Loading...
TR-2016-1 GRANT FROM THEORY SKATE . 4 ip1 coo -- -- TR-2016-1 A RESOLUTION ACCEPTING A DONATION FROM THEORY SKATE SHOP PURSUANT TO MASSACHUSETTS GENERAL LAWS CHAPTER 44, SECTION 53A TO THE TOWN OF AGAWAM (Sponsored by Richard A. Cohen) WHEREAS, Theory Skate Shop in conjunction with Converse as generously made a donation to the Town of Agawam; and WHEREAS, The Town of Agawam desires to accept said donation; and WHEREAS, the donation is in the amount of ten thousand and 001100 ($10,000.00) dollars; WHEREAS, the donation was made to the Town to support the Agawam Skate Park; and WHEREAS, it is in the best interests of the Town of Agawam to accept the donation from the Theory Skate shop. NOW THEREFORE, the Agawam City Council hereby resolves pursuant to M.G.L. c.44, §53A to accept this donation from Theory Skate Shop and Converse. DATED THIS DAY OF , 2016. PER ORDER OF THE AGAWAM CITY COUNCIL �;fp" lab4 e�/ 11 President LAPROVJEDA TO FORM AND LEGALITY Vincent a, Solicitor 0-rTWt-cc-..0 1av-CS (1.e-CdU.1".,I i Of AA Town of Agawam Parks & Recreation Department y' 36 Main Street Agawam, MA 01001 y TJ (413) 821-0513 Fox (413) 821-0637 recreation@agawam.ma.us .RATE D Mt* INVOICE #1217ASP Date: 12/17/09 To: Converse 1 Lovejoy Wharf Boston, MA 02114 Attn: Rob Collins From: Cli istapher K Sharks. Director of Parke& Recreation Re: Skate Park lmprovemetits $10,000 Donation for Town of Agawam Skate Park Improvements Please make check payable to "Town of Agaw wn"and send to: Agawam Parks& Recreation 36 Main Street Agawam, M A 0 100 1 Reter,;nce Invoice:# 1217ASP f r Wm W-9 Request for Taxpayer dive Form to the (R:v-oa=ntW20I4) identification Number and Certification requester.°o not t)ep rtrrrerlrardreTrtauay send to the IRS. Inlvrkal Revernfa8Cryit:e 1 Name(as shown c..ycks hrooma tax return).Wma Ie ra tared on Ira W:do not leave Of ins blares Town of Agawam vi 2 sudrnsa nssxl riled entity name.If dleemnt Irony above n 3 Ct**appmWk to box for(eaerol UL:class:rcaboN chock only ono Of the fDlbx+np eevor►tlottea• 4 F_+acrrfptionc(wades appy only to ❑tnf9kr la_Yaafe proprietor or C C Corporsl(er ❑s Corrxation © PIMM.-hl ❑Tr-WDJ W Certain eadne&not rill+A Ab:yea htatnio om on pops 3k sstr3e•rnr oiler t1G y4 p LMnited W-ly ConZAnY.Enter IN tax cLQMfiCW9ft fC�C ct.'poration or;n SaS corparMICA Peprrstagi► E'u no tmM pods(x airy) 3 111 NaW For'3*%910-MWnbe1 LLC ih-1�,&rogarded,do not check LLC:checU the appropAata t^Ix in the K u above far Examptlpn from FATCA*Wr6q the lax ctauigwia.l of As ahVc-member or,xur. code to am CL a 0 Uther(see fkiaUW nsl> oar a,w, +,a.w w ra r ri us) s a Add."(.".,Street.end MA.a asvlta no I Raquaettrs tramp and address(optional} 36 main Street a Chy,612W and LP code Agawam.AAA 01D01-1837 7 Ust or ckant numberod Mn(opOw33 IRMFIF—taxpayer identification Number (N Enter you-TIN in the appropriate box.The T)N prov;ded must match tl:n name given on One t tD avoid acetai securlh nuwbor backup whhf:okllrg.For(4VIduals,this o gonernlly your soclai secuft raunber(SSN).However.for a resident Brien,sole propfietor.or d;sregwxW amity,see the Part i nstiuctiorss on page 3.For other entities,it is your employer Identffcation number(EM.If you do not have a nuirkber,see Now to get a TW on page 3. or 'Note,.It the account Is in more theh one rams,We the kntn koM for One 1 and the chest on pace 4 for Eakplvyer lderft7Hoa11Dn number gtddellnes on Whose number IV enter. 1 04 — 6 1 0 1 0 1, 1 ToeT 5 Offiffff Certification Under penst lM of perjury,I dirtily that. 1. The number shown on eft fo,-rn is my Dorrec;taxpayer Identification number(or i tun wtillmg for a number to be iewed to me):and 2. 