional insurance coverage. Only License holders will receive a discount on pit tickets. Any driver under the age of 18 must complete the necessary releases (NASCAR License Form & Addendum A Form which needs to be signed by a parent or legal guardian in order to get a NASCAR license.) Learners Permit License - (Tan Form): Drivers between the ages of 14 & 15 years old in the Late Model Sportsman, Hobby Stock and Ironman Divisions only can get a Learners Permit License. A driver applying for a Learners Permit License must also have an Addendum A Form signed by a parent or legal guardian in order to get a NASCAR license. Additionally, only current NASCAR holders are eligible to receive points that will accumulate during the racing season. Therefore, only the NASCAR licensed drivers will be competing for the top ten positions in the year end point fund and sponsor money. This NASCAR license needs to be purchased prior to the first point race at the beginning of the racing season in order to receive all your points earned. (Points will not start to accumulate until you have purchased the NASCAR License. Any points earned before being licensed will not count.) To receive the special awards, point fund or sponsor money you must attend the annual banquet which is held on the 3 rd weekend of November. 19. RESPONSIBILITY: IT IS THE RESPONSIBILITY OF THE COMPETITOR TO OBTAIN AND BECOME FAMILIAR WITH THE GENERAL RULES OF LEE USA SPEEDWAY AND THE CURRENT RULES PERTAINING TO THE DIVISION IN, WHICH HE /SHE CHOOSES TO PARTICIPATE. ANY ITEM NOT COVERED IN THE LEE RULES SECTION MUST BE STOCK OR APPROVED BY THE LEE USA SPEEDWAY OFFICE IN WRITING. IF ANY ITEM BEING CONSIDERED BY COMPETITOR IN THIS DIVISION IS NOT ADDRESSED IN THESE RULES, COMPETITOR IS REQUIRED TO CONTACT LEE FOR A JUDGEMENT AS TO ACCEPTABILITY. 8

9 The rules and/or regulations set forth herein are designed to provide for the orderly conduct of racing events and to establish minimum acceptable requirements for such events. These rules shall govern the condition of all events. And by participating in these events all participants are deemed to have obtained, read and understood a copy of the current rules, and complied with these rules. NO EXPRESS OR IMPLIED WARRANTY OF SAFETY SHALL RESULT FROM PUBLICATION OF OR COMPLIANCE WITH THESE RULES AND/OR REGULATIONS. They are intended as a guide for the conduct of the sport and are no way a guarantee against injury or death to a participant, or official. Rules may be adjusted to meet the needs too equal the playing field without notice. REVISED ON: 10/06/2015 (ALL RULE CHANGES MUST BE APPROVED BY THE LEE USA SPEEDWAY OFFICE WHICH IS A NASCAR SANCTIONED TRACK.) Mailing Address for the Speedway: Lee USA Speedway P. O. Box 344 Rowley, MA Office Number is: Any Technical questions should be directed as with any other rules to LeeTech: Bob McIlveen

10 10

11 11

12 12

13 Transponder Mounting Location The transponder must be mounted in compliance with the diagrams provided below. It must be mounted in a vertical position and open to the track surface. The center of the transponder must be six (6) inches back from the rear edge of the rear end tube. Also the bottom most part of the transponder should not be below the bottom most part of frame. The clearance from the racetrack to the bottom of the transponder should be as close to a maximum of twelve (12) inches as possible. TRANSPONDE R CENTER LINE REAREND TUBE REAR FRAME REAR TIRE NOTE: Permanent Hardwired Transponders are available for purchase and are mounted in the same orientation and position as the rentals. To purchase a transponder contact AMB Transponders at or Any mounting questions should be directed as with any other rules to Lee Tech: Bob McIlveen TRANSPONDERS MUST BE AMB TX260 MODEL ONLY 13

