Transaction
Valuation*
|
Amount
of Filing Fee**
|
|
$200,479,971
|
$6,155
|
* |
Estimated solely for purposes of determining the amount of the
filing
fee. The purchase price of the Liquid Yield Option Notes due 2032
(Zero
Coupon—Senior) (the
“Securities”),
as described herein, is $475.01 per $1,000 principal amount at maturity
outstanding. As of January 26, 2007 there was $422,050,000 in aggregate
principal amount at maturity of Securities outstanding, resulting
in an
aggregate maximum purchase price of $200,479,971.
|
** | The amount of the filing fee, calculated in accordance with Rule 0-11(b)(1) of the Securities Exchange Act of 1934, as amended, equals $30.70 per million of the value of the transaction. |
(a)
|
The
name of the issuer is CBRL Group, Inc. The address of CBRL’s principal
executive office is 305 Hartmann Drive, Lebanon, Tennessee 37088.
CBRL’s
telephone number is (615) 444-5533.
|
(b)
|
Securities.
The information set forth in the Section 2 of the Company Notice
(“Information Concerning the Securities”) is incorporated herein by
reference.
|
(c)
|
Trading
Market and Price. The information set forth in Section 2 of the Company
Notice (“Information Concerning the Securities”) is incorporated herein by
reference.
|
(a)
|
Financial
Information. Pursuant
to Instruction 2 to Item 10 of Schedule TO, the Company’s financial
condition is not material to a holder’s decision whether to require the
Company to purchase the Securities pursuant to the Put Option because
(1)
the consideration being paid to holders surrendering Securities consists
solely of cash, (2) the Put Option is not subject to any financing
conditions, (3) the Put Option applies to all outstanding Securities
and
(4) the Company is a public reporting company under Section 13 or
15(d) of
the Securities Exchange Act of 1934, as amended, that files reports
electronically on EDGAR.
|
(b) |
Pro-Forma
Information.
Not applicable.
|
(a) | Not applicable. |
(b) |
Other
Material Information. The information set forth
in the Company Notice, a copy of which is filed with this Schedule
TO as
Exhibit (a)(1)(A), as it may be amended or supplemented from time
to time,
is incorporated herein
by reference.
|
|
|
(a)(1)(A) | Company Notice, dated March 6, 2007 |
(a)(1)(B) | Form of Substitute Form W-9 |
(a)(2)-(a)(4) | Not applicable |
(a)(5)(A) |
Press
Release dated March 6, 2007 (incorporated by reference
to Exhibit 99.1 to the Company's Current Report on Form 8-K dated
March 6,
2007 and filed with the SEC on March 6, 2007)
|
(b) |
Credit
Agreement dated as of April 27, 2006 among CBRL
Group, Inc., the Subsidiary Guarantors named therein, the Lenders
party
thereto and Wachovia Bank, National Association, as Administrative
Agent
and Collateral Agent (incorporated by reference to the Company’s Quarterly
Report on Form 10-Q for the quarterly period ended April 28,
2006)
|
(d)(1) |
Indenture,
dated as of April 3, 2002 (the “LYONs
Indenture”), among the Company, the Guarantors (as defined therein) and
U.S. Bank, National Association, as trustee, successor to Wachovia
Bank,
National Association, as trustee, relating to the Company’s zero-coupon
convertible senior notes (the “Notes”) (incorporated by reference to the
Company’s Quarterly Report on Form 10-Q for the quarterly period ended May
3, 2002)
|
(d)(2) |
Form
of Certificate for the Notes (included in the LYONS
Indenture incorporated by reference as Exhibit 4(d) hereof) (incorporated
by reference to the Company’s Quarterly Report on Form 10-Q for the
quarterly period ended May 3, 2002)
|
(d)(3) |
Form
of Guarantee of the Notes (included in the LYONS
Indenture filed as Exhibit 4(d) hereof) (incorporated by reference
to the
Company’s Quarterly Report on Form 10-Q for the quarterly period ended May
3, 2002)
|
(d)(4) |
First
amendment, dated as of June 19, 2002, to the LYONS
