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Foreign Entity
BOI Reporting for foreign entity
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Please Choose:
Name of Reporting Company
Required details for reporting company
Incorporation/Formation Date
File/Registration #
Incorporation/Formation Country
Incorporation/Formation State
US Address
maximum characters allowed
EIN or SSN
OR foreign tax ID
Please select entity structure
Company Structure
1 Shareholder 25% or more ( +$75.00 )
2 Shareholders 25% or more ( +$150.00 )
3 Shareholders 25% or more ( +$225.00 )
4 Shareholders 25% ( +$300.00 )
No Shareholder holds 25% or more
List all shareholders who hold 25% or more here
Name Shareholder 1
Address Shareholder 1
maximum characters allowed
ID Shareholder 1
Name Shareholder 2
Address Shareholder 2
maximum characters allowed
ID Shareholder 2
Name Shareholder 3
Address Shareholder 3
maximum characters allowed
ID Shareholder 3
Name Shareholder 4
Address Shareholder 4
maximum characters allowed
ID Shareholder 4
Please state who controls the entity
Management Control
Officers also shareholders
1 employed officer ( +$75.00 )
2 employed officers ( +$150.00 )
3 employed officers ( +$225.00 )
List any officers who are NOT shareholders here
Name Officer 1
e.g. President, CEO, CFO, Treasurer etc.
Title Officer 1
Address Officer 1
maximum characters allowed
ID Officer 1
Name Officer 2
Title Officer 2
Address Officer 2
maximum characters allowed
ID Officer 2
Name Officer 3
Title Officer 3
Address Officer 3
maximum characters allowed
ID Officer 3
Info
Corporate sharehholders disregarded.
Trustees/nominees disregarded
Provide details of true beneficial owner.
Break down ownership/control to a
natural person. Upload supporting docs.
Trust/nominee structures and corporate beneficial owners only
Breakdown to natural person(s)
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