In light of a recent federal court order, reporting companies are not currently required to file beneficial ownership information with FinCEN and are not subject to liability if they fail to do while the order remains in force. However, reporting companies may continue to voluntarily submit beneficial ownership information reports. More information is available on FinCEN's website at https://www.fincen.gov/boi.
Report Type (e.g. Initial Report)
Email we will send submission confirmation to
Phone number we will send submission confirmation to
Your first name (the person submitting the form)
Your last name (the person submitting the form)
Please provide the following information about your business.
Legal Business Name (e.g. Acme LLC)
Doing Business As (e.g. Acme)
Country the business was first incorporated in (e.g. United States)
US state the business was first incorporated in (e.g. New York)
(EIN = Employer Identification Number, SSN = Social Security Number, ITIN = Individual Taxpayer Identification Number, Foreign = Foreign Taxpayer Identification Number)
Taxpayer Identification Number (e.g. 12-3456789)
Country or region (e.g. Canada, only applicable for Foreign TINs)
Please provide the physical address of the business. (No PO Box)
Address Line 1 (e.g. 123 Main St)
Address Line 2 (optional, e.g. Apt 1)
City (e.g. Albany)
State (e.g. New York)
Country or region (e.g. United States)
Postal Code (e.g. 10001 or 10001-1234)
A beneficial owner is an individual who either directly or indirectly: (1) exercises substantial control over the reporting company, or (2) owns or controls at least 25% of the reporting company's ownership interests.
Legal First Name (e.g. John)
Legal Middle Name (optional)
Legal Last Name (e.g. Smith)
Date of Birth (e.g. 01/01/1970)
Please provide the residential address of the beneficial owner. (No PO Box)
Document ID (e.g. 123456789)
Document Type (e.g. Driver's License)
Document Country (e.g. United States)
Document State (e.g. New York)
Document Expiration Date (e.g. 01/01/2030)
Document Image (e.g. Driver's License photo. Please provide a clear image of the document. No selfies.)
FinCEN ID (e.g. 300000000000)
Entity Name that this FinCEN ID belongs to (e.g. Acme Holdings LLC)
Only reporting companies created or registered on or after January 1, 2024, will need to report their company applicants. A company that must report its company applicants will have only up to two individuals who could qualify as company applicants: The individual who directly files the document that creates or registers the company; and If more than one person is involved in the filing, the individual who is primarily responsible for directing or controlling the filing.
Please provide the business or residential address of the company applicant. (No PO Box)
I certify that I am authorized to file this BOIR on behalf of the reporting company. I further certify, on behalf of the reporting company, that the information contained in this BOIR is true, correct, and complete.