Indenture (incorporated by reference to Amendment No. 1 to the Company’s
Annual Report on Form 10-K/A for the fiscal year ended July 30,
2004)
|
(d)(5) |
Second amendment, dated as of July 30, 2004, to the LYONS Indenture
(incorporated by reference to Amendment No. 1 to the Company’s Annual
Report on Form 10-K/A for the fiscal year ended July 30, 2004)
|
(d)(6) |
Third
amendment, dated as of December 31, 2004, to the LYONS
Indenture (incorporated by reference to the Company’s Quarterly Report on
Form 10-Q the quarterly period ended January 28, 2005)
|
(d)(7) |
Fourth
amendment, dated as of January 28, 2005, to the LYONS
Indenture (incorporated by reference to the Company’s Current Report on
Form 8-K under the Exchange Act filed on February 2, 2005)
|
(e) | Not applicable |
(g) | Not applicable |
(h) | Not applicable |
CBRL GROUP, INC. | |||
By: /s/ N.B. Forrest Shoaf | |||
Name: N.B. Forrest Shoaf | |||
Title: Senior Vice President, Secretary | |||
and General Counsel | |||
Dated: March 6, 2007 |
Exhibit Number Description | |
(a)(1)(A) | Company Notice, dated March 6, 2007 |
(a)(1)(B) | Form of Substitute Form W-9 |
(a)(2)-(a)(4) | Not applicable |
(a)(5)(A) |
Press
Release dated March 6, 2007 (incorporated by reference
to Exhibit 99.1 to the Company's Current Report on Form 8-K dated
March 6,
2007 and filed with the SEC on March 6, 2007)
|
(b) |
Credit
Agreement dated as of April 27, 2006 among CBRL
Group, Inc., the Subsidiary Guarantors named therein, the Lenders
party
thereto and Wachovia Bank, National Association, as Administrative
Agent
and Collateral Agent (incorporated by reference to the Company’s Quarterly
Report on Form 10-Q for the quarterly period ended April 28,
2006)
|
(d)(1) |
Indenture,
dated as of April 3, 2002 (the “LYONs
Indenture”), among the Company, the Guarantors (as defined therein) and
U.S. Bank, National Association, as trustee, successor to Wachovia
Bank,
National Association, as trustee, relating to the Company’s zero-coupon
convertible senior notes (the “Notes”) (incorporated by reference to the
Company’s Quarterly Report on Form 10-Q for the quarterly period ended May
3, 2002)
|
(d)(2) |
Form
of Certificate for the Notes (included in the LYONS
Indenture incorporated by reference as Exhibit 4(d) hereof) (incorporated
by reference to the Company’s Quarterly Report on Form 10-Q for the
quarterly period ended May 3, 2002)
|
(d)(3) |
Form
of Guarantee of the Notes (included in the LYONS
Indenture filed as Exhibit 4(d) hereof) (incorporated by reference
to the
Company’s Quarterly Report on Form 10-Q for the quarterly period ended May
3, 2002)
|
(d)(4) |
First
amendment, dated as of June 19, 2002, to the LYONS
Indenture (incorporated by reference to Amendment No. 1 to the Company’s
Annual Report on Form 10-K/A for the fiscal year ended July 30,
2004)
|
(d)(5) |
Second
amendment, dated as of July 30, 2004, to the LYONS
Indenture (incorporated by reference to Amendment No. 1 to the Company’s
Annual Report on Form 10-K/A for the fiscal year ended July 30,
2004)
|
|
|
(d)(6) |
Third
amendment, dated as of December 31, 2004, to the LYONS
Indenture (incorporated by reference to the Company’s Quarterly Report on
Form 10-Q the quarterly period ended January 28,
2005)
|
(d)(7) |
Fourth
amendment, dated as of January 28, 2005, to the LYONS
Indenture (incorporated by reference to the Company’s Current Report on
Form 8-K under the Exchange Act filed on February 2, 2005)
|
(e) | Not applicable |
(g) | Not applicable |
(h) | Not applicable |
By
Regular or Registered Mail
U.S.
Bank, National Association
P.O.
Box 64111
St.
Paul, MN 55164-0111
Attention:
Corporate Trust Services
|
|
For
Information:
(800)
937-6802
|
|
By
Hand Delivery or Overnight Mail
U.S.
Bank, National Association
60
Livingston Avenue
1st
Floor - Bond Drop Window
St.
