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.

1. Type of filing:

Reporting Company associated with latest report (not applicable for initial report)

 

Part I. Reporting Company Information

Reporting company information is entered in fields 4 through 13 of the BOIR.

Instructions for Item 1 – 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 2 – 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 2 – 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 3 – 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 4 – 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 5 – Tax identification number:
Enter the tax identification number for the reporting company.

Instructions for Item 6 – Country/Jurisdiction:
If the tax identification type in item 4 is “Foreign”, select the foreign country/jurisdiction that issued the foreign tax identification number.

Jurisdiction of formation or first registration

Instructions for Item 7 – Jurisdiction of formation or first registration:
Enter the country/jurisdiction of formation in item 7a.

Domestic Reporting Company

Foreign Reporting Company

Current U.S. address

Instructions for Items 8 – 12 – Reporting company address:
Enter the reporting company’s complete current street address information, including city, State, ZIP Code, and select in item 10 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 10, then item 11 is automatically populated with the relevant U.S. Territory.

 

Instructions for Item 13 – 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.

(check if existing reporting company as of January 1, 2024)
 

Part II. Company Applicant Information

Company applicant information is entered in fields 16 through 31 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.

Company applicant FinCEN ID

Instructions for Item 16 – FinCEN ID:
Reporting companies may report the FinCEN ID for a company applicant instead of the information in fields 17 through 31. 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 17 through 31.

Legal name and date of birth

Instructions for Item 14 – Last name:
Enter the company applicant’s legal last name.

Instructions for Item 15 – First name:
Enter the company applicant’s legal first name.

Instructions for Item 16 – 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.

Instructions for Item 17 – Suffix:
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.

Instructions for Item 18 – 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.

Current address

Instructions for Item 19 – 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.

Instructions for Items 20 – 24 – 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 23) will be automatically populated when a U.S. Territory is selected in the “Country/Jurisdiction” (item 22). Item 23 “State” is required if the country selected in item 22 is the United States, Canada, or Mexico.

19. Address type

Form of identification and issuing jurisdiction

Instructions for Item 25 – 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.

Instructions for Item 26 – Identifying document number:
Enter the identifying document number from the company applicant’s identifying document.

Instructions for Item 27 – Identifying document issuing jurisdiction:
Enter in item 27a 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 27a (the same U.S. Territory will then be automatically populated in item 27b “State” as a result). Enter in 29b 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 27a and then select the applicable local or Tribal description in item 27c. If the name of the relevant local or Tribal jurisdiction is not included in the drop-down menu in item 27c, select “Other” and enter the name of the local or Tribal jurisdiction in item 27d.

Instructions for Item 28 – Identifying document image:
Drag a file or click “choose from folder” 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” 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. Attachment file names should not contain spaces, and can only contain letters, numbers, or the following characters !@#$%()_-.=+[]|;~

32. (This item is reserved for future use)
 

Part III. Beneficial Owner Information

Beneficial owner information is entered in fields 29 through 42 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.

Instructions for Item 33 – 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.


(check if the Beneficial Owner is a minor child and the parent/guardian information is provided instead)

Beneficial Owner FinCEN ID

Instructions for Item 34 – FinCEN ID:
Reporting companies may provide a FinCEN Identifier for a beneficial owner instead of Items 35 through 49. 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 35 through 49.

Exempt entity

Instructions for Item 35 – 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 29.

Legal name and date of birth

Instructions for Item 29 – 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.

Instructions for Item 30 – First name:
Enter the beneficial owner's legal first name.

Instructions for Item 31 – 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.

Instructions for Item 32 – Suffix:
Enter the beneficial owner’s suffix such as JR, SR, III, etc., if the beneficial owner has a suffix to their legal name. Leave this item blank if the beneficial owner’s legal name does not include a suffix.

Instructions for Item 33 – 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.

Residential address

Instructions for Items 34 – 38 – 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 37) will be automatically populated when a U.S. Territory is selected in the “Country/ Jurisdiction” (item 36). Item 37 “State” is required if the country selected in item 36 is the United States, Canada, or Mexico.

Form of identification and issuing jurisdiction

Instructions for Item 39 – 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.

Instructions for Item 40 – Identifying document number:
Enter the identifying document number from the beneficial owner’s identifying document.

Instructions for Item 41 – Identifying document issuing jurisdiction:
Enter in item 41a the country/jurisdiction that issued the beneficial owner’s identifying document.

Instructions for Item 42 – Identifying document image:
Drag a file or click “choose from folder” to attach a clear, readable image of the page or side of the identifying document referenced in item 39 containing the unique identifying number and other identifying data. Use the “Remove” 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. Attachment file names should not contain spaces, and can only contain letters, numbers, or the following characters !@#$%()_-.=+[]|;~

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.

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