Benecial Ownership Information Report
Filing Instructions
Financial Crimes Enforcement Network
U.S. Department of the Treasury
Version 1.0 January 2024
Benecial Ownership Information Reporting Filing Instructions
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Table of Contents
I. Who,What,WhenofBeneficialOwnershipInformationReportingRequirements........................3
II. WheretoReportBeneficialOwnershipInformation............................................................................5
III.HowtoReportBeneficialOwnershipInformation................................................................................6
a.RecommendationsforSuccessfulFilings.......................................................................................6
b.ItemInstructions................................................................................................................................10
Disclaimer:Thesefilinginstructionsareexplanatoryonlyanddonotsupplementormodifyany
obligationsimposedbystatuteorregulation.FinCENmayalsorevisethesefilinginstructionsto
clarifyorupdatecontent.Foradditionalandlatestinformation,consultwww.fincen.gov/boi.
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I. Who, What, When of Benecial Ownership Information Reporting Requirements
TheCorporateTransparencyActrequirescertaintypesofU.S.andforeignentitiestoreport
beneficialownershipinformationtotheFinancialCrimesEnforcementNetwork(FinCEN),a
bureauoftheU.S.DepartmentoftheTreasury.Beneficialownershipinformationisinformation
abouttheentity,itsbeneficialowners,andincertaincasesitscompanyapplicants.Beneficial
ownershipinformationisreportedtoFinCENthroughBeneficialOwnershipInformationReports
(BOIRs).
FinCEN’swebsiteincludesguidanceaboutthebeneficialownershipinformationreporting
requirementsonitsbeneficialownershipinformationwebpage.FinCEN’sSmallEntity
ComplianceGuideexplainswhomustreport,whattheymustreport,andwhentheymust
report.TheGuideincludesinteractiveflowcharts,checklists,andotheraidstohelpdetermine
whetheranentityneedstofileaBOIRwithFinCEN,andifso,howtocomplywiththereporting
requirements.MoreinformationonwheretolookintheSmallEntityComplianceGuideis
providedbelow.
WHO
Anentityisrequiredtoreportbeneficialownershipinformationifitisa“reporting
company”anddoesnotqualifyforanexemption.Chapter1ofFinCEN’sSmallEntity
ComplianceGuidemayassistindeterminingwhetheranentityqualifiesforanexemption.
WHAT
Beneficialownershipinformationisinformationaboutanentity,itsbeneficialowners,
and,incertaincases,itscompanyapplicants.Thepersonsubmittingbeneficial
ownershipinformationtoFinCENmustcertifythattheinformationistrue,correct,and
complete.Thespecificinformationrequiredisdescribedintheseinstructionsand
inChapter4ofFinCEN’sSmallEntityComplianceGuide.Tolearnmoreabouthow
toidentifybeneficialowners,reviewChapter2ofFinCEN’sSmallEntityCompliance
Guide.Tolearnmoreaboutthereportingrequirementsforandhowtoidentifycompany
applicants,reviewChapter3ofFinCEN’sSmallEntityComplianceGuide.
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WHEN
FinCENwillbeginacceptingBOIRselectronicallythroughitssecurefilingsystemJanuary
1,2024.FinCENwillnotacceptBOIRspriortoJanuary1,2024.
IfareportingcompanyalreadyexistsasofJanuary1,2024,itmustfileitsinitialBOIRby
January1,2025.Ifareportingcompanyiscreatedorregisteredtodobusinessinthe
UnitedStatesonoraerJanuary1,2024andbeforeJanuary1,2025,itmustfileitsinitial
BOIRwithin90daysaerreceivingactualorpublicnoticethatitscreationorregistration
iseective.IfareportingcompanyiscreatedorregisteredtodobusinessintheUnited
StatesaerJanuary1,2025,thenitmustfileitsinitialBOIRwithin30daysaerreceiving
actualorpublicnoticethatitscreationorregistrationiseective.
Ifthereisanychangetotherequiredinformationaboutareportingcompanyorits
beneficialownersinaBOIRthatareportingcompanyfiled,thereportingcompanymust
fileanupdatedBOIRnolaterthan30daysaerthedateonwhichthechangeoccurred.
IfthereportingcompanyidentifiesaninaccuracyinaBOIRthatthereportingcompany
filed,thereportingcompanymustcorrectitnolaterthan30daysaerthedatethe
reportingcompanybecameawareoftheinaccuracyorhadreasontoknowofit.
