Instructions

Fill out all the information below and click "Create BOI Report" to submit REQUIRED REPORT.

Total fee is $199 per entity. 

Please note: Any changes in business address and/or business officer(s) (beneficial owner) will require a new submission.

BOI Report Information

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)

Business Information

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)

Business Address

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)

Beneficial Owners Information

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.

Beneficial Owner Information

Legal First Name (e.g. John)

Legal Middle Name (optional)

Legal Last Name (e.g. Smith)

Date of Birth (e.g. 01/01/1970)

Beneficial Owner Address

Please provide the residential address of the beneficial owner. (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)

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)

Company Applicants Information

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.

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. I further certify that by submitting this BOI report, I am agreeing to the terms and conditions of service provided by Zenith Compliance.

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