Corporate Transparency Act - Beneficial Ownership Reporting

Thank you for allowing Evans & Davis to assist in your Beneficial Ownership Reporting to FinCen.

The following information is the information we will need to submit the report on your behalf.

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* 1. Do you agree to this contract with Evans & Davis?

Yes

View Contract Here

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* 2. Your Business Name

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* 3. Alternate names through which your business operates under (Registered with the state or DBA)

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* 4. Business Address

Street

City

State

Postal Code

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* 5. State Where Business is Located

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* 6. FEIN/EIN of Business

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* 7. Owner #1's Information (Over 25% ownership)

Full Legal Name

Date of Birth

Current Address

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 8. What Percentage of the Business does Owner #1 own?

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* 9. Upload Owner #1's Driver's License, State ID or Passport

File Size Limit 4MB

PDF, PNG, JPG, JPEG file types only.

Choose File

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* 10. Owner #2's Information (If owns more than 25% ownership)

Full Legal Name

Date of Birth

Current Address

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 11. What Percentage of the Business does Owner #2 own?

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* 12. Upload Owner #2's Driver's License, State ID or Passport

File Size Limit 4MB

PDF, PNG, JPG, JPEG file types only.

Choose File

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* 13. Owner #3's Information (If owns more than 25% ownership)

Full Legal Name

Date of Birth

Current Address

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 14. What Percentage of the Business does Owner #3 own?

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* 15. Upload Owner#3's Driver's License, State ID or Passport

File Size Limit 4MB

PDF, PNG, JPG, JPEG file types only.

Choose File

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* 16. Owner #4's Information (If owns more than 25% ownership)

Full Legal Name

Date of Birth

Current Address

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 17. What Percentage of the Business does Owner #4 own?

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* 18. Upload Owner #4's Driver's License, State ID or Passport

File Size Limit 4MB

PDF, PNG, JPG, JPEG file types only.

Choose File

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* 19. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.
Manager #1's Information

Full Legal Name

Date of Birth

Current Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 20. Upload Manager #1's Driver's License, State ID or Passport

File Size Limit 4MB

PDF, PNG, JPG, JPEG file types only.

Choose File

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* 21. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.
Manager #2's Information

Full Legal Name

Date of Birth

Current Address

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 22. Upload Manager #2's Driver's License, State ID or Passport

File Size Limit 4MB

PDF, PNG, JPG, JPEG file types only.

Choose File

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* 23. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.
Manager #3's Information

Full Legal Name

Date of Birth

Current Address

City/Town

State/Province

ZIP/Postal Code

Drivers License Number

Email Address

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* 24. Upload Manager #3's Driver's License, State ID or Passport

File Size Limit 4MB

PDF, PNG, JPG, JPEG file types only.

Choose File

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* 25. Did Evans & Davis draft your Operating Agreement?

Yes

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* 26. If Evans & Davis did not draft your Operating Agreement, please click here to upload it.

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

Choose File

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Corporate Transparency Act - Beneficial Ownership Reporting

Question Title

* 1. Do you agree to this contract with Evans & Davis?

Question Title

* 2. Your Business Name

Question Title

* 3. Alternate names through which your business operates under (Registered with the state or DBA)

Question Title

* 4. Business Address

Question Title

* 5. State Where Business is Located

Question Title

* 6. FEIN/EIN of Business

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* 7. Owner #1's Information (Over 25% ownership)

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* 8. What Percentage of the Business does Owner #1 own?

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* 9. Upload Owner #1's Driver's License, State ID or Passport

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* 10. Owner #2's Information (If owns more than 25% ownership)

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* 11. What Percentage of the Business does Owner #2 own?

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* 12. Upload Owner #2's Driver's License, State ID or Passport

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* 13. Owner #3's Information (If owns more than 25% ownership)

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* 14. What Percentage of the Business does Owner #3 own?

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* 15. Upload Owner#3's Driver's License, State ID or Passport

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* 16. Owner #4's Information (If owns more than 25% ownership)

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* 17. What Percentage of the Business does Owner #4 own?

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* 18. Upload Owner #4's Driver's License, State ID or Passport

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* 19. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.Manager #1's Information

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* 20. Upload Manager #1's Driver's License, State ID or Passport

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* 21. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.Manager #2's Information

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* 22. Upload Manager #2's Driver's License, State ID or Passport

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* 23. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.Manager #3's Information

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* 24. Upload Manager #3's Driver's License, State ID or Passport

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* 25. Did Evans & Davis draft your Operating Agreement?

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* 26. If Evans & Davis did not draft your Operating Agreement, please click here to upload it.

* 19. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.
Manager #1's Information

* 21. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.
Manager #2's Information

* 23. Please list any Managers who exercise substantial control of the business, but are less than 25% Owners.
Manager #3's Information