Questionnaire: Limited Liability Company (LLC) Questionnaire: Limited Liability Company 1. COMPANY INFORMATIONName of the Company(Required) Alternative name of the Company Does the Company have a principal / physical office?(Required) Yes No A physical address is a real street address that can be used as a business mailing address.Principal Office Physical Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is the mailing address different than physical address? Yes No Principal Office Mailing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email Address for the Company(Required) Enter Email Confirm Email 2. REGISTERED AGENTDo you currently have a Registered Agent?(Required) Yes No Would you like BridgeCubator, LLC from BridgehouseLaw LLP to serve as the Registered Agent for the new Company with the North Carolina Secretary of State?(Required) Yes No Name of Registered Agent(Required) Each State requires that a Company have a Registered Agent physically located in the state (i.e. no P.O.Boxes)Street Address and County of Registered Office of the Corporation(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is/Will the mailing address different than the Registered Office of the Corporation?(Required) Yes No 3. MANAGING MEMBER(S)Name of Managing Member(s) (to add more press the "+" icon)(Required) Add RemoveName of Members and Ownership Interest (to add more press the "+" icon)(Required)NameOwnership Interest Add Remove4. BANKING INFORMATIONWould you like assistance with opening a U.S. Bank account for the new company?(Required) Yes No (I/We already have an account) No (I/We will set up an account) Name of the Bank where Company will have an account(Required) Name of the Bank where Company has an account(Required) Name of Manager / Member(s) who will be signatories to the bank account (to add more press the "+" icon)(Required) Add Remove5. U.S. TAXPAYER ID ("EIN") FOR U.S. SUBSIDIARYName of Responsible Party(Required) An individual who controls, manages, or directs the entity and the disposition of its funds and assetsDoes the Responsible Party have a U.S. Social Security Number?(Required) Yes No If the Responsible Party is a foreign corporation that does not have an EIN number nor a U.S. Social Security Number, BridgehouseLaw LLP can assist with obtaining the EIN number for the foreign corporation.Social Security Number of the Responsible Party(Required) List ALL Telephone Numbers where the Responsible Party can be reached for the U.S. Subsidiary(Required) Mobile Phone Number Business Phone Number Home Phone Number Fax Number Other Phone Number Country Prefix (Mobile)(Required)United States of America +1---Afghanistan +93Albania +355Algeria +213American Samoa +1-684Andorra +376Angola +244Anguilla +1-264Antarctica +672Antigua +1-268Argentina +54Armenia +374Aruba +297Ascension +247Australia +61Australian External Territories +672Austria +43Azerbaijan +994Bahamas +1-242Bahrain +973Bangladesh +880Barbados +1-246Barbuda +1-268Belarus +375Belgium +32Belize +501Benin +229Bermuda +1-441Bhutan +975Bolivia +591Bosnia & Herzegovina +387Botswana +267Brazil +55British Virgin Islands +1-284Brunei Darussalam +673Bulgaria +359Burkina Faso +226Burundi +257Cambodia +855Cameroon +237Canada +1Cape Verde Islands +238Cayman Islands +1-345Central African Republic +236Chad +235Chatham Island (New Zealand) +64Chile +56China (PRC) +86Christmas Island +61-8Cocos-Keeling Islands +61Colombia +57Comoros +269Congo +242Congo, Dem. Rep. of (former Zaire) +243Cook Islands +682Costa Rica +506Côte d'Ivoire (Ivory Coast) +225Croatia +385Cuba +53Cuba (Guantanamo Bay) +5399Curaçao +599Cyprus +357Czech Republic +420Denmark +45Diego Garcia +246Djibouti +253Dominica +1-767Dominican Republic +1-809 and +1-829East Timor +670Easter Island +56Ecuador +593Egypt +20El