S49 CDRIORY Articles cemoveh- AZ room SS-4 Application for Employer identification Number nee Som | Soom (3-238 190) wus sence” | _> See separate Instructions for eech ne. > Keep a Copy for your records. "Legal nae Ten (er ncveual for whem te EN is beng requested Live Long LLC. Pts creams ore Roman ee) sa aa, TSB a B | ating acres oom apt, sa i.e weet OFF Dod] Sa Seat adress Wor) Don era P.O: Box) = | oon trng ce 15. [ a iy, stat, and ZIP code (foreign, soo instructions) ‘BB Cl, ae, and ZIP code pt Toragh, see wtraciona) 35 | Tucson, Az 85711 5 3 [© _ Cou anc late whore principal thas nated Bl tucson. az Ta Name of eSponaie pary 78 SSH TN, EN ova Longacre 1 epkaton f« ed SRY carpary Ch ‘BOT Ba is “Yes enter the number of (ora forvign equivalent? 5 re Ove | _usmanoes 3 Wenis "Von wash UC orpiedin ba Unted Sate? sv Tes Cine ‘82 Type of entity (check only one baw. Caution: 8a is “Yes, se the insructions for the correct box to check. Sole proprietor (SSN) C1 Estate of decedent) CD Partnership OP administrator (mM) D Corporation (eter form number to be fled) > 1D Trust cn of anton 1D Personal service corporation O mitarynational Guard) Statenocal government Ci cure or crurct-contrled organization Cl rarmars' cooperative Federal government Dotrernonproft organization fpectyy ® Cec incr telgovermentenorses EVother pect) > Group Exemption Number (GEN) any > {3a corporation, name the state or foreign county GF | State Foreign country applicable) where incorporated {10 Reason for applying (heck only one box) (ZBanting purpose tepecty purpose) Dystaried new business (speciy type) LLC Cl changed type of organization (specty new type (D) Purchased going business (L Hired employees (Check te box and sew ne 13) ] Created atrct pect type) > Gi Comptance with IRS withhoking regulations C Created a pension plan (pecity type) Gl other spect 77 Date usiness started or acquired north day, yea. See nstuctons. | 12 Closing month ofaccourting ear osrt3203t 14 you expect your employment tx Raby Tobe $1,000 or 33 Vighest rarsber ol enelayees expected inthe coc 12 wenthe er OH Jess ina hl calor year and wrt to fe Frm 948 ‘nnualy intend of Forme 941 quater, check hee. ‘Your employment tax tabilty general wl be $7,000 ‘or lest you expect to pay 85,000 ores in total wages) Agpetural Household Over yu don't check ths box, you must le Farm 941 for every quater.) {5 Fe wags a as ware pid or aye, Nt peat a witolg ape ei diene wi tbe pad we onresisent aon (month, day. yea. Foes anette ota akcpercaniycporamea TT toa oe cs ans CT Waa Ciconstvetion C1 Renta & teasing Transporation averting (] Accommodation & food serie C] Wholeescther [Reta Ci healestato C) Manutsctuing C) Finance a insurance __{] éiher (speci) > ecommerce {7 Indicate principale of merchandise sod, specific consvuction work done, products produced, or services provided one) no employees expected, skip ine 14, “as the applicant ently shown on in | ever appled for andrecoved an EN? ClVes _ GYNe Yes," write previous EIN bare > ‘Compl i action nt # yu wart aot Pe raed clio wes He wy s EN and wwe’ quire about he coin ofan Third | Designee’s name ‘ase tephore mae fd we co) Party Designee [Aadrees and 2? code ‘Designs’ fox naber Gace aon cds) ‘ope opie eal he mar pein es a as omy ena Rn coc ane | POE Wein ruber fee Name and ite ype opr ary 5204041905 ea xb ec la seam Plt be wen oh "asta01010 = For Privacy Act and Paperwork Reduction Act Notice, ese soparste nebuctons. e058 Fom SSA fiw 122079) Nid etotee Wrby