MoreinformationaboutreportingtimelinesmaybefoundinChapter5andChapter6of
FinCEN’sSmallEntityComplianceGuide.
Therestofthesefilinginstructionsexplainwhereandhowtoreportbeneficialownership
informationtoFinCENbyfilingaBOIR
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II. Where to Report Benecial Ownership Information
ReportingcompaniesmaycompleteBOIRselectronicallybyaccessingtheBOIE-Filingportalat
https://boiefiling.fincen.gov(accessiblebeginningonJanuary1,2024).
TheE-Filingportalpermitsareportingcompanytochooseoneofthefollowingfilingmethodsto
submitaBOIR:
—UploadfinalizedPDFversionofBOIRandsubmitonline.
—FilloutWeb-basedversionofBOIRandsubmitonline.
AreportingcompanymaysubmititsBOIRthrougheitherofthesemethods,bothofwhichrequire
thefilingtobedoneonlineasBOIRscannotbemailedorfaxedtoFinCEN.Ineachcase,the
personwhosubmitsaBOIRwillneedtoprovidetheirnameandemailaddresstoFinCEN.
ThepersonwhosubmitsaBOIRwillreceiveconfirmationofsubmissionwhenaBOIRisaccepted
byFinCEN.
TheE-FilingsubmissionguidesforbothPDFandweb-basedversionsoftheBOIRmay
assistinsubmittingcompletedBOIRstoFinCEN.Toaccesstheseguides,goto
https://boifiling.fincen.govandselectHelp.
FinCENalsoofferssystem-to-systemBOIRtransmissionviasecureApplicationProgramming
Interface(API)forthose,includingthird-partyserviceproviders,whoareinterestedin
automatingtheBOIRfilingprocess.
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III. How to Report Benecial Ownership Information
ReportbeneficialownershipinformationtoFinCENbyfilingatrue,correct,andcompleteBOIR.
Thissectionincludesspecificrecommendationsandinstructionstoassistinreportingbeneficial
ownershipinformationtoFinCENbyfilingaBOIR.
a. Recommendations for Successful Filings
1. Complete Filings
BOIRsmustbecompletebeforetheycanbefiledwithFinCEN.FinCENwillnotacceptaBOIRif
anyitemsmarkedwitharedasterisk(*)areblank.
NOTE:FilersmustprovideinformationinEVERYfieldmarkedwiththe*symbolinALL
CIRCUMSTANCES.Filersmustalsoprovideinformationinallfieldsnotmarkedwiththe*symbol
thatareapplicabletothefiler.Forexample,the“MiddleName”fieldisnotmarkedwitha*
symbol;thefilerMUSTprovideinformationinthatfieldIFtherelevantindividual’slegalname
includesamiddlename.Notwithstandinganyotherinstruction,reportingcompaniesmust
provideallinformationrequiredpursuantto31CFR1010.380(b).
Completing an initial BOIR:CompleteaninitialBOIRbyprovidingallthefollowinginformation:
• For the reporting company:
» Fulllegalname;
» Anytradenameor“doingbusinessas”name;
» CompletecurrentU.S.address;
» Jurisdictionofformation(includingState
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orTribaljurisdictionforadomestic
reportingcompany);
» Foraforeignreportingcompanyonly,StateorTribaljurisdictionoffirstregistration;
and
» IRSTaxpayerIdentificationNumber(TIN),includinganEmployerIdentification
Number(EIN)(or,ifaforeignreportingcompanyhasnotbeenissuedaTIN,the
reportingcompany’sforeigntaxidentificationnumberandthenameoftheissuing
jurisdiction).
1 StatemeansanyStateoftheUnitedStates,theDistrictofColumbia,theCommonwealthofPuertoRico,theCommonwealthof
theNorthernMarianaIslands,AmericanSamoa,Guam,theUnitedStatesVirginIslands,andanyothercommonwealth,territo-
ry,orpossessionoftheUnitedStates.
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• For each beneficial owner and each company applicant required to be reported:
» Fulllegalname;
» Dateofbirth;
» Completecurrentaddress;
» Uniqueidentifyingnumberandissuingjurisdictionfromoneofthefollowingnon-
expireddocuments:(1)U.S.passport;(2)identificationdocumentissuedbyaState,
localgovernment,orIndianTribeissuedforthepurposeofidentifyingtheindividual;
(3)State-issueddriver’slicense;or(4)ifnoneof(1)–(3)areavailable,aforeign
passport;and
» Animageofthedocumentfromwhichtheuniqueidentifyingnumberwasobtained.
