upload_E-TIN64~59.pdf

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Open Market Small Purchase IL|27-426DOC-WESTE-P-100448
Contract number
27-426DOC-WESTE-P-100448
Issued by
Illinois

About this file

This is a State of Illinois Taxpayer Identification Number (TIN) form completed by the State of Illinois Chief Procurement Office General Services division. The document involves E&N Service Company, a corporation owned by Ethan Miller, and is dated July 6, 2026.

E&N Service Company is identified as a corporation not providing or billing medical and/or health care services, with Employer Identification Number 92-2046429. The form certifies that the taxpayer identification number is correct, the entity is not subject to backup withholding, and the business is a U.S. entity. The authorized representative signed the form on July 6, 2026, confirming compliance with federal tax identification requirements.

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27-426DOC-WESTE-R-331876 - Spec.pdf PDF
upload_331876_BOA.pdf PDF

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Text version

STATE OF ILLINOIS

TAXPAYER IDENTIFICATION NUMBER

State of Illinois Chief Procurement Office General Services 10 Taxpayer Identification Number V.23.2

I certify that:

The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and

I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and

I am a U.S. person (including a U.S. resident alien).

• If you are an individual, enter your name and SSN as it appears on your Social Security Card.

• If you are a sole proprietor, enter the owner’s name on the name line followed by the name of the business and the owner’s SSN or EIN.

• If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s name on the name line and the D/B/A on the business name line and enter the owner’s SSN or EIN.

• If the LLC is a corporation or partnership, enter the entity’s business name and EIN and for corporations, attach IRS acceptance letter (CP261 or CP277).

• For all other entities, enter the name of the entity as used to apply for the entity’s EIN and the EIN.

Name: Ethan Miller

Business Name: E&N Service Company Taxpayer Identification Number:

Social Security Number:

or

Employer Identification Number: 92-2046429

Legal Status (check one):

Individual Governmental

Sole Proprietor Nonresident alien

Partnership Estate or trust

Legal Services Corporation Pharmacy (Non-Corp.)

Tax-exempt Pharmacy/Funeral Home/Cemetery (Corp.)

Corporation providing or billing Limited Liability Company medical and/or health care services (select applicable tax classification)

X Corporation NOT providing or billing C = corporation medical and/or health care services P = partnership

Signature of Authorized Representative:

Date: July 6, 2026

File details come from the government source that posted it. Updated .