Beneficial Ownership Information Report (BOIR)
Please fill out this form to file your initial BOIR and to receive a FinCEN ID for your USA LLC.
Legal Name and Alternate Name(s)
Reporting Company Legal Name
*
Full legal name as recorded on the articles of incorporation.
Alternate Name (e.g. trade name, DBA)
Reporting company’s trade names, “doing business as” or DBA names, or “trading as” or T/A names. If the reporting company has multiple alternate names, separate with commas.
Form of Identification
Tax Identification type
*
Please Select
EIN
SSN/ITIN
Tax Identification Number
*
Jurisdiction and Date of Formation or First Registration
Country/Jurisdiction of Formation
*
Please Select
United States of America
American Samoa
Guam
Marshall Islands
Micronesia, Federal States
Northern Mariana Islands
Palau
Puerto Rico
U.S Virgin Islands
Articles of Organization Approval Date
*
-
Month
-
Day
Year
Date
Current U.S. Address
Reporting company’s complete current street address.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Beneficial Owner's Legal Name/Date of Birth/Address/ID
• All individuals who exercise substantial control over the company • All individuals who own or control, or have a claim to ownership or control of, at least 25 percent ownership interests in the company
How many Beneficial Owners?
1
2
3
4
Other (Please reach out to us.)
Name
*
First Name
Middle Name
Last Name
Suffix
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Identifying Document Type
*
Please Select
State Issued Driver's License
State/Local/Tribe-Issued ID
U.S Passport
Foreign Passport
Identifying Document Number
*
Country/Jurisdiction
*
Please Select
United States of America
American Samoa
Guam
Marshall Islands
Micronesia, Federal States
Northern Mariana Islands
Palau
Puerto Rico
U.S Virgin Islands
State
Local/Tribal
Identifying Document Image
*
Browse Files
Drag and drop files here
Choose a file
Cannot be larger than four (4) megabytes of data and must be in one of the following formats: JPG/JPEG, PNG, or PDF. File names should not contain spaces, and can only contain letters, numbers, or the following characters !@#$%()_-.=+[]|;~.
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of
2nd Beneficial Owner's Legal Name/Date of Birth/Address/ID
• All individuals who exercise substantial control over the company • All individuals who own or control, or have a claim to ownership or control of, at least 25 percent ownership interests in the company
Name
*
First Name
Middle Name
Last Name
Suffix
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Identifying Document Type
*
Please Select
State Issued Driver's License
State/Local/Tribe-Issued ID
U.S Passport
Foreign Passport
Identifying Document Number
*
Country/Jurisdiction
*
Please Select
United States of America
American Samoa
Guam
Marshall Islands
Micronesia, Federal States
Northern Mariana Islands
Palau
Puerto Rico
U.S Virgin Islands
State
Local/Tribal
Identifying Document Image
*
Browse Files
Drag and drop files here
Choose a file
Cannot be larger than four (4) megabytes of data and must be in one of the following formats: JPG/JPEG, PNG, or PDF. File names should not contain spaces, and can only contain letters, numbers, or the following characters !@#$%()_-.=+[]|;~.
Cancel
of
3rd Beneficial Owner's Legal Name/Date of Birth/Address/ID
• All individuals who exercise substantial control over the company • All individuals who own or control, or have a claim to ownership or control of, at least 25 percent ownership interests in the company
Name
*
First Name
Middle Name
Last Name
Suffix
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Identifying Document Type
*
Please Select
State Issued Driver's License
State/Local/Tribe-Issued ID
U.S Passport
Foreign Passport
Identifying Document Number
*
Country/Jurisdiction
*
Please Select
United States of America
American Samoa
Guam
Marshall Islands
Micronesia, Federal States
Northern Mariana Islands
Palau
Puerto Rico
U.S Virgin Islands
State
Local/Tribal
Identifying Document Image
*
Browse Files
Drag and drop files here
Choose a file
Cannot be larger than four (4) megabytes of data and must be in one of the following formats: JPG/JPEG, PNG, or PDF. File names should not contain spaces, and can only contain letters, numbers, or the following characters !@#$%()_-.=+[]|;~.
Cancel
of
4th Beneficial Owner's Legal Name/Date of Birth/Address/ID
• All individuals who exercise substantial control over the company • All individuals who own or control, or have a claim to ownership or control of, at least 25 percent ownership interests in the company
Name
*
First Name
Middle Name
Last Name
Suffix
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Identifying Document Type
*
Please Select
State Issued Driver's License
State/Local/Tribe-Issued ID
U.S Passport
Foreign Passport
Identifying Document Number
*
Country/Jurisdiction
*
Please Select
United States of America
American Samoa
Guam
Marshall Islands
Micronesia, Federal States
Northern Mariana Islands
Palau
Puerto Rico
U.S Virgin Islands
State
Local/Tribal
Identifying Document Image
*
Browse Files
Drag and drop files here
Choose a file
Cannot be larger than four (4) megabytes of data and must be in one of the following formats: JPG/JPEG, PNG, or PDF. File names should not contain spaces, and can only contain letters, numbers, or the following characters !@#$%()_-.=+[]|;~.
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Company Applicant
• Company applicants are individuals who directly file the document that creates or registers the company.
Name
*
First Name
Middle Name
Last Name
Suffix
Date of Birth
*
-
Month
-
Day
Year
Date
Type a question
*
Business
Residential
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Identifying Document Type
*
Please Select
State Issued Driver's License
State/Local/Tribe-Issued ID
U.S Passport
Foreign Passport
Identifying Document Number
*
Country/Jurisdiction
*
Please Select
United States of America
American Samoa
Guam
Marshall Islands
Micronesia, Federal States
Northern Mariana Islands
Palau
Puerto Rico
U.S Virgin Islands
State
Local/Tribal
Identifying Document Image
*
Browse Files
Drag and drop files here
Choose a file
Cannot be larger than four (4) megabytes of data and must be in one of the following formats: JPG/JPEG, PNG, or PDF. File names should not contain spaces, and can only contain letters, numbers, or the following characters !@#$%()_-.=+[]|;~.
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of
2nd Company Applicant
• If more than one individual directly filed the document that creates or registers the company.
Name
First Name
Middle Name
Last Name
Suffix
Date of Birth
-
Month
-
Day
Year
Date
Type a question
Business
Residential
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Identifying Document Type
Please Select
State Issued Driver's License
State/Local/Tribe-Issued ID
U.S Passport
Foreign Passport
Identifying Document Number
Country/Jurisdiction
Please Select
United States of America
American Samoa
Guam
Marshall Islands
Micronesia, Federal States
Northern Mariana Islands
Palau
Puerto Rico
U.S Virgin Islands
State
Local/Tribal
Identifying Document Image
Browse Files
Drag and drop files here
Choose a file
Cannot be larger than four (4) megabytes of data and must be in one of the following formats: JPG/JPEG, PNG, or PDF. File names should not contain spaces, and can only contain letters, numbers, or the following characters !@#$%()_-.=+[]|;~.
Cancel
of
Agreements
*I certify that the information contained in this form is true, correct, and complete.
*
I agree.
*I certify that FileABoir.com can file my BOIR on my behalf.
*
I agree.
*I certify that FileABoir.com is not responsible for any errors on this form that I created.
*
I agree.
*I certify that FileABoir.com is not responsible for updating my BOIR for any reason.
*
I agree.
*I certify that FileABoir.com is not responsible for any fines or fees in regard to my BOIR.
*
I agree.
Signature
By providing your signature, you agree to this form and submission of your BOIR.
Order
*
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BOIR Submission
$
29.99
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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