Paul, MN 55107
Attention:
Corporate Trust Services
|
Page | |||
SUMMARY
TERM SHEET
|
i
|
||
|
|||
FORWARD
LOOKING STATEMENTS AND SPECIAL FACTORS
|
1
|
||
IMPORTANT
INFORMATION CONCERNING THE PUT OPTION
|
3
|
||
1. Information
Concerning The Company
|
3
|
||
2. Information
Concerning The Securities
|
4
|
||
2.1. The Company’s Obligation to Purchase the Securities |
4
|
||
2.2. Purchase Price |
5
|
||
2.3. Conversion Rights of the Securities |
6
|
||
2.4. Market for the Securities and the Company’s Common Stock |
6
|
||
2.5. Redemption |
7
|
||
2.6. Change in Control |
8
|
||
2.7. Ranking |
8
|
||
2.8. Dividends |
8
|
||
3. Procedures
To Be Followed By Holders Electing To Surrender Securities For
Purchase
|
8
|
||
3.1. Method of Delivery |
8
|
||
3.2. Agreement to be Bound by the Terms of the Put Option |
9
|
||
3.3. Delivery of Securities |
10
|
||
4. Right
Of Withdrawal
|
11
|
||
5. Payment
For Surrendered Securities
|
11
|
||
6. Securities
Acquired
|
13
|
||
7. Plans
Or Proposals Of The Company
|
13
|
||
8. Interests
Of Directors, Executive Officers And Affiliates Of The Company
In The
Securities.
|
15
|
||
9. Purchases
Of Securities By The Company And Its Affiliates
|
15
|
||
10.
Material
United States Tax Considerations
|
16
|
||
11. Additional
Information
|
19
|
||
12.
No
Solicitations
|
20
|
||
13.
Definitions
|
20
|
||
14.
Conflicts
|
20
|
|
•
|
|
Holders
whose Securities are held by a broker, dealer, commercial bank, trust
company or other nominee must contact such nominee if such Holder
desires
to surrender such Holder’s Securities and instruct such nominee to
surrender the Securities on the Holder’s behalf through the transmittal
procedures of DTC.
|
|
•
|
|
Holders
who are DTC participants should surrender their Securities electronically
through DTC’s Automated Tenders over the Participant Terminal System,
subject to the terms and procedures of that system on or before 5:00
p.m.,
New York City time, on the Purchase Date.
|
|
|
|
|
•
|
Successful
implementation of the “net share settlement” feature with respect to the
Securities (and
any new securities that might be issued in an exchange offer);
|
• |
The
timing and ability of the Company to successfully complete its share
repurchase authorizations;
|
|
|
•
|
The
effects of incurring substantial indebtedness and associated restrictions
on our financial and operating flexibility and ability to execute
or
pursue our operating plans and objectives;
|
|
|
|
|
•
|
The
effects of uncertain consumer confidence, higher costs for energy,
consumer debt payments, or general or regional economic weakness,
or
weather on sales and customer travel, discretionary income or personal
expenditure activity of our customers;
|
|
|
|
|
•
|
Our
ability to identify, acquire and sell successful new lines of retail
merchandise and new menu items at our restaurants;
|
|
|
|
|
•
|
Our
ability to sustain or the effects of plans intended to improve operational
execution and performance;
|
|
|
|
|
•
|
Changes
in or implementation of additional governmental or regulatory rules,
regulations and interpretations affecting tax, wage and hour matters,
health and safety, pensions, insurance or other undeterminable areas;
|
|
|
|
|
•
|
The
effects of plans intended to promote or protect our brands and products;
|
|
|
|
|
•
|
Commodity,
workers compensation, group health and utility price changes;
|
|
|
|
|
•
|
Consumer
behavior based on negative publicity or concerns over nutritional
or
safety aspects of the Company’s products or restaurant food in general,
including concerns about E. coli bacteria, hepatitis A, “mad cow” disease,
“foot-and-mouth” disease, and bird flu, as well as the possible effects of
such events on the price or availability of ingredients used in our
restaurants;
|
|
|
|
|
•
|
Changes
in interest rates or capital market conditions affecting our financing
costs or ability to obtain financing or execute initiatives;
|
|
|
|
|
•
|
The
effects of business trends on the outlook for individual restaurant
locations and the effect on the carrying value of those locations;
|
|
|
|
|
•
|
Our
ability to retain key personnel during and after the restructuring
process;
|
|
|
|
|
•
|
Our
ability and cost to us to recruit, train, and retain qualified hourly
and
management employees;
|
|
|
|
|
•
|
The
effects of increased competition at our locations on sales and on
labor
recruiting, cost, and retention;
|
|
|
|
|
•
|
The
availability and cost of suitable sites for restaurant development
and our
ability to identify those sites;
|
|
|
|
|
•
|
Changes
in building materials and construction costs;
|
|
|
|
|
•
|
The
actual results of pending, future or threatened litigation or governmental
investigations and the costs and effects of negative publicity associated
with these activities;
|
|
|
|
|
•
|
Practical
or psychological effects of natural disasters or terrorist acts or
war and
military or government responses;
|
|
|
|
|
•
|
Disruptions
to our restaurant or retail supply chain;
|
|
|
|
|
•
|
Changes
in foreign exchange rates affecting our future retail inventory purchases;
|
|
|
|
|
•
|
Implementation
of new or changes in interpretation of existing accounting principles
generally accepted in the United States of America (“GAAP”); and
|
|
|
|
|
•
|
Effectiveness
of internal controls over financial reporting and disclosure.
