Business information

Legal name*

Jurisdiction of incorporation

Registration number*

Business type

Incorporation date*

Industry code (NAICS / CNAE)

Annual revenue (USD)*

Employee count*

Contact information

Contact email*

Contact phone (optional)

Website (optional)

Street address*

Address line 2 (optional)

City*

State / Province*

Postal code*

Country (ISO-3166 alpha-2)*

List all individuals with ≥25% ownership. Required by FinCEN CDD Rule.

Full legal name

Nationality

Date of birth

Ownership %

PEP