LEGAL MANDATE: Civil penalties of up to $591 per day and criminal fines up to $10,000 / 2 years imprisonment apply for failure to file or willful submission of fraudulent information under 31 U.S.C. 5336(h).
1. Reporting Company Information
| Done |
Required Data Point |
Statutory Instructions |
|
Full Legal Company Name |
Exact business name as filed with the Secretary of State (e.g. Acme Innovations, LLC). |
|
Trade Names / DBAs |
All alternate names or "Doing Business As" under which the business operates. |
|
Principal US Business Address |
Must be a physical street address in the US. P.O. Boxes or Registered Agent addresses are strictly prohibited. |
|
Jurisdiction of Formation |
US State or Tribal jurisdiction where entity was first incorporated or filed. |
|
Taxpayer ID Number (TIN / EIN) |
IRS Employer Identification Number (EIN). Foreign entities may provide a foreign tax ID. |
2. Beneficial Owner Information (Every Owner $\ge$ 25% or Substantial Control)
Must be completed for every individual who owns 25%+ of equity OR exercises senior officer control (CEO, President, CFO, COO, General Counsel).
| Done |
Required Beneficial Owner Item |
Legal Standard |
|
Full Legal Name |
First name, middle name (if applicable), and last name matching official ID. |
|
Date of Birth (DOB) |
Month, Day, and Year of birth. |
|
Current Residential Street Address |
Individual's actual home address (business addresses are not accepted for beneficial owners). |
|
Acceptable Identification Document |
Must provide one of: (1) Non-expired US Passport, (2) State Driver's License, (3) State ID, or (4) Foreign Passport (only if no US document exists). |
|
Clear Image of Document (PDF / JPG) |
High-resolution front image showing photo, full legal name, ID number, and issuing authority. |
3. Company Applicant Information (Entities Created On or After Jan 1, 2024)
| Done |
Item |
Clarification |
|
Direct Filer Details |
The individual who physically or electronically filed the formation paperwork. |
|
Direct Control Person |
The individual primarily responsible for directing or controlling the filing (e.g. Attorney, CPA, or Founder). |