ReportingcompaniesmayprovideaFinCENidentifierforabeneficialownerorcompany
applicantinsteadoftheinformationlistedabove.
Completing a corrected or an updated BOIR: IfapreviouslysubmittedBOIRneedstobe
correctedorupdated,completeacorrectedorupdatedBOIRinitsentirety,withthenecessary
correctionsorupdatesmadetotheinformation.Reportingcompaniesmustresubmit
unchangedinformationalongwiththecorrectedorupdatedinformation.
Completing a newly exempt entity BOIR:IfaBOIRwaspreviouslysubmittedforanentitythat
hasbecomeexempt,completeanewlyexemptentityBOIRbyreportingthatthetypeoffilingis
“newlyexemptentity”,aswellasthecompanynameandTINthatthecompanyprovidedinthe
lastBOIRitfiled.Noadditionalinformationisrequired.
2. Names of Individuals
Entertheindividual’sfulllastname,firstname,andmiddlenameasitisshownonavalid
governmentidentificationdocument.
Multiple Last Names:Ifanindividual’snameconsistsofafirstnameandmultiplelastnames
(e.g.,afather’slastnameandamother’slastname),themultiplelastnameelementswouldbe
enteredinthelastnamefieldandthefirstnameenteredinthefirstnamefield.Forexample,ifan
individual’snameisJuan(firstname)Vega(firstlastname)Santiago(secondlastname),“VEGA
SANTIAGO”wouldbeenteredinthelastnamefieldand“JUAN”wouldbeenteredinthefirst
namefield.
Ifanindividual’snametypicallyiswrittenwiththefamilynamefirst,thatfamilynameshouldbe
enteredinthelastnamefield.
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No Middle Name: Ifanindividual’sfulllegalnamedoesnotincludeamiddlename,themiddle
namefieldshouldbeleblank.Ifanindividual’sfulllegalnamedoesincludeamiddlename,the
fullmiddlenameshouldbeprovided.Entryofamiddleinitialonlyisnotpermitted.
Multiple First Names:Ifanindividualhastwofirstnamesandnomiddlename,bothfirstnames
shouldbeenteredinthefirstnamefield(e.g.,anindividualwhohas“MaryElizabeth”asafirst
name,butnomiddlename,shouldenter“MaryElizabeth”inthefirstnamefield).Themiddle
namefieldshouldbeleblank.
Name Suix:Anamesuixmaybeabbreviated:JuniorcanbeJR,SeniorcanbeSR,theThird
canbeIII,etc.
Punctuation,abbreviations,andspecialcharactersshouldbeusedinnamesonlywhentheyare
partoftheindividual’slegalname.
3. Addresses
AddressesprovidedonBOIRsmustbeincertaindataformatstobeaccepted.
ZIP Codes: ZIPCodesmustbefiveorninedigits.ZIPCodesandforeignpostalcodesmustbe
enteredwithoutformattingorspecialcharacterssuchasspacesorhyphens.Forexample,the
ZIPCode12345-6120shouldbeenteredas123456120.TheforeignpostalcodeHKW702should
beenteredHKW702.
U.S. Territories:WhenanaddressisinaU.S.Territory,theTerritorycodemustbeselectedinthe
“U.S.orU.S.Territory”field.TheBOIRwillthenautomaticallyfilltheStatefieldwiththerelevant
Territor ycode.
Non-U.S. Addresses:WhenanaddressisnotintheUnitedStates,enterthestreetaddress,city,
country/jurisdiction,andforeignpostalcode.Ifaforeignaddresscontainsinformationthatdoes
notexactlymatchtheBOIRaddressfields,providetheforeignaddressinformationintheexisting
BOIRaddressfieldsregardlessofwhetherthefieldfullymatchestheaddressinformation.All
foreignaddressinformationshouldbereflectedsomewhereintheBOIRaddressfieldsprovided.
Noabbreviationsarepermittedincitynames,whichmustbecompletelyspelledout.AU.S.cityname
mustmatchthecitynameusedbytheU.S.PostalServicefortheassociatedStateandZIPCode.
4. Unique Identifying Numbers
Enteralluniqueidentifyingnumbersasasingletextstringwithoutformattingorspecial
characterssuchashyphensorperiods.AnidentifyingnumberintheformatNNN-NN-NNNN
shouldbeenteredasNNNNNNNNN.
