Trusted BOI Filer is a Secure and Online Document Filing Service
Beneficial Ownership Information Report (BOIR)
OMB No. 1506-0076
Complete the report in its entirety with all required information. Fields marked with an asterisk (*)
symbol are the fields that, at a minimum, must be completed by all companies to file the report.
Reporting companies, however, must include all information 31 CFR 1010.380(b) requires them to provide,
regardless of whether a field is marked with an asterisk (*)
symbol. These information requirements are
summarized above under HELP.
Tab 1
Filing Information
Instructions for Item 1 – Type of filing:
Check box 1a “Initial report” if this is the first BOIR filed for the reporting company.
Check box 1b “Correct prior report” if the report corrects inaccurate information from a
previously filed BOIR.
Check box 1c “Update prior report” if the report updates a previously filed BOIR, for example,
to include one or more new beneficial owners.
Check box 1d “Newly exempt entity” if, after having filed a BOIR, the reporting company is now
exempt from BOI reporting requirements. If this checkbox is selected, then filer must fill out
fields 1e–1h (reporting company information associated with most recent report) and no other
fields in the BOIR.
If type of filing 1b, 1c, or 1d is selected, enter values for 1e “Legal name”, 1f “Tax
identification type”, and 1g “Tax identification number” for the reporting company that match
the most recently filed BOIR. For example, if the reporting company previously filed an initial
report and then an updated report, the reporting company information in the next updated report
should match the reporting company information provided on the most recently filed updated
report rather than the initial report.
For 1f, select the tax identification type (i.e., a U.S. Employer Identification Number (EIN), a
U.S. Social Security Number or Individual Taxpayer Identification Number (SSN-ITIN), or foreign
taxpayer identification number (Foreign)) the reporting company reported in the most recently
filed BOIR. If tax identification type entered in 1f is “Foreign”, select the corresponding
foreign country/jurisdiction in 1h “Country/Jurisdiction (if foreign tax ID only)” associated
with the foreign tax identification number
Instructions for Item 2 – Date prepared:
This item is automatically populated with the current date.
Reporting Company associated with latest report (not applicable for initial report)
Part I. Reporting Company Information
Reporting company information is entered in fields 3 through 16 of the BOIR.
Instructions for Item 3 – Request to receive FinCEN Identifier (FinCEN ID):
Check this box to receive a unique FinCEN Identifier for the reporting company. The FinCEN
Identifier will be provided in the submission confirmation details provided to the filer
after the BOIR is accepted.
Instructions for Item 4 – Foreign pooled investment vehicle:
Check this box if the reporting company is a foreign pooled investment vehicle required to report information
pursuant to 31 CFR 1010.380(b)(2)(iii).
If the reporting company is a foreign pooled investment vehicle, the company need only report one
beneficial owner who exercises substantial control over the entity. If more than one individual
exercise substantial control over the entity, the entity shall report information with respect to the
individual who has the greatest authority over the strategic management of the entity. The report should
not include any information about company applicants.
Legal name and alternate name(s)
Instructions for Item 5 – Reporting company legal name:
Enter the reporting company’s full legal name as recorded on the articles of incorporation or other documents
creating or registering the entity.
Instructions for Item 6 – Alternate name:
Enter any of the reporting company’s trade names, “doing business as” or DBA names, or “trading as” or T/A
names. If the reporting company has multiple alternate names, use the “+” or “-“ buttons in the BOIR to add
additional alternate name fields (one field for each alternate name). Do not include the acronyms DBA or AKA
with the alternate name.
Form of identification
Instructions for Item 7 – Tax identification type:
Select “EIN” if the reporting company has a U.S. Employer Identification Number (EIN). Select “SSN-ITIN” if the
reporting company utilizes a U.S. Social Security Number (SSN) or Individual Taxpayer Identification Number
(ITIN) as a tax identification number. Select “Foreign” if the reporting company has a tax identification number
issued by a foreign jurisdiction and does not have a U.S. tax identification number.
Instructions for Item 8 – Tax identification number:
Enter the tax identification number for the reporting company.
Instructions for Item 9 – Country/Jurisdiction:
If the tax identification type in item 7 is “Foreign”, select the foreign country/jurisdiction that issued the
foreign tax identification number.
Jurisdiction of formation or first registration
Instructions for Item 10 – Jurisdiction of formation or first registration:
Enter the country/jurisdiction of formation in item 10a. If United States is selected in 10a, then items 10b–10d
should be completed, identifying the State or Tribal jurisdiction of formation. If a U.S. Territory is selected
in 10a, then item 10b is automatically populated with the relevant U.S. Territory, and items 10c and 10d are
unavailable. If Item 10a is a foreign country, then item 10e – 10f should be completed, identifying the
State/U.S. Territory or Tribal jurisdiction in which the foreign reporting company first registered to do
business in the United States. If the Tribal jurisdiction of formation (10c) or Tribal jurisdiction of first
registration (10f) is not listed in the drop-down, select “Other” and enter the name of the Tribe in 10d or 10g.