|
Fiscal
Year 2007 (ending August 3, 2007)
|
High
|
Low
|
Divi-
dend
|
|||||||
Third
Quarter (through March 5, 2007)
|
49.00
|
45.62
|
0.14
|
|||||||
Second
Quarter
|
$
|
47.61
|
$
|
42.03
|
$
|
0.14
|
||||
First
Quarter
|
$
|
43.93
|
$
|
32.04
|
$
|
0.13
|
||||
|
||||||||||
Fiscal
Year 2006 (ending July 28, 2006)
|
||||||||||
Fourth
Quarter
|
$
|
41.12
|
$
|
32.27
|
$
|
0.13
|
||||
Third
Quarter
|
$
|
47.95
|
$
|
39.75
|
$
|
0.13
|
||||
Second
Quarter
|
$
|
45.00
|
$
|
33.95
|
$
|
0.13
|
||||
First
Quarter
|
$
|
41.45
|
$
|
33.11
|
$
|
0.12
|
||||
|
||||||||||
Fiscal
Year 2005 (ended July 29, 2005)
|
||||||||||
Fourth
Quarter
|
$
|
42.12
|
$
|
37.75
|
$
|
0.12
|
||||
Third
Quarter
|
$
|
44.60
|
$
|
38.38
|
$
|
0.12
|
||||
Second
Quarter
|
$
|
43.14
|
$
|
36.08
|
$
|
0.12
|
||||
First
Quarter
|
$
|
37.09
|
$
|
30.00
|
$
|
0.11
|
|
•
|
|
such
Securities shall be purchased as of the Purchase Date pursuant to
the
terms and conditions set forth in this Company Notice;
|
|
•
|
|
such
Holder agrees to all of the terms of this Company Notice;
|
|
•
|
|
such
Holder has received this Company Notice and acknowledges that this
Company
Notice provides the notice required pursuant to the Indenture;
|
|
•
|
|
upon
the terms and subject to the conditions set forth in this Company
Notice,
the Indenture and the Securities, and effective upon the acceptance
for
payment thereof, such Holder (i) irrevocably sells, assigns and
transfers to the Company, all right, title and interest in and to
all the
Securities surrendered, (ii) releases and discharges the Company and
its directors, officers, employees and affiliates from any and all
claims
such Holder may have now, or may have in the future arising out of,
or
related to, the Securities, including, without limitation, any claims
that
such Holder is entitled to receive additional principal or interest
payments with respect to the Securities or to participate in any
redemption or defeasance of the Securities and (iii) irrevocably
constitutes and appoints the Paying Agent as the true and lawful
agent and
attorney-in-fact of such Holder with respect to any such surrendered
Securities, with full power of substitution and resubstitution (such
power
of attorney being deemed to be an irrevocable power coupled with
an
interest) to (a) deliver certificates representing such Securities,
or transfer ownership of such Securities, on the account books maintained
by DTC, together, in any such case, with all accompanying evidences
of
transfer and authenticity, to the Company, (b) present such
Securities for transfer on the relevant security register and
(c) receive all benefits or otherwise exercise all rights of
beneficial ownership of such Securities (except that the Paying Agent
will
have no rights to, or control over, funds from the Company, except
as
agent for the Company, for the Purchase Price of any surrendered
Securities that are purchased by the Company), all in accordance
with the
terms set forth in this Company Notice;
|
|
•
|
|
such
Holder represents and warrants that such Holder (i) owns the
Securities surrendered and is entitled to surrender such Securities
and
(ii) has full power and authority to surrender, sell, assign and
transfer the Securities surrendered hereby and that when such Securities
are accepted for purchase and payment by the Company, the Company
will
acquire good title thereto, free and clear of all liens, restrictions,
charges and encumbrances and not subject to any adverse claim or
right;
|
|
•
|
|
such