1 am not subject to backup wa'4hhold(ng becaum:(a)I am waimpl horn backup 1 AMN010%or(b)I have not bocci notlilatl by the interrtal Revenue Sefte(IRS)that I am subject to backup-'Ihholdhq as a resuh of a Islam to report all interest or dfvidenda,or(c)the IRS has notified me that I am no anger sub*4 to bw4w vrittfholding;and 3. 1 am a US,oflrzen or other US,person(daftned belo%4;and 4.The FATCA code(,4 entered on We farm fir arty)rrldroating that I tun exempt from FATCA repomg is correci. CertMeation hurtructlanii.You must cross out item 2 above 4 you have been notified by the IRS that you era currently subject to backup wtttthoidjng because you have rafted to report a9 interest and dMdandrs on your tax rattan.For real estate transactions,item 2 does not apply.For mortgage interest paid.avp salon or absadonment of secured proparty,ctncelti ton of debt,00AWbuttone to an It dlvlputt!rotiripwro arrangement(IRA),and adnsraM/,payments other than interest and dividends, cue not raqulrad to sign the COVIration,but you must provide your corret3 Tit..S"the nswictlrnm at page 3. Sign of Here IAA parson► � bate► zz General Enstructi ns •Form IVA Qnma mor*apa kuaros%10964(fovanm loan Interew).I -T (tuf Nadi £action referewo are to the tntuW Aavcr ro Cade unlaes othrm'te nolad. .Form 1029.0 frinralod drb11 Ftrhlra de"Wmants.information about dow'mpmmts enWhg Fore W-9(_tic:, .Fo'm 100-A(zcgLkfstflon er abonaonment of>v"od brca t!'i an aapfstatfon eaacled allay we rale3so 4 is at www.km9ov/fw9. the Fo.n w-Q Way ll you r-o a U.S parson Ihkdudin:)p YesOdekrt ap"to Purpose of Form PFOV4.-YcIN conootT1N. An indh-h.W or rantlty(Frm Il-9 roq6e3W ofia Is required to Ida on lnlcnnati m ff yrj do not return Form W-9 is flat mWnxta with a IN,you mrfpe t a la<_-Cl rotum wUh the MS frKm obw2n your correct taxpayw Werilill=tfon number OW u lracl w Wfarhoidrnp.See What s Dcc"wdrYro&V?on(brie 2 wh,m may be ym sodas eacwhr nanbet(SW.LWiWdkaal taxpayer la MTi:%M im By a:pning the OW-ow form,you. numbarr",tldap0aa taxpwu i iaMcal'm twmwt IATWL w employer 1.Cathy that the TTN you are giAV is conc--t(or you cm wzbv idemiUL^Lion nwrber i�t.to report art an lydmrrrak n noun fho anaami p ckl i to ie be wAM, roe a rurrbx yew,or cvpr wood rrponaft on en hdonratlon return.C:rmnrpios of tnfora radon ratams erc4ae,DJ we rroi loped to.the fo'.owirrn: 2.C7rtdy that yea are not s:rtsect to backup vMhokft.or •Form 1(WINT(srtoreal earned or Gt1ud) 3.dafm fur:rtpraark freak txrclrtap%iMfmN3np it you Pro a U.9 3xampt payet,it •Form to99-OIV Id�dertds,tnelu0rnp lhor Iran stauiar or mutual IWI aDpacable.you Cr also eer*Dv that as a U.S.par_arL yow altombt:ahem sI •Ferro INg-WC(various typo of impure,prizes,ewsrds,or gross pmocads) W y fir'r LU�ocrrw (m n a U.S.aam or bffbcov k on noted x ns ttrlrordaag tre�rr parts_=snaro of elfecthrey connected 6xarrte,aid •Form 1099-8(shall or mouat fusty sales and cwaln other Lrai-Lwitons by 4.CWily ftCtl FATCA rada(rl Wterml on tha fomf Of arry)hadta[b p tfrea you are b.-okers) exwMt ffaif the FATCA mportlr..1,is=recf.See%WMU is FATCA mportag?on •Form iOWS(proceeds from red#slate t ansemlonsl papa 2 for furttrcr iruarnutlon. •Form IDM-I;anorchant curd and third pang network trarxsarwn..i Cat.Mo.10231X - Form W-8(Pac 12-.Cn4) i MAYORAL ACTION Received this 2nd day of Februga 2016 from Council Clerk. Signed by Council President this I st day of FebngM 2016. APPROVAL OF LEGISLATION By the powers vested in me pursuant to Article 3, Section 3-6 of the Agawam Charter, as amended,I hereby approve the passage of the above legislation on this 2nd day of Februgy 2016. Z�Z&IZ4= Richard A. Cohen,Mayor DISAPPROVAL OF LEGISLATION By the powers vested in me pursuant to Article 3, Section 3-6 of the Agawam Charter,as amended, I hereby veto the passage of the above legislation on this day of , 2016 for the following reason(s): Richard A. Cohen,Mayor RETURN OF LEGISLATION TO COUNCIL CLERK Returned to Council Clerk this 2nd day of_ February, 2016.