Domestic Reporting Company
Foreign Reporting Company
Current U.S. address
Instructions for Items 11 – 15 – Reporting company address:
Enter the reporting company’s complete current street address information, including city, State, ZIP Code, and
select in item 13 whether the address is in the United States or a specific U.S. Territory. If the reporting
company has a principal place of business in the United States or U.S. Territory, the street address should be
that of the principal place of business. Otherwise, the street address should be the primary location in the
United States or U.S. Territory where the reporting company conducts business. If a U.S. Territory is selected
in item 13, then item 14 is automatically populated with the relevant U.S. Territory.
Instructions for Item 16 - Existing reporting company:
Check this box if the reporting company was created or registered before January 1, 2024. Do not check the box
if the reporting company was created or registered on or after January 1, 2024. Reporting companies that check
this box are not required to report any company applicants; proceed to Part III.
17. (This item is reserved for future use)
Part II. Company Applicant Information
Company applicant information is entered in fields 18 through 33 of the BOIR. Company applicants are
individuals; no companies or legal entities may be reported as company applicants. Reporting companies may also
provide FinCEN Identifiers for company applicants instead of this information. See detailed description below.
Use the “Add Company Applicant” or “Remove Company Applicant” keys at the top of this section to add or remove
additional company applicants. No more than two company applicants should be reported.
If existing reporting company was checked in item 16, company applicant information is not required; proceed to
Part III.
34. (This item is reserved for future use)
Part III. Beneficial Owner Information
Beneficial owner information is entered in fields 35 through 51 of the BOIR. Reporting companies may also report
a FinCEN Identifier for a beneficial owner instead of this information. See detailed description below.
Use the “Add Beneficial Owner” or “Remove Beneficial Owner” keys at the top of this section to add or remove
additional beneficial owners. There is no limit on the number of beneficial owners that may be reported.
Complete all fields below before submitting. Directly after submission, a processing page will be displayed, followed
by a page confirming the status of your report. This confirmation page will also give you an opportunity to download a
transcript of your report.
*I certify that I am authorized to file this BOIR on behalf of the reporting
company. I further certify, on behalf of the reporting company, that the information contained in this BOIR is true,
correct, and complete.
COMPLIANCE REMINDER: The willful failure to report complete beneficial ownership information to
FinCEN, the willful failure to update beneficial ownership information provided to FinCEN when previously reported
information changes, or the willful provision of false or fraudulent beneficial ownership information to FinCEN, may
result in civil or criminal penalties. A person may also be subject to civil or criminal penalties for willfully
causing a reporting company to report incomplete or false beneficial ownership information to FinCEN.
This notice is given under the Privacy Act of 1974 (Privacy Act) and the Paperwork Reduction Act of
1995 (Paperwork Reduction Act). The Privacy Act and Paperwork Reduction Act require that FinCEN
inform
persons of the following when requesting and collecting information in connection with this
collection
of information.
This collection of information is authorized under 31 U.S.C. 5336 and 31 C.F.R. 1010.380. The
principal purpose of this collection of information is to generate a database of information that is
highly useful in facilitating national security, intelligence, and law enforcement activities, as
well
as compliance with anti-money laundering, countering the financing of terrorism, and customer due
diligence requirements under applicable law. Pursuant to 31 U.S.C. 5336 and 31 C.F.R. 1010.380,
reporting companies and certain other persons must provide specified information. The provision of
that information is mandatory and failure to provide that information may result in criminal and
civil
penalties. The provision of information for the purpose of requesting a FinCEN Identifier is
voluntary; however, failure to provide such information may result in the denial of such a request.
Generally, the information within this collection of information may be shared as a “routine use”
with
other government agencies and financial institutions that meet certain criteria under applicable
law.
The complete list of routine uses of the information is set forth in the relevant Privacy Act system
of record notice available at https://www.federalregister.gov/documents/2023/09/13/2023-19814/privacy-act-of-1974-system-of-records.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection
of information unless it displays a valid OMB control number. The valid OMB control number for this
information collection is 1506-0076. It expires on November 30, 2026.
The estimated average burden associated with this collection of information from reporting companies
is 90 to 650 minutes per respondent for reporting companies with simple or complex beneficial
ownership structures, respectively. The estimated average burden associated with reporting companies
updating information previously provided is 40 to 170 minutes per respondent for reporting companies
with simple or complex beneficial ownership structures, respectively. The estimated average burden
associated with this collection of information from individuals applying for FinCEN identifiers is
20
minutes per applicant. The estimated average burden associated with individuals who have obtained
FinCEN identifiers updating information previously provided is 10 minutes per individual. Comments
regarding the accuracy of this burden estimate, and suggestions for reducing the burden should be
directed to the Financial Crimes Enforcement Network, P. O. Box 39, Vienna, VA 22183, Attn: Policy
Division.