Holder agrees, upon request from the Company, to execute and deliver
any
additional documents deemed by the Paying Agent or the Company to
be
|
|
necessary or desirable to complete the sale, assignment and transfer
of the Securities surrendered;
|
||
|
|
|
|
|
•
|
|
such
Holder understands that all Securities properly surrendered for purchase
and not withdrawn prior to 5:00 p.m., New York City time, on the
Purchase
Date will be purchased at the Purchase Price, in cash, pursuant to
the
terms and conditions of the Indenture, the Securities, the Company
Notice
and related notice materials, as amended and supplemented from time
to
time;
|
|
•
|
|
payment
for Securities purchased pursuant to the Company Notice will be made
by
deposit of the Purchase Price for such Securities with the Paying
Agent,
which will act as agent for surrendering Holders for the purpose
of
receiving payments from the Company and transmitting such payments
to such
Holders;
|
|
•
|
|
surrenders
of Securities may be withdrawn by written notice of withdrawal delivered
pursuant to the procedures set forth in this Company Notice at any
time
prior to 5:00 p.m., New York City time, on the Purchase Date;
|
|
•
|
|
all
authority conferred or agreed to be conferred pursuant to the terms
of the
Put Option hereby shall survive the death or incapacity of the undersigned
and every obligation of the Holder and shall be binding upon the
Holder’s
heirs, personal representatives, executors, administrators, successors,
assigns, trustees in bankruptcy and other legal representatives;
|
|
•
|
|
the
delivery and surrender of the Securities is not effective, and the
risk of
loss of the Securities does not pass to the Paying Agent, until receipt
by
the Paying Agent of any and all evidences of authority and any other
required documents in form satisfactory to the Company; and
|
|
•
|
|
all
questions as to the validity, form, eligibility (including time of
receipt) and acceptance for payment of any surrender of Securities
pursuant to the procedures described in this Company Notice and the
form
and validity (including time of receipt of notices of withdrawal)
of all
documents will be determined by the Company, in its sole direction,
which
determination shall be final and binding on all parties.
|
|
•
|
|
delivering
to the Paying Agent’s account at DTC through DTC’s book-entry system such
Holder’s beneficial interest in the Securities on or prior to 5:00 p.m.,
New York City time, on the Purchase Date; and
|
|
•
|
|
electronically
transmitting such Holder’s acceptance through DTC’s PTS, subject to the
terms and procedures of that system on or prior to 5:00 p.m., New
York
City time, on the Purchase Date.
|
|
•
|
|
specify
the DTC Voluntary Offer Instruction Number, the name of the participant
for whose account such Securities were tendered and such participant’s
account number at DTC to be credited with the withdrawn Securities;
|
|
•
|
|
contain
a description of the Securities to be withdrawn (including the principal
amount to be withdrawn); and
|
|
•
|
|
be
submitted through the DTC PTS system by such participant under the
same
name as the participant’s name is listed in the original tender, or be
accompanied by evidence satisfactory to the Company that the person
withdrawing the tender has succeeded to the beneficial ownership
of the
Securities.
|
·
|
incurrence
of liens;
|
·
|
incurrence
of additional debt;
|
·
|
sales
of assets;
|
·
|
investments;
|
·
|
declarations
of dividends; and
|
·
|
capital
expenditures.
