Information for Annual Filing – StartUSACompany.com

Data for Preparation Annual Report Filing

Entity Type *

Company Name *

State of Formation *

Date of Registration/Incorporation *

Employer Identification Number (EIN)

Tax Classification *

Company Registered Address

Address Line 1

Address Line 2

City

State

Zip Code

Number of Owners/Partners/Directors/Authorized Person(s) *

Owners/Partners/Directors/Authorized Person(s) Name *

First

Last

01st Partner Ownership %age

02nd Partner/Member/Director's Name *

First

Last

2nd Partner/Member's Ownership %age *

03rd Partner/Member/Director's Name *

First

Last

3rd Partner/Member's Ownership %age *

Indicate ownership percentage in the company

4th Partner/Member's Name *

First

Last

4th Member/Partner's Ownership %age *

Indicate ownership percentage in the company

5th Partner/Member's Name *

First

Last

5th Member/Partner's Ownership %age

Indicate ownership percentage in the company

Owners/Partners/Directors/Authorized Person(s)'s Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

If current address is different than passport, please upload utility bill (not more than 3 months) as current address proof.

2nd Partners/Directors/Authorized Person(s)'s Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

If current address is different than passport, please upload utility bill (not more than 3 months) as current address proof.

3rd Partners/Directors/Authorized Person(s)'s Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

If current address is different than passport, please upload utility bill (not more than 3 months) as current address proof.

4th Owners/Partners/Directors/Authorized Person(s)'s Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

If current address is different than passport, please upload utility bill (not more than 3 months) as current address proof.

5th Owners/Partners/Directors/Authorized Person(s)'s Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

If current address is different than passport, please upload utility bill (not more than 3 months) as current address proof.

Principal Activity of the Business *

If other, Please indicate

Indicate principal line of merchandise sold, products produced, or services provided.

If other, please mention

Business Code (NAICS)

Refer Business Code List Here

Company Books/Statements/Invoices

Click or drag files to this area to upload. You can upload up to 10 files.