Information To help fight financial crime, regulators require certain financial institutions to obtain, verify and record information about the beneficial owners of legal entity clients. Legal entities can be used to disguise involvement in terrorist financing, money laundering, tax evasion, corruption, fraud and other financial crimes. Requiring disclosure of key individuals who own or control a legal entity (i.e. the beneficial owners) helps law enforcement investigate and prosecute these crimes. Who should fill in this form? This form must be completed by the person opening a new account in the name of a legal entity at any of the following U.S. financial institutions: (i) a bank or credit union; (ii) a securities broker or dealer; (iii) a mutual fund; (iv) a futures commission merchant; or (v) an introducing commodities broker. For purposes of this form, a legal entity includes a corporation, limited liability company, or other entity created by means of a public document filed with a Secretary of State or similar office, a general partnership, and any similar business entity formed in the United States or a foreign country. Legal entity does not include sole proprietorships, unincorporated associations or individuals opening accounts in their own name. What information do I need to provide? Name, address, date of birth and CPF number (or passport number or other similar information in the case of foreign persons) of the following natural persons (i.e. the beneficial owners): - Each individual, if any, who owns, directly or indirectly, 25% or more of the equity interests of the legal entity client (e.g., each natural person who owns 25% or more of the shares of a corporation); - An individual with significant responsibility for managing the legal entity client (e.g., a chief executive officer, chief financial officer, chief operating officer, managing member, general partner, president, vice president or treasurer). - The financial institution may also request a copy of the driver's license or other identification document of each beneficial owner listed on this form. - Controlling person (managerial authority) This is an individual with significant responsibility for managing the legal entity listed above, such as an executive officer or senior manager (e.g., chief executive officer, chief financial officer, chief operating officer, managing member, general partner, president, vice president, treasurer); or any other individual who regularly performs similar functions.
136. Identification of 25% or more of the underlying beneficial owners. This is for each individual who, directly or indirectly, through any contract, agreement, understanding, relationship or otherwise, owns 25% or more of the shareholdings of the legal entity listed above. Yes, there are one or more people who own 25% or more of the shares in the legal entity for which the account is being opened. No, I certify that, to the best of my knowledge, there are no natural persons who hold, directly or indirectly, 25% or more of the shareholdings of the legal entity for which the account is being opened.