|
|
•
|
|
any
extraordinary transaction, such as a merger, reorganization or
liquidation, involving the Company or any of its subsidiaries;
|
|
•
|
|
any
purchase, sale or transfer of a material amount of assets of the
Company
or any of its subsidiaries;
|
|
•
|
|
any
material change in the present dividend rate or policy, or indebtedness
or
capitalization of the Company;
|
|
•
|
|
any
change in the present board of directors or management of the Company,
including, but not limited to, any plans or proposals to change the
number
or the term of directors or to fill any existing vacancies on the
board or
to change any material term of the employment contract of any executive
officer;
|
|
•
|
|
any
other material change in the corporate structure or business of the
Company;
|
|
•
|
|
any
class of equity securities of the Company to be delisted from a national
securities exchange or cease to be authorized to be quoted in an
automated
quotation system operated by a national securities association;
|
|
•
|
|
any
class of equity securities of the Company becoming eligible for
termination of registration under Section 12(g)(4) of the Securities
Exchange Act of 1934, as amended (the “Exchange
Act”);
|
|
•
|
|
the
suspension of the obligation of the Company to file reports under
Section 15(d) of the Exchange Act;
|
|
•
|
|
the
acquisition by any person of additional securities of the Company
or the
disposition of securities of the Company; or
|
|
•
|
|
any
changes in the charter, bylaws or other governing instruments of
the
Company or other actions that could impede the acquisition of control
of
the Company.
|
|
•
|
|
none
of the Company or its executive officers, directors, subsidiaries
or other
affiliates has any beneficial interest in the Securities;
|
|
•
|
|
the
Company will not purchase any Securities from such persons; and
|
|
•
|
|
during
the 60 days preceding the date of this Company Notice, none of such
officers, directors or affiliates has engaged in any transactions
in the
Securities.
|
|
•
|
|
a
dealer in securities or currencies;
|
|
•
|
|
a
trader in securities that elects to use a mark-to-market method of
accounting for your securities holdings;
|
|
•
|
|
a
bank;
|
|
•
|
|
an
insurance company;
|
|
•
|
|
a
tax-exempt organization;
|
|
•
|
|
a
person that owns Securities that are a hedge or that are hedged against
interest rate risks;
|
|
•
|
|
a
partnership, or other pass-through entity or person holding the Securities
through a partnership or other pass-through entity;
|
|
•
|
|
a
person that owns Securities as part of a straddle or conversion
transaction for tax purposes; or
|
|
•
|
|
a
United States person whose functional currency for tax purposes is
not the
U.S. dollar.
|
|
•
|
|
a
citizen or resident of the United States;
|
|
•
|
|
a
domestic corporation;
|
|
•
|
|
an
estate whose income is subject to United States federal income taxation
|
regardless of its source; or | |||
|
•
|
|
a
trust if a United States court is able to exercise primary supervision
over the trust’s administration and one or more United States persons are
authorized to control all substantial decisions of the trust.
|
|
•
|
|
you
do not actually or constructively own 10% or more of the total combined
voting power of all classes of our stock entitled to vote;
|
|
•
|
|
you
are not a controlled foreign corporation that is related to us through
stock ownership; and
|
|
•
|
|
either
(i) you provide your name and address, and certify, under penalties
of perjury, that you are not a United States person (which certification
may be made on Internal Revenue Service (“IRS”)
Form W-8BEN (or successor form)), or (ii) you hold your Securities
through certain intermediaries, and you and the intermediaries satisfy
the
certification requirements of applicable U.S. Treasury regulations.
|
· |
Our
Annual Report on Form 10-K for the year ended July 28, 2006 filed
with the
SEC on October 3, 2006;
|
· |
Our
Quarterly Report on Form 10-Q for the quarter ended October 27, 2006
filed
with the SEC on December 6, 2006;
|
· |
Our
Quarterly Report on Form 10-Q for the quarter ended January 26, 2007
filed
with the SEC on March 2, 2007; and
|
· |
Our
Current Reports on Form 8-K filed with the SEC on August 1, 2006,
August
15, 2006, August 29, 2006, September 13, 2006, September 19, 2006,
September 21, 2006, September 26, 2006, October 18, 2006, November
3,
2006, November 16, 2006, November 21, 2006, November 29, 2006, December
6,
2006, January 3, 2007, January 30, 2007, February 14, 2007, February
20,
2007, February 21, 2007, February 26, 2007, February 27, 2007 and
March 2,
2007.
|
Name
|
Position
|
Michael
A. Woodhouse
|
Chairman,
President and Chief Executive Officer
|
Lawrence
E. White
|
Senior
Vice President, Finance and Chief Financial Officer
|
N.
