BOI Beneficial Ownership Information Report

Please complete the secure form below; answer all questions if applicable:

Company Applicants

company Applicant Description

For companies filed on or after January 1, 2024, the BOI must include the company applicants (the individual who directs the company to be filed, and the individual who actively files the company, if different). If the company was filed before January 1, 2024, this information is not required.

Applicant 1

Full legal name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Date of Birth

Applicant 2 (Optional)

Full legal name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Date of Birth

Beneficial Owners

Beneficial Owner Description

Individuals who own or control 25% or more in any US entity, or Foreign entity doing business in the US, must be listed as a Beneficial Owner.

Beneficial Owner 1

Full legal name *

Street Address

Apartment, suite, etc

City *

State/Province

ZIP / Postal Code *

Country

Date of Birth *

Beneficial Owner 2 (Optional)

Full legal name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Date of Birth

Beneficial Owner 3 (Optional)

Full legal name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Date of Birth

Beneficial Owner 4 (Optional)

Full legal name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Date of Birth

Upload Image Instruction

Please upload a scan of a government-issued photo ID for all company applicants and individuals. The ID must be current (not expired) and must be legible. Acceptable forms of ID include:

State or tribe-issued driver’s license or ID card
US or Foreign Passport

General File Upload

Max upload 8mb

Address

YJE & Company, Inc.
1820 East Warm Springs, Suite 100
Las Vegas, NV 89119
Phone: (702) 476-2364

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Tax Organizers

BOI Beneficial Ownership Information Report

Please complete the secure form below; answer all questions if applicable:

Company Information

Company Applicants

Applicant 1

Applicant 2 (Optional)

Beneficial Owners

Beneficial Owner 1

Beneficial Owner 2 (Optional)

Beneficial Owner 3 (Optional)

Beneficial Owner 4 (Optional)

YJE & Company, Inc.
1820 East Warm Springs, Suite 100
Las Vegas, NV 89119
Phone: (702) 476-2364

© YJE & Company, Inc. 2023

BOI Beneficial Ownership Information Report

Please complete the secure form below; answer all questions if applicable:

Company Information

Company Applicants

Applicant 1

Applicant 2 (Optional)

Beneficial Owners

Beneficial Owner 1

Beneficial Owner 2 (Optional)

Beneficial Owner 3 (Optional)

Beneficial Owner 4 (Optional)

YJE & Company, Inc. 1820 East Warm Springs, Suite 100 Las Vegas, NV 89119 Phone: (702) 476-2364

© YJE & Company, Inc. 2023

YJE & Company, Inc.
1820 East Warm Springs, Suite 100
Las Vegas, NV 89119
Phone: (702) 476-2364