KYB Ian

Know Your Business Application
- United States & Canada
  👤 Personal Information Details
  🪪 Driver's License or Passport
  ✉️ Address Verification Document
  
  These will be required for each:
  - Beneficiary Owners with more than 25% ownership
  - Corporate Owner (Parent Company) with more than 25% ownership
  - Corporate Shareholders with more than 25% ownership of parent company.
  - Controlling Authority (may be same as a Beneficiary Owner)
  📄 Business Information & Documents
  - Legal detail and structure
  - Bank Statement - from within last 6 months
  - If using an International bank account, a sample invoice or contract supporting the stated nature of business is required
  UK and Europe
  
  You will need all of the personal information and ID requirements listed above PLUS:
  - Authorized Signatories
  - Directors -You will need all of the business information listed above PLUS: Completion of Travel Questionnaire (if applicable)
- Primary Region*
  
  United StatesCanadaUnited KingdomEurope/EUOther

Business Name*
Use your common business name - legal details come later.
Before you continue...
A few helpful tips about this application

For United States and Canada

Proof of identity:
- Proof of address
- Valid passport, driver's license or government-issued photo ID
  - For each beneficial owner having over 25% ownership
  - For the Controlling Authority
Business activity:
- A recent bank statement for each settlement bank account
  *Must be dated, showing the business name and address
For UK and Europe

All of the above documentation is needed AS WELL AS the following:
- Proof of identity and address documents for
  - Authorized Signatories
  - Directors
- Travel questionnaire (if applicable)

Payout Currencies
Which currencies would you like to Pay Out in?

$ USD$CAD£ GBP€ Euro

European & United Kingdom

Business Information
EU/UK Registered Company Name*
Company Registration Number*
License Number*
VAT Number*
Country of Incorporation*
Date of Incorporation*

MonthDayYear
Date
NAICS Code*
Entity Type*

Sole TraderRegistered EntityPublic Limited CompanyOther
Please provide a list of all business names or brands you trade as.*
Description of Business*
How will you utilize ConnexPay?
Registered Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal CodeCountry
Is this registered business address a virtual or physical address?*

VirtualPhysical
Has the company or any of its owners ever filed for bankruptcy?*

YesNo
Company Phone*

Country CodeArea CodePhone Number
Company Website(s)*
URL
Social Media Profile(s)
Link to Profile
Customer Service Phone

Country CodeArea CodePhone Number
Customer Service Email
example@example.com
Please attach any business license, certificate, or permit required to operate the business.

If applicable
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- EU/UK: Are any beneficiary owners a natural person(s) who own 25% or more of the applicant business?*
  
  YesNo
- Please provide the details of all natural person owners that own 25% or more of the applicant business. If there is more than one natural person, use the "Add Another Shareholder" button to provide more information.
- Shareholder Information*
- Important
  
  2 forms of ID are required for EACH of the Beneficiary Owners listed above.
  
  Please ensure that all documents are within their expiration date.
- 1st - Identity Verification Document - Must be a photo ID*
  
  Please provide a valid passport, drivers license, or government-issued photo ID for the person(s) listed above.
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- 2nd Identity Verification Document - If your first document did not include proof of residential address, please include that hear.
  
  Acceptable ways to prove residential address include a governemnt-issued drivers license, utility bill(up to six months old), statement from a recognized credit institution, or any correspondence or government-issued document from a central or local goverment authority, department or agency, in which the residential address is provided.
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- Do any of the beneficiary owner's relatives or close associates currently hold or once held a political or public position?*
  
  YesNo
- Please specify the beneficiary.*
  If there is more than one, please use a comma to seperate the individuals.
- Source of Wealth*
- Do any of these beneficiaries personally know anyone who works at ConnexPay or Shift 4?*
  
  YesNo
- Specificy the nature of the relationship.*
- Is a parent/holding company a beneficiary owner with 25% or more of the applicant business?*
  
  YesNo
- Please provide the details of all corporate owners that own 25% or more of the applicant business. If there is more than one corporate owner, use the "+ Add Corporate Owner" button to provide more information.
  
  Corporate Owner Information:
- Legal Entity Name*
- Entity Type*
- Company Reg. #*
- Date of Incorp.*
  
  MonthDayYear
- % Ownership*
- Country of Incorp.*
- Street Address 1*
- Suite/Unit/Floor
- City*
- Region
- Country*
- Postal Code*
- You have indicated that the applicant company is owned by a parent or holding entity. Please provide the information of any natural person(s) who own >25% of the parent/holding entity.
- Is the corporate entity owner mentioned above owned by any natural person(s) with more than 25% ownership?*
  
  YesNo
- Please provide the details of all natural person owners that own 25% or more of the Corporate Entity Owner(s) listed above. If there is more than one natural person, use the "+ Add Corporate Shareholder" button to provide more information.
  
  Ultimate Corporate Shareholder Information *
- Shareholder Information*
- Do any of the Corporate Shareholders relatives or close associates currently hold or once held a political or public position?*
  
  YesNo
- Please provide the details of an Authorized Signatory of the applicant business.
- (EU/UK) Is the Authorized Signatory information the same as an individual beneficiary owner?*
  
  YesNo
- Authorized Signatory*
- (EU/UK) Do any of the signatories personally know anyone who works at ConnexPay or Shift4?
  
  YesNo
- Specificy the nature of the relationship:*
- (EU/UK) 1st - Identity Verification Document - Must be a photo ID*
  
  Please provide a valid passport, driver's license, or government-issued photo ID for the person(s) listed above.
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- (EU/UK) 2nd - Identity Verification Document - If your first document did not include proof of residential address, please include that here.*
  
  Acceptable ways to prove residential address include a government-issued driver's license, utility bill (up to six months old), statement from a recognized credit institution, or any correspondence or government-issued document from a central or local government authority, department or agency, in which the residential address is provided.
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- (EU/UK) Authority by which you are representing the company*
  
  DirectoryPOA Form
- (EU/UK) Upload copy of POA form if available
  
  Cancelof
Should be Empty:

Know Your Business Application

Payout Currencies

European & United Kingdom