B. Forrest Shoaf
|
Senior
Vice President, General Counsel and Corporate Secretary
|
Edward
A. Greene
|
Senior
Vice President, Strategic Initiatives
|
Simon
Turner
|
Senior
Vice President, Marketing and Innovation and Chief Marketing
Officer
|
Diana
S. Wynne
|
Senior
Vice President, Corporate Affairs
|
Patrick
A. Scruggs
|
Vice
President, Accounting and Tax and Chief Accounting
Officer
|
James
D. Carreker
|
Director
|
Robert
V. Dale
|
Director
|
Richard
J. Dobkin
|
Director
|
Robert
C. Hilton
|
Director
|
Charles
E. Jones, Jr.
|
Director
|
B.
F. “Jack” Lowery
|
Director
|
Martha
M. Mitchell
|
Director
|
Erik
Vonk
|
Director
|
Andrea
M. Weiss
|
Director
|
Jimmie
D. White
|
Director
|
SUBSTITUTE
FORM W-9
Department
of the Treasury Internal Revenue Service
|
|
Part 1—TAXPAYER
IDENTIFICATION NUMBER—PLEASE PROVIDE YOUR TIN IN THE BOX AT RIGHT AND
CERTIFY BY SIGNING AND DATING BELOW. IF AWAITING TIN, WRITE “APPLIED
FOR.”
|
|
Social security number or
Employer identification number
|
Payer’s
Request for Taxpayer Identification Number (“TIN”)
and Certification
|
|
Part
2—For
Payees Exempt from Backup Withholding—Check the box if you are NOT subject
to backup withholding. ¨
|
||
________________________
________________________
________________________
Name
|
|
Part
3—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), (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. person (including a U.S. resident
alien).
|
||
Business
name if different from above Check appropriate box:
¨
individual/sole
¨
proprietor
¨
corporation
¨
partnership
¨
other __________
____________________
Address
________________________
________________________
________________________
|
|
Certificate
Instructions—You
must cross out item (2) in Part 3 above if you have been notified
by IRS
that you are currently subject to backup withholding because you
have
failed to report all interest and dividends on your tax return. However,
if, after being notified by the IRS that you were subject to backup
withholding, you received another notification from the IRS that
you are
no longer subject to backup withholding, do not cross out item
2.
|
NOTE:
|
FAILURE
TO COMPLETE THIS SUBSTITUTE FORM W-9 MAY RESULT IN BACKUP WITHHOLDING
OF
28% OF ANY PAYMENTS MADE TO YOU PURSUANT TO THE OPTION. IN ADDITION,
FAILURE TO PROVIDE SUCH INFORMATION MAY RESULT IN A PENALTY IMPOSED
BY THE
INTERNAL REVENUE SERVICE. PLEASE REVIEW THE ENCLOSED GUIDELINES FOR
CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM
W-9 FOR
ADDITIONAL DETAILS.
|
For
this type of account
|
|
Give
the SOCIAL SECURITY
number
of:
|
|
For
this type of account:
|
|
Give
the EMPLOYER
IDENTIFICATION
number of:
|
1.
Individual
|
|
The
individual
|
|
6.
Sole proprietorship or single-owner LLC
|
|
The
owner(3)
|
2.
Two or more individuals (joint account)
|
|
The
actual owner of the account or, if combined funds, the first individual
on
the account(1)
|
|
7.
A valid trust, estate, or pension trust
|
|
Legal
entity (Do not furnish the identifying number of the personal
representative or trustee unless the legal entity itself is not designated
in the account title.)(4)
|
3.
Custodian account of a minor (Uniform Gift to Minors Act)
|
|
The
minor(2)
|
|
8.
Corporate or LLC electing corporate status on Form 8832
|
|
The
corporation
|
4.a.
The usual revocable savings trust account (grantor is also
trustee)
|
|
The
grantor-trustee(1)
|
|
9.
Association, club, religious, charitable, or educational organization
or
other tax exempt organization
|
|
The
organization
|
b.
