HomeMy WebLinkAbout4.525 Original Contract
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WYNN C()NSU]j'f'TNC;
DO M E S 'I' TeA N D SEX l} A LVI 0 LEN C E PRE YEN T r 0 N
'I' R r\ 1 N 1 N C & CON S II L TIN (;
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fACSIMILE TRAN~MnTI\L SHEET
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Cop. Barb McFClII
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Mal-k Wynn
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360-417 -4909
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Bath this i5 the contract and W-9.
Thank You Ag"Ain
Mark
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Wynn Consulting
Domestic and Sexual Violence Prevention Training and Consulting
Contract For Services
The Port Angeles Washington Police Department and Mark Wynn of Wynn Consulting
agree to terms of this Contract
Mark Wynn agrees to present two workshups on law enforcement domestic violence prewn-
Hun to be held at the POft Angeles, Washington. Mark Wynn's portion of the training shall
be eight hours m length each day June 27, 28 2006.
In compensation for the services provided by Mark Wynn, the;: Port Angeles Police Depart-
ment agrees lo pay him a training fee of $4,000, which includes preparation and presentation
time:. In addition, the Port Angeles Police Department shall pay travel expenses (air and lodg-
ing).
MW'k Wynn will not receive regular salary paymenl frolll another sourCl: for the hours during
which the training wlll uccur,
Date' ~e ~-rcL~-
Date'
b~/,].o(
SSN.
2516 Somerset Dnve - Nashville, Tennessee :~7217
Tl'l/fax; (61.')) 360-3994 - Cell Phone - (61fj) 579-3994 - Emnil: markwynn@edge.net
Web Site: www.mal'icwynn.colll
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rlrm W-g
(Hey January 20021
OrpnnOlQnl Q( !I)(j T (""wry
InterNl ~rvC'1lU(\ '1.0rvt1St
Request for Taxpayer
Identification Number and Certification
Give fotm to the
requester. Do not
send to tho IRS.
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Name
MARK WYNN
BlI~lnc~s name. If dllterpl\l rm'll ~h'lVr
(DBA) WYNN CONSULTING
[71 Ind.vldu.1I
C.l1eck ,~pr"lll"'nt~ hn~' I!!:J ;>ola ptopliutOl
Addre~~ (null\!lP.!. ..1":<'1 ,md npt or ~Ulte ItO)
2516 SOMERSET DRIVE
o Corporation
[1 0 U I:xcmpt from lJa~klJp
PFmnf\,~hill r1lhcr ~ II\IIlhholdlng
ReQuo~ter's name and Il/Wrl'~', {1I1/llnn,lil
City state and ZIP fOllp
NASHVILLE, TENNESSEE 37217
LIst ~f(~"lJm 1I11rnbcr(~) hl!fe (OPtJOI\8I1
_, Tal/payer Identification ~.!J_~ber (TIN)
tllter YOLJr TIN In the appropllntc bux FIJf Incl,YIOUlIls. this I~ your ~ucldl ~ecunt)' nl~mbcr (SSN)
However. for ~ re!lutent allan. sole propnetor. Qr dl~regardlld entlly, see tile Par\ I instructions on
page 2. For other clltltle~, It I~ yuur ~mplo)'er Identlflcatlun number (EINI If you do not Il<lVlJ iJ flumber.
!iPP' How to get a TIN on paqe 2
Note: If tile <lCCuuIII I~ in marl' thlln On/) mllnc s~.(.' IIle chart on pllgr ;? 10/ glJll.lt:I'rr(J~ UII WhU5f' number
II) p.nlf!f'
or
Unc1cr penaltllJ~ vI pUfJury. Il.:erur)' thAt.
1. fho number shown on Ihl'; f()rtn I~ my cormct taxpfl)'f:r u'icntlflcatlon rlLJmber (or I am WAitln!l for Il numtJt..~ to be 1!'~LJcd to me), and
2. I am nol ~UbJccttu bllr:kup wlthhnldlng bCCilLJ~e' (a) I am C'xnmpt from llllCkLJp wllIlholdlng. or (h) I hRYp not hpl)n notll/eLl by [tic InlL'rnal
Revcnue Sorvlce (IRS) that I 8m f>ubjlJcl tu bilt..kup Withholding !If> !I re~ult or a lallurt: to report all Intere5t or (JlvllJlJnLl~. ur (e) lhu IRS has
nuUrletJ me lhlll 1 Am no longer SUbject to backup Withholding. and
3. lAm A LJ ') per~on (InclUdlMg aU S reSident alien).
CurtiflCation instructions. YOIl mUf>t cross out Item 2 ~bO\(e If yo\.! flavlJ l.lClJfl nullheLl by the IRS thaI you are curTcnlly 5llliJlJCllU bilckup
withholding beceU5C you !lave laJllJlJ tu mpart i111 IntPfp.<;L And dlvldel1d~ on your tilx rcturn Far real e5tate trans3Cllui'\~. Item 2 doe'. not i1flflly.
rur mortgagp IntPfI'~t paid. acqlJlsluon or abandonment of securecJ I>!'optlrty, Cancellation of dphl. c:ontrtbUllons to arllndlvlLlu.J1 [E!urement
arranqcmllnt (IRA). and ljen<'18I1y. ~lIYTTl~els p hiln IlltcreM and dlvldcnd~ yuu <Ire not required 10 <;lgt11hP' (.erlllit..lllion, bul you must
pruvlde your cnrl'f'c:t TIN. (St)e the I trLJClI n paqe 2.)
... \ .... _ __ _ fi . .
