W-8BEN-E

Rev. October 2021

Requested By Demonstration, Inc.

1Organization

2Tax ID and Status

3Tax Treaty Benefits

4Certification

Part I: Identification of Beneficial Owner

Name of organization that is the beneficial owner

Country of incorporation or organization

Permanent residence address

City or town

State or province (optional)

Postal code (optional)

Permanent residence country

Different mailing address

Mailing address is different than residence address.

Name of disregarded entity receiving the payment (optional)