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5. Identifying Document Image Attachment
ReportingcompaniesmustattachidentifyingdocumentimagestoBOIRs.Asdiscussedabove,
severaltypesofidentifyingdocumentsmaybeused,includinganon-expiredU.S.passportor
State-issueddriver’slicense.Imagesoftheseidentifyingdocumentsmustbeprovidedforall
companyapplicantsidentifiedinPartII(item33)andallbeneficialownersidentifiedinPartIII
(item51)oftheBOIR.Acomplete,clear,andreadableimageofthepageorsideoftheidentifying
documentcontainingtheuniqueidentifyingnumberofthecompanyapplicantorbeneficial
owner,andotheridentifyingdatamustbeprovided.AnattachmenttoaBOIRcannotbelarger
thanfour(4)megabytesofdata.MultipleattachmentsmaybeaddedtoaBOIR,butonlyone
imageattachmentispermittedpercompanyapplicantorbeneficialownerreportedinaBOIR.
6. Prohibited Words and Phrases
DonotusethefollowingwordsorvariationsofthesewordsintextfieldsoftheBOIR:
a. AKA
b. DBA
c. NMN
d. NONE
e. NOTAPPLICABLE
f. OTHER
g. SAME
h. SAMEASABOVE
i. SEEABOVE
j. T/A
k. UNKNOWN
l. VARIOUS
m. XX
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b. Item Instructions
Theiteminstructionsshowalineitem,orfield,oftheBOIRfollowedbyline-by-lineinstructions
onhowtofillouteachitem.
NOTE:FilersmustprovideinformationinEVERYfieldmarkedwiththe*symbolinALL
CIRCUMSTANCES.Filersmustalsoprovideinformationinallfieldsnotmarkedwiththe*symbol
thatareapplicabletothefiler.Forexample,the“MiddleName”fieldisnotmarkedwitha*
symbol;thefilerMUSTprovideinformationinthatfieldIFtherelevantindividual’slegalname
includesamiddlename.Notwithstandinganyotherinstruction,reportingcompaniesmust
provideallinformationrequiredpursuantto31CFR1010.380(b).
BOIR Section: Filing Information
BOIR Item 1:
1. *Typeoffiling (select one checkbox, 1a-1d)
a. Initialreport
b. Correctpriorreport
c. Updatepriorreport
d. Ne wlyexemptentity
Reportingcompanyinformationassociatedwithmostrecentreport,ifany:
e. Legalname
f. Taxidentificationtype (select one from list)
• EIN
• SSN/ITIN
• Foreign
g. Taxidentificationnumber
h. Country/Jurisdiction(ifforeigntaxIDonly) (select one from list)
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.
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Checkbox1d“Newlyexemptentity”if,aer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.
BOIR Item 2:
2. Dateprepared(auto-filledwhentheformisfinalized)
Instructions for Item 2 – Date prepared:
Thisitemisautomaticallypopulatedwiththecurrentdate.
BOIR Section: Part I Reporting Company Information
Reportingcompanyinformationisenteredinfields3through16oftheBOIR.
BOIR Item 3:
3. RequesttoreceiveFinCENIdentifier(FinCENID)
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aerthe
BOIRisaccepted.
BOIR Item 4:
4. Foreignpooledinvestmentvehicle
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
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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.
BOIR Item 5:
Fulllegalnameandalternatename(s):
5. *Reportingcompanylegalname
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.
BOIR Item 6:
6. Alternatename(e.g.,tradename,DBA)
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.
BOIR Item 7:
Formofidentification:
7. *Tax identificationtype (select one from list)
• EIN
• SSN/ITIN
• Foreign
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.
BOIR Item 8:
8. *Tax Identificationnumber
Instructions for Item 8 – Tax identification number:
Enterthetaxidentificationnumberforthereportingcompany.
BOIR Item 9:
9. Country/Jurisdiction(ifforeigntaxIDonly)(select one from list)
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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.
BOIR Item 10:
Jurisdictionofformationorfirstregistration:
10.*a.Country/Jurisdictionofformation (select from list)
Domesticreportingcompany:(complete if U.S. or U.S. Territory selected in 10a)
b.Stateofformation
c.Tribaljurisdictionofformation
d.NameofotherTribe
Foreignreportingcompany:(required if foreign country selected in 10a)
e.Stateoffirstregistration
f. Tribaljurisdictionoffirstregistration
g.NameofotherTribe
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.
