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Sensus Metering Headquarters Corp, et al. – ‘S-4’ on 3/16/04 – EX-99.5

On:  Tuesday, 3/16/04, at 5:21pm ET   ·   Accession #:  1047469-4-8198   ·   File #s:  333-113658, -01, -02, -03, -04, -05, -06, -07

Previous ‘S-4’:  None   ·   Next:  ‘S-4/A’ on 5/10/04   ·   Latest:  ‘S-4/A’ on 7/29/04

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  As Of                Filer                Filing    For·On·As Docs:Size              Issuer               Agent

 3/16/04  Sensus Metering Headquarters Corp S-4                   49:10M                                    Merrill Corp/New/FA
          Sensus Metering Systems - North America Inc
          Smith-Blair Inc
          M&FC Holdings LLC
          Sensus Metering Systems Bermuda 2 Ltd
          Sensus Metering Systems Ip Holdings Inc
          Sensus Precision Die Casting Inc
          Sensus Metering Systems Inc

Registration of Securities Issued in a Business-Combination Transaction   —   Form S-4
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: S-4         Registration of Securities Issued in a              HTML   1.80M 
                          Business-Combination Transaction                       
 2: EX-1.1      Underwriting Agreement                              HTML    257K 
 3: EX-2.1      Plan of Acquisition, Reorganization, Arrangement,   HTML    669K 
                          Liquidation or Succession                              
 4: EX-2.2      Plan of Acquisition, Reorganization, Arrangement,   HTML     43K 
                          Liquidation or Succession                              
 5: EX-3.1      Articles of Incorporation/Organization or By-Laws   HTML     38K 
14: EX-3.10     Articles of Incorporation/Organization or By-Laws   HTML     54K 
15: EX-3.11     Articles of Incorporation/Organization or By-Laws   HTML     24K 
16: EX-3.12     Articles of Incorporation/Organization or By-Laws   HTML     54K 
17: EX-3.13     Articles of Incorporation/Organization or By-Laws   HTML     32K 
18: EX-3.14     Articles of Incorporation/Organization or By-Laws   HTML     56K 
19: EX-3.15     Articles of Incorporation/Organization or By-Laws   HTML     18K 
20: EX-3.16     Articles of Incorporation/Organization or By-Laws   HTML     71K 
 6: EX-3.2      Articles of Incorporation/Organization or By-Laws   HTML     60K 
 7: EX-3.3      Articles of Incorporation/Organization or By-Laws   HTML     52K 
 8: EX-3.4      Articles of Incorporation/Organization or By-Laws   HTML     17K 
 9: EX-3.5      Articles of Incorporation/Organization or By-Laws   HTML     34K 
10: EX-3.6      Articles of Incorporation/Organization or By-Laws   HTML     84K 
11: EX-3.7      Articles of Incorporation/Organization or By-Laws   HTML     34K 
12: EX-3.8      Articles of Incorporation/Organization or By-Laws   HTML     54K 
13: EX-3.9      Articles of Incorporation/Organization or By-Laws   HTML     48K 
21: EX-4.1      Instrument Defining the Rights of Security Holders  HTML    843K 
22: EX-4.3      Instrument Defining the Rights of Security Holders  HTML    166K 
23: EX-5.1      Opinion re: Legality                                HTML     25K 
24: EX-10.1     Material Contract                                   HTML    750K 
33: EX-10.10    Material Contract                                   HTML     96K 
34: EX-10.11    Material Contract                                   HTML     83K 
35: EX-10.12    Material Contract                                   HTML     77K 
36: EX-10.13    Material Contract                                   HTML    147K 
37: EX-10.14    Material Contract                                   HTML     52K 
38: EX-10.15    Material Contract                                   HTML     42K 
39: EX-10.16    Material Contract                                   HTML     85K 
40: EX-10.17    Material Contract                                   HTML     53K 
25: EX-10.2     Material Contract                                   HTML    809K 
26: EX-10.3     Material Contract                                   HTML    177K 
27: EX-10.4     Material Contract                                   HTML    122K 
28: EX-10.5     Material Contract                                   HTML    117K 
29: EX-10.6     Material Contract                                   HTML    121K 
30: EX-10.7     Material Contract                                   HTML    421K 
31: EX-10.8     Material Contract                                   HTML    188K 
32: EX-10.9     Material Contract                                   HTML     97K 
41: EX-12.1     Statement re: Computation of Ratios                 HTML     54K 
42: EX-21.1     Subsidiaries of the Registrant                      HTML     26K 
43: EX-23.1     Consent of Experts or Counsel                       HTML     18K 
44: EX-25.1     Statement re: Eligibility of Trustee                HTML     74K 
45: EX-99.1     Miscellaneous Exhibit                               HTML     77K 
46: EX-99.2     Miscellaneous Exhibit                               HTML     32K 
47: EX-99.3     Miscellaneous Exhibit                               HTML     24K 
48: EX-99.4     Miscellaneous Exhibit                               HTML     23K 
49: EX-99.5     Miscellaneous Exhibit                               HTML     30K 


EX-99.5   —   Miscellaneous Exhibit
Exhibit Table of Contents

Page (sequential) | (alphabetic) Top
 
11st Page   -   Filing Submission
"Guidelines for Certification of Taxpayer Identification Number on Substitute Form W-9
"GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 Page 2
"QuickLinks

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GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION
NUMBER ON SUBSTITUTE FORM W-9

        Guidelines for Determining the Proper Identification Number to Give the Payer. Social Security numbers have nine digits separated by two hyphens: i.e, 000-00-0000. Employer identification numbers have nine digits separated by only one hyphen: i.e., 00-0000000. The table below will help determine the number to give the payer.


