Shasta Power Investor Information

Shasta Power Investor Tax Information

Please fill out the form below with your most recent tax information. (ONLY IF any of your information for your Summit Power Fund K1 has changed since last year)

Name(Required)

First Last

Investment Entity Name (if different from above)

If you are inputting information for a separate entity, please put that name here. For example, "John Doe" filling out for "Example LLC" would put "Example LLC" in this box.

Email Address(Required)

Investor or Investment Entity Tax ID Number(Required)

Investor or Investment Entity Tax Filing Address(Required)

Street Address City State Zip Code

Individual Resident State(Required)

Not the state of a custodian or entity.

Telephone Number(Required)

Type of Entity (1-9)(Required)

Federal Classification

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