BOIR Items 11-15:
CurrentU.S.address:
11.*Address(number,street,andapt.orsuiteno.)
12.*City
13.*U.S.orU.S.Territory
14.*State(select from list, U.S. State or U.S. Territory only)
15.*ZIPCode
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.
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Territor y.IfthereportingcompanyhasaprincipalplaceofbusinessintheUnitedStatesorU.S.
Territor y,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.
BOIR Item 16:
16.Existingreportingcompany
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aerJanuary1,2024.
Reportingcompaniesthatcheckthisboxarenotrequiredtoreportanycompanyapplicants;
proceedtoPartIII.
BOIR Item 17:
17.Reservedforfutureuse.
Instructions for Item 17:
Item17isreservedforfutureuseontheBOIR.Itisnotcurrentlyinuse,andnoinformationis
currentlyrequiredforthisitem.
BOIR Section: 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“+”or“-”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.
BOIR Item 18:
CompanyapplicantFinCENID:
18.FinCENID
Instructions for Item 18 – FinCEN ID:
ReportingcompaniesmayreporttheFinCENIDforacompanyapplicantinsteadofthe
informationinfields19through33.EntertheFinCENIDasasingletextstring.IfaFinCENID
forthecompanyapplicantisnotprovided,informationaboutthecompanyapplicantmustbe
providedinfields19through33.
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BOIR Item 19:
Fulllegalnameanddateofbirth:
19.*Individual’slastname
Instructions for Item 19 – Last name:
Enterthecompanyapplicant’slegallastname.
BOIR Item 20:
20.*Firstname
Instructions for Item 20 – First name:
Enterthecompanyapplicant’slegalfirstname.
BOIR Item 21:
21.Middlename
Instructions for Item 21 – Middle name:
Enterthecompanyapplicant’smiddlenameifthecompanyapplicant’slegalnamehasamiddle
name.Leavethisitemblankifthecompanyapplicantdoesnothaveamiddlename.
BOIR Item 22:
22.Suix
Instructions for Item 22 – Suix:
Enterthecompanyapplicant’ssuixsuchasJR,SR,III,etc.,ifthecompanyapplicanthasasuix
totheirlegalname.Leavethisitemblankifthecompanyapplicant’slegalnamedoesnotinclude
asuix.
BOIR Item 23:
23.*Dateofbirth
Instructions for Item 23 – Date of birth:
Enterthecompanyapplicant’sdateofbirthusingtheformatMM/DD/YYYYwhereMM=month,DD
=day,andYYYY=year(e.g.,01/25/1970).Themonth,day,andyearmustbeprovided;nopartial
datesareaccepted.
BOIR Item 24:
Currentaddress:
24.*Addresstype(select checkbox 24a or 24b)
a.Businessaddress
b.Residentialaddress
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Instructions for Item 24 – Address type:
Indicateaddresstypeas“Businessaddress”or“Residentialaddress”forthecompanyapplicant.
Foracompanyapplicantwhoformsorregistersanentityinthecourseoftheirbusiness,such
asparalegals,reportthestreetaddressofsuchbusiness.Inanyothercase,theindividual’s
residentialstreetaddressmustbereported.
BOIR Items 25-29:
25.*Address(number,street,andapt.orsuiteno.)
26.*City
27.*Country/Jurisdiction
28.*State
29.*ZIP/Foreignpostalcode
Instructions for Items 25–29 – Company applicant address:
Enterthecompanyapplicant’sstreetaddressinformation,includingthecity,countryor
jurisdiction,State,andZIPcodeorforeignpostalcode.U.S.Territoriesareincludedinthedrop-
downmenufor“Country/Jurisdiction.”The“State”(item28)willbeautomaticallypopulated
whenaU.S.Territoryisselectedinthe“Country/Jurisdiction”(item27).Item28“State”is
requiredifthecountryselectedinitem27istheUnitedStates,Canada,orMexico.
BOIR Item 30:
Formofidentificationandissuingjurisdiction:
30.*Identifyingdocumenttype(select one from list, 30a-30d)
a. State-issueddriver’slicense
b. State/local/Tribe-issuedID
c. U.S.passport
d. Foreignpassport
Instructions for Item 30 – Identifying document type:
Selectthecompanyapplicant’sidentifyingdocumenttypefromthelistofacceptabledocuments:
anon-expiredState-issueddriver’slicense,anon-expiredState/local/Tribe-issuedidentification
documentissuedforthepurposeofidentifyingtheindividual,anon-expiredU.S.passport,or,
onlyifthecompanyapplicantdoesnothaveoneoftheseidentifyingdocuments,anon-expired
foreignpassport.
