Beneficial Ownership Information Report (BOIR) Form

Effective January 1, 2024, companies in the United States must report information about their beneficial owners—the individuals who ultimately own or control the company—to the Financial Crimes Enforcement Network (FinCEN).

Company's Information:

Reporting Company Legal Name *

Tax Identification Type *

Employer Identification Number (Most-Common)
Social Security Number

Tax Identification Number *

Company Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Confirm if your Company was created before January 1, 2024

Company's Applicant Information:

A Company Applicant is the individual who directly files the document that creates, or first registers, the reporting company; and (2) the individual that is primarily responsible for directing or controlling the filing of the relevant document. If we formed your legal entity our firm will be listed as one party along with the Company Applicant who retained our legal services.

Applicant's Name (First, Last)

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Date of Birth (MM/DD/YYYY)

Email *

Identifying Document Type *

State Issued Driver's License
State/local/Tribe-issued ID
U.S. Passport

An acceptable identification document is a non-expired: State-issued driver’s license, State/local/Tribe-issued ID, U.S. passport, or foreign passport.

Identifying Document Number *

Please provide copy of Identification

Drop your file here or click here to upload

Beneficial Owner Information:

A “beneficial owner” is each person directly or indirectly exercising “substantial control over the entity,” or owning or controlling at least 25% of the reporting entity’s ownership interests. This may be the same person as the Applicant.

Enter either FinCEN ID or Beneficiary Owner Information

FinCen ID
Beneficiary Owner Information

Select Person/Entity

FinCEN ID (if applicable)

Beneficiary Owner Information

First Name

If an Entity, Provide Legal Name of Company

Middle Name

Last Name

Residential or Home Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Email *

Identifying Document Type *

State Issued Driver's License
State/local/Tribe-issued ID
U.S. Passport

Identifying Document Number

Please provide Photo ID

Drop your file here or click here to upload

An acceptable identification document is a non-expired: State-issued driver’s license, State/local/Tribe-issued ID, U.S. passport, or foreign passport.

Do you consent to Giles Financial Consulting LLC to file the Beneficial Ownership Information Report (BOIR) on behalf of the company listed above?*

BOI Report Form – Single Member Entity

Beneficial Ownership Information Report (BOIR) Form

Company's Information:

Company's Applicant Information:

Beneficial Owner Information:

Beneficiary Owner Information