General Information

*For Bulk Filings, Please Email: [email protected]

First Name *

Last Name *

Reporting Company/Entity Name *

Email *

Phone *

Does Your Company Need to File?

Is this a tax exempt Entity (Y/N)? *

Yes

No

Does Entity employ 20 or more full-time employees? *

Yes

No

Did Entity have $5M or more in gross receipts last year? *

Yes

No

Reporting Company / Entity Information

Entity Type *

Select

LLC
Limited Partnership
S Corporation
C Corporation
Other
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State of Formation *

Tax ID Type *

Select One

EIN
ITIN
SSN
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Tax ID *

Address *

City *

State *

Zip Code *

Was this entity created PRIOR to 2024? *

Yes

No

Company Applicant Information

Only required for entities created AFTER 2023. For a definition of "Company Applicant" See the FINCEN.GOV website here

FinCEN ID

OR

Upload Company Applicant Photo ID *

Is Company Applicant A Beneficial Owner? *

Yes

No

Add All Beneficial Owner FinCEN ID's

OR

Upload All Beneficial Owner Photo ID's *

Please confirm information is correct and IDs have been uploaded for ALL Beneficial Owners

Is Everything Correct? *

Yes

Click SUBMIT below to send to Bernath and Rosenberg for filing.

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You'll be taken to a payment screen after you click submit.

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