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BOIR Item 31:
31.*Identifyingdocumentnumber
Instructions for Item 31 – Identifying document number:
Entertheidentifyingdocumentnumberfromthecompanyapplicant’sidentifyingdocument.
BOIR Item 32:
32.*Identifyingdocumentissuingjurisdiction
a. Country/Jurisdiction
b. State
c. Local/Tribal
d. Otherlocal/Tribaldescription
Instructions for Item 32 – Identifying document issuing jurisdiction:
Enterinitem32athecountry/jurisdictionthatissuedthecompanyapplicant’sidentifying
document.IfaU.S.Territoryissuedtheidentifyingdocument,selecttheapplicableU.S.Territory
initem32a(thesameU.S.Territor ywillthenbeautomaticallypopulatedinitem32b“State”as
aresult).Enterin32btheStateissuingtheidentifyingdocumentwhencountry/jurisdictionis
UnitedStates,ifapplicable.IfalocalorTribalgovernmentissuedtheidentifyingdocument,
select“UnitedStates”initem32aandthenselecttheapplicablelocalorTribaldescriptioninitem
32c.IfthenameoftherelevantlocalorTribaljurisdictionisnotincludedinthedrop-downmenu
initem32c,select“Other”andenterthenameofthelocalorTribaljurisdictioninitem32d.
BOIR Item 33:
33.*Identifyingdocumentimage
Instructions for Item 33 – Identifying document image:
Usethe“AddAttachment”buttonontheBOIRtoattachaclear,readableimageofthepageor
sideoftheidentifyingdocumentreferencedinitem31containingtheuniqueidentifyingnumber
andotheridentifyingdata.Usethe“RemoveAttachment”buttontoremovetheattachedimage
ifnecessary.AnattachmenttoaBOIRcannotbelargerthanfour(4)megabytesofdataandmust
beinoneofthefollowingformats:JPG/JPEG,PNG,orPDF.Onlyone(1)attachmentfilemaybe
addedpercompanyapplicant.
BOIR Item 34:
34.Reservedforfutureuse.
Instructions for Item 34:
Item34isreservedforfutureuseontheBOIR.Itisnotcurrentlyinuse,andnoinformationis
currentlyrequiredforthisitem.
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BOIR Section: 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“+”or“-”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.
BOIR Item 35:
35.Parent/Guardianinformationinsteadofminorchild
Instructions for Item 35 – Parent/Guardian information instead of minor child:
Ifthebeneficialownerforthereportingcompanyisaminorchild,youmaycheckthisboxand
completePartIIIwithinformationaboutaparentorlegalguardianoftheminorchild.
BOIR Item 36:
BeneficialownerFinCENID:
36.FinCENID
Instructions for Item 36 – FinCEN ID:
ReportingcompaniesmayprovideaFinCENIdentifierforabeneficialownerinsteadofItems37
through51.EntertheFinCENIDasasingletextstring.IfaFinCENIDforthebeneficialowneris
notprovided,informationaboutthebeneficialownermustbeprovidedinfields37through51.
BOIR Item 37:
Exemptentity:
37.Exemptentity
Instructions for Item 37 – Exempt entity:
Checkthisboxifthebeneficialownerholdsitsownershipinterestinthereportingcompany
exclusivelythroughoneormoreexemptentities,andthenameofthatexemptentityorentities
arebeingreportedinlieuofthebeneficialowner’sinformation.Ifchecked,providethelegal
nameoftheexemptentityinfield38.
BOIR Item 38:
Fulllegalnameanddateofbirth:
38.*Individual’slastnameorentity’slegalname
Instructions for Item 38 – Individual’s last name or entity’s legal name:
Enterthebeneficialowner’slegallastnameortheexemptentity’slegalname.Anentity’slegal
nameisthenameonthearticlesofincorporationorotherdocumentthatcreatedorregistered
theentity.Donotabbreviatenamesunlessanabbreviationispartofthelegalname.
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BOIR Item 39:
39.*Firstname
Instructions for Item 39 – First name:
Enterthebeneficialowner’slegalfirstname.