Sign Signature of ,'~ (' I 7 u 6'
Here u,s. f50n ~ ,,'l,. - Datc ~ ' -
Purpose of Form
A perr.on Will,) I~ wqlJlmd to file an InformalJon
reWm with the IRS mLJ<;1 oPt YOl,ll correct
tA~f'Ayer II1Mtlrrcll\lon number (TIN) to report. lor
e~ample. Income paid to you. re.qll'~t~tt:'
tranf,acIIOn~. mOr [gage llltt..'ftI~1 you paid.
i'Jt.qUf~llIon \lr abandonment of 9f!CUret1 propp-rty.
c;ancellatJOn or debt. or ronlrlhutl('m~ you l11~dt:
to An I~A.
Usa !"orm W.9 only If YOlIllte a U.S. pet'SOO
(1l'l~llJdin9 a I'9sident allenl. to gNe your cOIrrt.l
llN to the per50n rpque$tlng It (tM r...~Ut:~lt..'f)
and. wnen appllcablc. l[)
1. CertIFy the TIN you arc giving I, cOllllct (or
YOLJ dIe W~ILJllg ror a number to be Is~uP.Q).
2. CenllY YOlI dre not ~ubjectto baCkUp
Withholding. or
3. Claim exemption from backup wlthho1cllng If
you are aU!:. exempt payee
If you are II fDll!ign person. U$e the
appropnate form W.8. See Pub, 515,
WithhOlding or ldX on Nonrewjpnl Ahpn~ Hf1t1
Foreifln Entltlps
NQte. /( ~ roque~ter gIVes you s lorm oll1er (/1311
FOfm W-9 to requp~t yom TIN, YI'llJ rn('~( lf~9 the
'NlllfJ,,~lef'f1 form /( it is substdntlally SImilar to IIlls
Form W-9
What is backup Withholding? PPfsnn,< It'I;llkll1g
certain p~)'mpnl" to you ll1ust under certain
!'.('ttldl!lons withhold and pay to tile IkS 30% 01
~uch flilyml'flt<. liner l)eWlllucr 31. 2001 (2\)%
8~ Dllc;erntJer 31 20031 This IS called "bArkLJp
WIthholding . r'ayment5 Inst mA)' Il<' ~llf)Jec:\ to
!lIlrkIII'lI'o/Jtt\MJdlt1g Incll/de Interest. dividends.
b, oker i!lnd barter exchange tran5ar.tIo"~. r/'lllS.
ro)'altlpfi. nonemployoo pu)'. mid {;~rlaln
r>8ynJ(;m~ f, urn Ii:.tunq bOat operator~ I~PAI
l~late tfflll~ctton" Rrp. nol ~llIlJP.J:t to I)~ckup
Wilht11'1ltllng
You Will not De 5UtljPCt to lJllt~k\lf:l w1thholdlflg
on pll.Yrrle1'\ts you rectllvc Ir you gIve the
IUqLJal>ter your r:orrert TIN. make \lIe proper
r,Prtlr1ca\lOIl~, allLl [Cpo([ all your taxable Intef'P<;t
and dNldends on your tax rplum
Pllyme;ll$ you receive will be subject to
backup withholding If:
1. You do not furnish your TIN to Ille
requester. or
2. You do nOl certify your llN wtlen lI~quired
(see the Part IIlnstfuctJonl> un pall!! 2 ror
d etatls). or
3. fho:: IR~ !ell, UIU reque~ter thaI you
fuml!.hed an Incorrect lIN. or
4. The IRS lClI~ you that you are subject to
backLJp Withholding IIp.C'sll!j.{' YOlI (tl,j tltlt ~port
All your Inl~tl!,t llnd dMdends on your tax return
(for reportable Intpre~t Rnrl c1lvujpl\(]& 0111)') Of
5. You do not cerofy to tl1p, re<ille$tP.! tlldt yuu
are not S\lbjoct (0 l>iJt..kup wlthholdrng under -1
ubove (ror reportable Intprp~t AM rllvlt1P,t11l
accllunl<l OPffiprl AllN 1983 only).
Certain payees ana pAyml'fll~ /trp p~l)mpt
trom llRCkUp WithhOlding. See tho ln~tructions an
f1A!J1' :? >!nO thll loeparate lnstructlons for the
Requester of Form W.9
Penalties
Failure to furnish TIN. If yoo rAil to turnlo;h )'0\11
correct nN to 8 requester, YOIJ /trf! kut,jn1 ro l\
penalty of $so 10' p'~Ch $lIr;h rdilure unless your
rlllMe I> due to reasonilble r.ilU'i(' ilnrlnO't tn
Willful npglfX't
CIVIl penalty fM false infOl'It111tlon WIU! teS~
to w1thI101dlng. II yuu Illllkc a riJl~lJ ~tdlemBnt
II;'1tll flO te/1wlIllblu bd~i:; that results in no
backLJp Withholding. YOll Arp ~II/)Ject to a $500
[1i\/11l1ly.
Criminal penalty for falSIfying Infortnollon,
Willfully fal,>Il)'lng corUrlCilllOf1, or alrlrmllUons
rnuy ~ubJcct you to cllmlnal penaltJf"l InC'lllrllt\(J
IlnM And/or It\1rrl~Onml:'nt,
MI6US9 of TINs. II the reque~tPf rl[~c:10<;P.f, or
LJse<; TIN~ In ViolAtion of rf)(f(\((llldW, tho
relJll~~TP,r lIl~y bo ~ubjCCt to CIYI' and crrmlnal
penalties
Cat No 102..1 X
~o('I11 W-9 (Rell 1 2002)