So-called trust account that is not a legal or valid trust under
State
law
|
|
The
actual owner(1)
|
|
10.
Partnership or multi-member LLC
|
|
The
partnership
|
5.
Sole proprietor or single-owner LLC
|
|
The
owner(3)
|
|
11.
A broker or registered nominee
|
|
The
broker or nominee
|
|
|
12.
Account with the Department of Agriculture in the name of a public
entity
(such as a State or local government, school district or prison)
that
receives agricultural program payments.
|
|
The
public entity
|
(1)
|
List
first and circle the name of the person whose number you furnish.
If only
one person on a joint account has a social security number, that
person’s
social security number must be furnished.
|
(2)
|
Circle
the minor’s name and furnish the minor’s social security number.
|
(3)
|
You
must show your individual name, but you may also enter your business
or
“doing business as” name. You may use either your social security number
or your employer identification number (if you have one).
|
(4)
|
List
first and circle the name of the legal trust, estate or pension trust.
|
NOTE:
|
If
no name is circled when there is more than one name listed, the number
will be considered to be that of the first name listed.
|
|
•
|
|
An
organization exempt from tax under section 501(a), an individual
retirement plan or a custodial account under Section 403(b)(7) if the
account satisfies the requirements of Section 401(f)(2).
|
|
•
|
|
The
United States or any agency or instrumentality thereof.
|
|
•
|
|
A
State, The District of Columbia, a possession of the United States,
or any
subdivision or instrumentality thereof.
|
|
•
|
|
A
foreign government, a political subdivision of a foreign government,
or
any agency or instrumentality thereof.
|
|
•
|
|
An
international organization or any agency or instrumentality thereof.
|
|
•
|
|
A
corporation
|
|
•
|
|
A
financial institution
|
|
•
|
|
A
registered dealer in securities or commodities registered in the
U.S., the
District of Columbia or a possession of the U.S.
|
|
•
|
|
A
real estate investment trust.
|
|
•
|
|
A
common trust fund operated by a bank under section 584(a).
|
|
•
|
|
A
trust exempt from tax under section 664 or described in section 4947.
|
|
•
|
|
An
entity registered at all times under the Investment Company Act of
1940.
|
|
•
|
|
A
foreign central bank of issue.
|
|
•
|
|
A
futures commission merchant registered with the Commodity Futures
Trading
Commission.
|
|
•
|
|
A
middleman known in the investment community as a nominee or custodian.
|
|
•
|
|
Payments
to nonresident aliens subject to withholding under section 1441.
|
|
•
|
|
Payments
to partnerships not engaged in a trade or business in the U.S. and
which
have at least one nonresident partner.
|
|
•
|
|
Payments
of patronage dividends where the amount renewed is not paid in money.
|
|
•
|
|
Payments
made by certain foreign organizations.
|
|
•
|
|
Payments
of interest on obligations issued by individuals. Note: You may be
subject
to backup withholding if this interest is $600 or more and is paid
in the
course of the payer’s trade or business and you have not provided your
correct taxpayer identification number to the payer.
|
|
•
|
|
Payments
of tax-exempt interest (including exempt-interest dividends under
section
852).
|
|
•
|
|
Payments
described in section 6049(b)(5) to non-resident aliens.
|
|
•
|
|
Payments
on tax-free covenant bonds under section 1451.
|
|
•
|
|
Payments
made by certain foreign organizations.
|
(1)
|
Penalty
for Failure to Furnish Taxpayer Identification
Number.—If
you fail to furnish your correct taxpayer identification number to
a
payer, you are subject to a penalty of $50 for each such failure
unless
your failure is due to reasonable cause and not to willful neglect.
|
(2)
|
Civil
Penalty for False Information With Respect to
Withholding.—If
you make a false statement with no reasonable basis which results
in no
imposition of backup withholding, you are subject to a penalty of
$500.
|
(3)
|
Criminal
Penalty for Falsifying Information.—Willfully
falsifying certifications or affirmations may subject you to criminal
penalties including fines and/or imprisonment.
|
(4)
|
Misuse
of Taxpayer Identification Numbers.—If
the requester discloses or uses taxpayer identification numbers in
violation of federal law, the requester may be subject to civil and
criminal penalties.
|