BOIR Item 40:
40.Middlename
Instructions for Item 40 – Middle name:
Enterthebeneficialowner’smiddlenameifthebeneficialowner’slegalnameincludesamiddle
name.Leavethisitemblankifthebeneficialownerdoesnothaveamiddlename.
BOIR Item 41:
41.Suix
Instructions for Item 41 – Suix:
Enterthebeneficialowner’ssuixsuchasJR,SR,III,etc.,ifthebeneficialownerhasasuixtotheir
legalname.Leavethisitemblankifthebeneficialowner’slegalnamedoesnotincludeasuix.
BOIR Item 42:
42.*Dateofbirth
Instructions for Item 42 – Date of birth:
Enterthebeneficialowner’sdateofbirth,usingtheformatMM/DD/YYYYwhereMM=month,DD
=day,andYYYY=year(e.g.,01/25/1970).Themonth,day,andyearmustbeprovided;nopartial
dateswillbeaccepted.
BOIR Items 43–47:
Residentialaddress:
43.*Address(number,street,andapt.orsuiteno.)
44.*City
45.*Country/Jurisdiction
46.*State
47.*ZIP/Foreignpostalcode
Instructions for Items 43–47 – Beneficial owner address:
Enterthebeneficialowner’sresidentialstreetaddressinformation,includingthecity,countryor
jurisdiction,State,andZIPcodeorforeignpostalcode.U.S.Territoriesareincludedinthedrop-
downmenufor“Country/Jurisdiction.”The“State”(item46)willbeautomaticallypopulated
whenaU.S.Territoryisselectedinthe“Country/Jurisdiction”(item45).Item46“State”is
requiredifthecountryselectedinitem45istheUnitedStates,Canada,orMexico.
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BOIR Item 48:
Formofidentificationandissuingjurisdiction:
48.*Identifyingdocumenttype (select one from list 48a-48d)
a.State-issueddriver’slicense
b.State/local/Tribe-issuedID
c.U.S.passport
d.Foreignpassport
Instructions for Item 48 – Identifying document type:
Selectthebeneficialowner’snon-expiredidentifyingdocumenttypefromthelistofacceptable 
identificationdocuments:aState-issueddriver’slicense,aState/local/Tribe-issuedidentification
documentissuedforthepurposeofidentifyingtheindividual,aU.S.passport,or,onlyifthe
beneficialownerdoesnothaveoneofthesethreetypesofidentifyingdocuments,aforeignpassport.
BOIR Item 49:
49.*Identifyingdocumentnumber
Instructions for Item 49 – Identifying document number:
Entertheidentifyingdocumentnumberfromthebeneficialowner’sidentifyingdocument.
BOIR Item 50:
50.*Identifyingdocumentissuingjurisdiction
a. Country/Jurisdiction
b. State
c. Local/Tribal
d. Otherlocal/Tribaldescription
Instructions for Item 50 – Identifying document issuing jurisdiction:
Enterinitem50athecountry/jurisdictionthatissuedthebeneficialowner’sidentifying
document.IfaU.S.Territoryissuedtheidentifyingdocument,selecttheapplicableU.S.Territory
initem50a(thesameU.S.Territor ywillthenbeautomaticallypopulatedinitem50b“State”as
aresult).Enterin50btheStatethatissuedtheidentifyingdocumentwhencountry/jurisdiction
isUnitedStates,ifapplicable.IfalocalorTribalgovernmentissuedtheidentifyingdocument,
select“UnitedStates”in50aandthenselecttheapplicablelocalorTribaldescriptioninitem50c.
IfthenameoftherelevantlocalorTribaljurisdictionisnotincludedinthedrop-downmenuin
item50c,select“Other”andenterthenameofthelocalorTribaljurisdictioninitem50d.
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BOIR Item 51:
51.*Identifyingdocumentimage
Instructions for Item 51 – Identifying document image:
Usethe“AddAttachment”buttonontheBOIRtoattachaclear,readableimageofthepageor
sideoftheidentifyingdocumentreferencedinitem49containingtheuniqueidentifyingnumber
andotheridentifyingdata.Usethe“RemoveAttachment”buttontoremovetheattachedimage
ifnecessary.AnattachmenttoaBOIRcannotbelargerthanfour(4)megabytesofdataandmust
beinoneofthefollowingformats:JPG/JPEG,PNG,orPDF.Onlyone(1)attachmentfilemaybe
addedperbeneficialowner.