14 HOBBY STOCK DIVISION - CAR NO: P. O. BOX 344, ROWLEY, MA OFFICE NO REGISTRATION FORM FOR THE FEE: $50.00 HOBBY STOCK DIVISION: PAYOFF INFORMATION: Information must be completed for payoff check. Legal Name on check: SS #/Tax I.D. # Address: City: State: Zip: OWNERS INFORMATION: PLEASE PRINT: Owner s Name: ADDRESS: Address: City: State: Zip: Evening#: Daytime Phone #: S.S.#: - - D.O.B.: Nascar# Occupation Chief Mechanic DRIVER S INFORMATION: (PLEASE PRINT) CHECK BOX IF A ROOKIE IN THIS DIVISION: Driver s Name: ADDRESS: Address: City: State: Zip: Evening: Phone#: Daytime Phone #: S.S. #: - - Nascar Lic. #: D.O.B. Occupation Major Sponsor: CAR INFORMATION: HOBBY STOCK Transponder No: Year: Make & Model: Car #: DRIVER AND OWNER PARTICIPATION IS REQUIRED IN THE ANNUAL LEE USA SPEEDWAY BANQUET OF CHAMPIONS 11/19/16. THE TOP 10 TEAMS IN EACH DIVISION ARE REQUIRED TO ATTEND, FAILURE TO ATTEND THE BANQUET WILL RESULT IN THE LOSS OF ALL LEE & NASCAR POINT FUND MONEY AND AWARDS, PLUS ANY SPECIAL SERIES AWARDS. A CURRENT NASCAR LICENSE IS REQUIRED FOR ANY DRIVER AND OWNER TO RECEIVE LEE & NASCAR POINT FUND MONEY. THE UNDERSIGNED DRIVER AND CAR OWNER AGREE TO ATTEND THE ANNUAL LEE USA SPEEDWAY BANQUET OF CHAMPIONS. NO ONE ELSE CAN PICK UP YOUR TROPHY AND AWARDS AT THE BANQUET. Driver s Signature Owner s Signature Date Date OFFICE USE ONLY: Amount Paid: Check #: Date Paid: Received by: Approved:

15 Safety Inspection for Hobby Stocks - Worksheet Division: Owner: Car Number: Driver: DRIVERS COMPARTMENT PASSENGER SIDE Window Net Muffler Window Net Release Clutch Inspection Hole Padded Wheel Clutch Scattershield Quick Release Side Bars (Passenger Side) Roll Bars FRONT OF CAR Roll Bar Padding Windshield Kill Switch Hood Hold Downs Fire Extinguisher Front Bumper Drivers Seat Front Lifting Cable Seat Beat (dated) / / Engine Location Firewalls Front/Rear (Steel) Front Suspension DRIVERS SIDE OF CAR Carburetor Battery Location Intake Manifold Battery Hold and Cover Exhaust Manifold Side Bars Heads Ground Clearance OTHER REAR OF CAR Firesuit Rear Lifting Cable Helmet Snell 95 Rear Spoiler Height/Side Gloves Fuel Cell and Fuel Lines Shoes Radiator Overflow Secure Weights Numbered White Drive Shaft Painted (White) Drive Shaft Loop Rear Bumper Rear Suspension Comments: Inspected By: Accepted: Date of Inspection: / / Rejected:

16 2016 HOBBY STOCK DIVISION PAYOFF (Must Qualify and take the Green in the Feature to be in our car count.) No. of Cars 10 to 13 Cars 14 to 19 Cars 20 Cars or More 1st $ $ $ nd $ $ $ rd $ $ $ th $ $ $ th $90.00 $ $ th $80.00 $ $ th $70.00 $75.00 $ th $60.00 $75.00 $ th $50.00 $75.00 $ th $45.00 $50.00 $ th $45.00 $50.00 $ th $45.00 $50.00 $ th $45.00 $50.00 $ th $50.00 $ th $50.00 $ th $50.00 $ th $50.00 $ th $50.00 $ th $50.00 $ th $ st $ nd $50.00 $1, $1, $2,150.00

17 Form W-9 (Rev. December 2014) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Give Form to the requester. Do not send to the IRS. Print or type See Specific Instructions on page 2. 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification; check only one of the following seven boxes: Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) Note. For a single-member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for the tax classification of the single-member owner. Other (see instructions) 5 Address (number, street, and apt. or suite no.) 6 City, state, and ZIP code 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) Requester s name and address (optional) 7 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for guidelines on whose number to enter. Social security number or Employer identification number Part II 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. 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, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. Sign Here Signature of U.S. person General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. Information about developments affecting Form W-9 (such as legislation enacted after we release it) is at Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain 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 return. Examples of information returns include, but are not limited to, the following: Form 1099-INT (interest earned or paid) 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) Date 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? on page 2. By signing the filled-out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting? on page 2 for further information. Cat. No X Form W-9 (Rev )