The Beneficial Owner Questionnaire starts below the introductory text that explains why you are being asked to complete this questionnaire.

The reason you are on this page is because you are an owner of an entity or you have control over an entity that must file a report with the Financial Crimes Enforcement Network (“FinCEN”) of the U.S. Treasury not later than December 31, 2024, or the entity will be subject to a $500/day fine. Intentional failure to file the report can result in two years of imprisonment.  A federal law called the Corporate Transparency Act requires that the entity’s report contain information about the entity’s “beneficial owners.”

Who is a Beneficial Owner?

A beneficial owner is an individual who either directly or indirectly: (1) exercises substantial control over the entity, or (2) owns or controls at least 25% of the entity’s ownership interests.  Beneficial owners include: (a) a manager of an LLC regardless of ownership, (b) a trustee of a trust that owns 25% or more of an entity, (c) a married couple that together owns 25% or more of an entity, and (d) the entity’s president, chief financial officer, general counsel, chief executive office, chief operating officer, or any other officer who performs a similar function.  See the definition of a beneficial owner and substantial control in section D of the Beneficial Owner Frequently Asked Questions.

Your entity hired us, FinCEN Filer, LLC, to: (1) assist in collecting the information about the entity and its beneficial owners, (2) prepare a draft of the report for the entity’s contact person to review and approve, and (3) file the report with FinCEN.

Purpose of This Questionnaire

The purpose of this questionnaire is to collect your information that will be entered into your entity’s FinCEN report.  Giving your information to FinCEN is not an option.  It is required by federal law.  FinCEN report data will be stored in a secure private database and will not be available to the public.  The only organizations that will have access to the reported information upon request are: (1) federal law enforcement agencies; (2) state, local or tribal law enforcement agencies (if authorized by a court order); (3) federal agencies on behalf of a foreign country (if the request is pursuant to an international agreement); or (4) financial institutions for customer due diligence purposes and if authorized by the reporting company.

Before you can submit the questionnaire you must digitally sign it.  By signing this questionnaire the beneficial owner named in the questionnaire will: (1) certify that all the information in the questionnaire is true, correct, and complete, and (2) authorize the reporting company to include the beneficial owner’s information input into this questionnaire in the entity’s FinCEN report.

When you submit this questionnaire our system will send an email to the email address you enter below, to the entity’s contact person, and to us.

Warning:  If your entity files a FinCEN report that contains any false information, including your information, the entity can be fined $500/day.

Beneficial Owner Information Questionnaire