For this type of account:

 
Give the NAME and
SOCIAL SECURITY
number of—


1.   Individual   The individual

2.

 

Two or more individuals (joint account)

 

The actual owner of the account or, if combined funds, the first individual on the account(2)

3.

 

Custodian account of a minor (Uniform Gift to Minors Act)

 

The minor(4)

4.

 

a.  The usual revocable savings trust (grantor is also trustee)

 

The grantor-trustee(2)

 

 

b.  So-called trust account that is not a legal or valid trust under State law

 

The actual owner(2)

5.

 

Sole proprietorship

 

The owner(1)

For this type of account:

  Give the NAME and
EMPLOYER IDENTIFICATION
number of—


6.   Sole proprietorship   The owner(1)

7.

 

A valid trust, estate, or pension trust

 

The legal entity(3)

8.

 

Corporate

 

The corporation

9.

 

Association, club, religious, charitable, educational or other tax-exempt organization

 

The organization

10.

 

Partnership

 

The partnership

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
You must show your individual name, but you may also enter your business or "doing business as" name. Or may use either your SSN or EIN.
2
List first and circle the name of the person whose number you furnish.
3
List first and circle the name of the legal trust, estate, or pension trust. (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
Circle the minor's name and furnish the minor's social security number.


GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION
NUMBER ON SUBSTITUTE FORM W-9

Page 2

Obtaining a Number

If you don't have a taxpayer identification number or you don't know your number, obtain Form SS-5, Application for a Social Security Number Card, or Form SS-4, Application for Employer Identification Number, at the local office of the Social Security Administration or the Internal Revenue Service and apply for a number.

Payees Exempt from Backup Withholding

The following is a list of payees exempt from backup withholding and for which no information reporting is required. For interest and dividends, all listed payees are exempt except item (9). For broker transactions, payees listed in items (1) through (13) and a person registered under the Investment Advisers Act of 1940 U.C. who regularly acts s a broker are exempt. Payments subject to reporting under sections 6041 and 6041A are generally exempt from backup withholding only if made to payees described in items (1) through (7), except a corporation that provides medical and health care services or bills and collects payments for such services is not exempt from backup withholding or information reporting. Only payees described in items (2) through (6) are exempt from backup withholding for barter exchange transactions and patronage dividends.

(1)  A corporation.

(2)  An organization exempt from tax under section 501(a), or an individual retirement plan or custodial account under section 403(b)(7).

(3)  The United States or any agency or instrumentality thereof.

(4)  A State, the District of Columbia, a possession of the United States, or any subdivision or instrumentality thereof.

(5)  A foreign government, a political subdivision of a foreign government, or an agency or instrumentality thereof.

(6)  An international organization or any agency or instrumentality thereof.

(7)  A foreign central bank of issue.

(8)  A dealer in securities or commodities required to register in the U.S. or a possession of the U.S.

(9)  A futures commission merchant registered with the Commodity Futures Trading Commission.

(10)  A real estate investment trust.

(11)  An entity registered at all times under the Investment Company Act of 1940.

(12)  A common trust fund operated by a bank under section 584(a).

(13)  A financial institution.

(14)  A middleman known in the investment community as a nominee or listed in the most recent publication of the American Society of Corporate Secretaries, Inc. Nominee List.

(15)  An exempt charitable remainder trust, or a non-exempt trust described in section 4947.

Payments of dividends and patronage dividends not generally subject to backup withholding include the following:

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.

Payment of patronage dividends not paid in money.

Payments made by certain foreign organizations.

Section 404(k) payments made by an ESOP.

Interest payments that are generally exempt from back-up withholding include:

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 nonresident aliens.

Payments on tax-free covenant bonds under section 1451.

Payments made by certain foreign organizations.

Exempt payees described above should file Form W-9 to avoid possible erroneous backup withholding. FILE THIS FORM WITH THE PAYER. FURNISH YOUR TAXPAYER IDENTIFICATION NUMBER. WRITE "EXEMPT" ON THE FACE OF THE FORM AND RETURN IT TO THE PAYER. IF THE PAYMENTS ARE INTEREST, DIVIDENDS, OR PATRONAGE DIVIDENDS, ALSO SIGN AND DATE THE FORM.

Certain payments other than interest, royalties, and patronage dividends that are not subject to information reporting are also not subject to backup withholding. For details, see the regulations under sections 6041, 6041A(a), 6045, and 6050A.

Privacy Act Notice.

Section 6109 requires most recipients of dividend, interest, or other payments to give taxpayer identification numbers to payers who must report the payments to IRS. IRS uses the numbers for identification purposes. Payers must be given the numbers whether or not recipients are required to file tax returns. Payers must generally withhold 31% of taxable interest, dividend, and certain other payments to a payee who does not furnish a taxpayer identification number to a payer. Certain penalties may also apply.

Penalties

(1) Penalty for Failure to Furnish Taxpayer Identification Number. If you fail to furnish your 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.

FOR ADDITIONAL INFORMATION CONTACT YOUR TAX
CONSULTANT OR THE INTERNAL REVENUE SERVICE.




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GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9
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