Salvador +503Ellipso (Mobile Satellite service) +8812 and +8813EMSAT (Mobile Satellite service) +88213Equatorial Guinea +240Eritrea +291Estonia +372Ethiopia +251Falkland Islands (Malvinas) +500Faroe Islands +298Fiji Islands +679Finland +358France +33French Antilles +596French Guiana +594French Polynesia +689Gabonese Republic +241Gambia +220Georgia +995Germany +49Ghana +233Gibraltar +350Global Mobile Satellite System (GMSS) +881ICO Global +8810 and +8811Ellipso 8812 +8813Iridium 8816 +8817Globalstar 8818 and 8819Globalstar (Mobile Satellite Service) +8818 and +8819Greece +30Greenland +299Grenada +1-473Guadeloupe +590Guam +1-671Guantanamo Bay +5399Guatemala +502Guinea-Bissau +245Guinea +224Guyana +592Haiti +509Honduras +504Hong Kong +852Hungary +36ICO Global (Mobile Satellite Service) +8810 and +8811Iceland +354India +91Indonesia +62Inmarsat (Atlantic Ocean - East) +871Inmarsat (Atlantic Ocean - West) +874Inmarsat (Indian Ocean) +873Inmarsat (Pacific Ocean) +872Inmarsat SNAC +870International Freephone Service +800International Shared Cost Service (ISCS) +808Iran +98Iraq +964Ireland +353Iridium (Mobile Satellite service) +8816 and +8817Israel +972Italy +39Ivory Coast +225Jamaica +1-876Japan +81Jordan +962Kazakhstan +7Kenya +254Kiribati +686Korea (North) +850Korea (South) +82Kuwait +965Kyrgyz Republic +996Laos +856Latvia +371Lebanon +961Lesotho +266Liberia +231Libya +218Liechtenstein +423Lithuania +370Luxembourg +352Macao +853Macedonia (Former Yugoslav Rep of.) +389Madagascar +261Malawi +265Malaysia +60Maldives +960Mali Republic +223Malta +356Marshall Islands +692Martinique +596Mauritania +222Mauritius +230Mayotte Island +269Mexico +52Micronesia (Federal States of) +691Midway Island +1-808Moldova +373Monaco +377Mongolia +976Montenegro +382Montserrat +1-664Morocco +212Mozambique +258Myanmar +95Namibia +264Nauru +674Nepal +977Netherlands +31Netherlands Antilles +599Nevis +1-869New Caledonia +687New Zealand +64Nicaragua +505Niger +227Nigeria +234Niue +683Norfolk Island +672Northern Marianas Islands (Saipan, Rota & Tinian) +1-670Norway +47Oman +968Pakistan +92Palau +680Palestinian Settlements +970Panama +507Papua New Guinea +675Paraguay +595Peru +51Philippines +63Poland +48Portugal +351Puerto Rico +1-787 or +1-939Qatar +974Réunion Island +262Romania +40Russia +7Rwandese Republic +250St. Helena +290St. Kitts/Nevis +1-869St. Lucia +1-758St. Pierre & Miquelon +508St. Vincent & Grenadines +1-784Samoa +685San Marino +378São Tomé and Principe +239Saudi Arabia +966Senegal +221Serbia +381Seychelles Republic +248Sierra Leone +232Singapore +65Slovak Republic +421Slovenia +386Solomon Islands +677Somali Democratic Republic +252South Africa +27Spain +34Sri Lanka +94Sudan +249Suriname +597Swaziland +268Sweden +46Switzerland +41Syria +963Taiwan +886Tajikistan +992Tanzania +255Thailand +66Thuraya (Mobile Satellite service) +88216Timor Leste +670Togolese Republic +228Tokelau +690Tonga Islands +676Trinidad & Tobago +1-868Tunisia +216Turkey +90Turkmenistan +993Turks and Caicos Islands +1-649Tuvalu +688Uganda +256Ukraine +380United Arab Emirates +971United Kingdom +44United States of America +1US Virgin Islands +1-340Universal Personal Telecommunications (UPT) +878Uruguay +598Uzbekistan +998Vanuatu +678Vatican City +39 and +379Venezuela +58Vietnam +84Wake Island +808Wallis and Futuna Islands +681Yemen +967Zambia +260Zanzibar +255Zimbabwe +263Mobile Phone Number(Required)Responsible Party's Mobile Phone NumberCountry Prefix (Business)(Required)United States of America +1---Afghanistan +93Albania +355Algeria +213American Samoa +1-684Andorra +376Angola +244Anguilla +1-264Antarctica +672Antigua +1-268Argentina +54Armenia +374Aruba +297Ascension +247Australia +61Australian External Territories +672Austria +43Azerbaijan +994Bahamas +1-242Bahrain +973Bangladesh +880Barbados +1-246Barbuda +1-268Belarus +375Belgium +32Belize +501Benin +229Bermuda +1-441Bhutan +975Bolivia +591Bosnia & Herzegovina +387Botswana +267Brazil +55British Virgin Islands +1-284Brunei Darussalam +673Bulgaria +359Burkina Faso +226Burundi +257Cambodia +855Cameroon +237Canada +1Cape Verde Islands +238Cayman Islands +1-345Central African Republic +236Chad +235Chatham Island (New Zealand) +64Chile +56China (PRC) +86Christmas Island +61-8Cocos-Keeling Islands +61Colombia +57Comoros +269Congo +242Congo, Dem. Rep. of (former Zaire) +243Cook Islands +682Costa Rica +506Côte d'Ivoire (Ivory Coast) +225Croatia +385Cuba +53Cuba (Guantanamo Bay) +5399Curaçao +599Cyprus +357Czech Republic +420Denmark +45Diego Garcia +246Djibouti +253Dominica +1-767Dominican Republic +1-809 and +1-829East Timor +670Easter Island +56Ecuador +593Egypt +20El Salvador +503Ellipso (Mobile Satellite service) +8812 and +8813EMSAT (Mobile Satellite service) +88213Equatorial Guinea +240Eritrea +291Estonia +372Ethiopia +251Falkland Islands (Malvinas) +500Faroe Islands +298Fiji Islands +679Finland +358France +33French Antilles +596French Guiana +594French Polynesia +689Gabonese Republic +241Gambia +220Georgia +995Germany +49Ghana +233Gibraltar +350Global Mobile Satellite System (GMSS) +881ICO Global +8810 and +8811Ellipso 8812 +8813Iridium 8816 +8817Globalstar 8818 and 8819Globalstar (Mobile Satellite Service) +8818 and +8819Greece +30Greenland +299Grenada +1-473Guadeloupe +590Guam +1-671Guantanamo Bay +5399Guatemala +502Guinea-Bissau +245Guinea +224Guyana +592Haiti +509Honduras +504Hong Kong +852Hungary +36ICO Global (Mobile Satellite Service) +8810 and +8811Iceland +354India +91Indonesia +62Inmarsat (Atlantic Ocean - East) +871Inmarsat (Atlantic Ocean - West) +874Inmarsat (Indian Ocean) +873Inmarsat (Pacific Ocean) +872Inmarsat SNAC +870International Freephone Service +800International Shared Cost Service (ISCS) +808Iran +98Iraq +964Ireland +353Iridium (Mobile Satellite service) +8816 and +8817Israel +972Italy +39Ivory Coast +225Jamaica +1-876Japan +81Jordan +962Kazakhstan +7Kenya +254Kiribati +686Korea (North) +850Korea (South) +82Kuwait +965Kyrgyz Republic +996Laos +856Latvia +371Lebanon +961Lesotho +266Liberia +231Libya +218Liechtenstein +423Lithuania +370Luxembourg +352Macao +853Macedonia (Former Yugoslav Rep of.) +389Madagascar +261Malawi +265Malaysia +60Maldives +960Mali Republic +223Malta +356Marshall Islands +692Martinique +596Mauritania +222Mauritius +230Mayotte Island +269Mexico +52Micronesia (Federal States of) +691Midway Island +1-808Moldova +373Monaco +377Mongolia +976Montenegro +382Montserrat +1-664Morocco +212Mozambique +258Myanmar +95Namibia +264Nauru +674Nepal +977Netherlands +31Netherlands Antilles +599Nevis +1-869New Caledonia +687New Zealand +64Nicaragua +505Niger +227Nigeria +234Niue +683Norfolk Island +672Northern Marianas Islands (Saipan, Rota & Tinian) +1-670Norway +47Oman +968Pakistan +92Palau +680Palestinian Settlements +970Panama +507Papua New Guinea +675Paraguay +595Peru +51Philippines +63Poland +48Portugal +351Puerto Rico +1-787 or +1-939Qatar +974Réunion Island +262Romania +40Russia +7Rwandese Republic +250St. Helena +290St. Kitts/Nevis +1-869St. Lucia +1-758St. Pierre & Miquelon +508St. Vincent & Grenadines +1-784Samoa +685San Marino +378São Tomé and Principe +239Saudi Arabia +966Senegal +221Serbia +381Seychelles Republic +248Sierra Leone +232Singapore +65Slovak Republic +421Slovenia +386Solomon Islands +677Somali Democratic Republic +252South Africa +27Spain +34Sri Lanka +94Sudan +249Suriname +597Swaziland +268Sweden +46Switzerland +41Syria +963Taiwan +886Tajikistan +992Tanzania +255Thailand +66Thuraya (Mobile Satellite service) +88216Timor Leste +670Togolese Republic +228Tokelau +690Tonga Islands +676Trinidad & Tobago +1-868Tunisia +216Turkey +90Turkmenistan +993Turks and Caicos Islands +1-649Tuvalu +688Uganda +256Ukraine +380United Arab Emirates +971United Kingdom +44United States of America +1US Virgin Islands +1-340Universal Personal Telecommunications (UPT) +878Uruguay +598Uzbekistan +998Vanuatu +678Vatican City +39 and +379Venezuela +58Vietnam +84Wake Island +808Wallis and Futuna Islands +681Yemen +967Zambia +260Zanzibar +255Zimbabwe +263Business Phone Number(Required)Responsible Party's Business Phone NumberCountry Prefix (Home)(Required)United States of America +1---Afghanistan +93Albania +355Algeria +213American Samoa +1-684Andorra +376Angola +244Anguilla +1-264Antarctica +672Antigua +1-268Argentina +54Armenia +374Aruba +297Ascension +247Australia +61Australian External Territories +672Austria +43Azerbaijan +994Bahamas +1-242Bahrain +973Bangladesh +880Barbados +1-246Barbuda +1-268Belarus +375Belgium +32Belize +501Benin +229Bermuda +1-441Bhutan +975Bolivia +591Bosnia & Herzegovina +387Botswana +267Brazil +55British Virgin Islands +1-284Brunei Darussalam +673Bulgaria +359Burkina Faso +226Burundi +257Cambodia +855Cameroon +237Canada +1Cape Verde Islands +238Cayman Islands +1-345Central African Republic +236Chad +235Chatham Island (New Zealand) +64Chile +56China (PRC) +86Christmas Island +61-8Cocos-Keeling Islands +61Colombia +57Comoros +269Congo +242Congo, Dem. Rep. of (former Zaire) +243Cook Islands +682Costa Rica +506Côte d'Ivoire (Ivory Coast) +225Croatia +385Cuba +53Cuba (Guantanamo Bay) +5399Curaçao +599Cyprus +357Czech Republic +420Denmark +45Diego Garcia +246Djibouti +253Dominica +1-767Dominican Republic +1-809 and +1-829East Timor +670Easter Island +56Ecuador +593Egypt +20El Salvador +503Ellipso (Mobile Satellite service) +8812 and +8813EMSAT (Mobile Satellite service) +88213Equatorial Guinea +240Eritrea +291Estonia +372Ethiopia +251Falkland Islands (Malvinas) +500Faroe Islands +298Fiji Islands +679Finland +358France +33French Antilles +596French Guiana +594French Polynesia +689Gabonese Republic +241Gambia +220Georgia +995Germany +49Ghana +233Gibraltar +350Global Mobile Satellite System (GMSS) +881ICO Global +8810 and +8811Ellipso 8812 +8813Iridium 8816 +8817Globalstar 8818 and 8819Globalstar (Mobile Satellite Service) +8818 and +8819Greece +30Greenland +299Grenada +1-473Guadeloupe +590Guam +1-671Guantanamo Bay +5399Guatemala +502Guinea-Bissau +245Guinea +224Guyana +592Haiti +509Honduras +504Hong Kong +852Hungary +36ICO Global (Mobile Satellite Service) +8810 and +8811Iceland +354India +91Indonesia +62Inmarsat (Atlantic Ocean - East) +871Inmarsat (Atlantic Ocean - West) +874Inmarsat (Indian Ocean) +873Inmarsat (Pacific Ocean) +872Inmarsat SNAC +870International Freephone Service +800International Shared Cost Service (ISCS) +808Iran +98Iraq +964Ireland +353Iridium (Mobile Satellite service) +8816 and +8817Israel +972Italy +39Ivory Coast +225Jamaica +1-876Japan +81Jordan +962Kazakhstan +7Kenya +254Kiribati +686Korea (North) +850Korea (South) +82Kuwait +965Kyrgyz Republic +996Laos +856Latvia +371Lebanon +961Lesotho +266Liberia +231Libya +218Liechtenstein +423Lithuania +370Luxembourg +352Macao +853Macedonia (Former Yugoslav Rep of.) +389Madagascar +261Malawi +265Malaysia +60Maldives +960Mali Republic +223Malta +356Marshall Islands +692Martinique +596Mauritania +222Mauritius +230Mayotte Island +269Mexico +52Micronesia (Federal States of) +691Midway Island +1-808Moldova +373Monaco +377Mongolia +976Montenegro +382Montserrat +1-664Morocco +212Mozambique +258Myanmar +95Namibia +264Nauru +674Nepal +977Netherlands +31Netherlands Antilles +599Nevis +1-869New Caledonia +687New Zealand +64Nicaragua +505Niger +227Nigeria +234Niue +683Norfolk Island +672Northern Marianas Islands (Saipan, Rota & Tinian) +1-670Norway +47Oman +968Pakistan +92Palau +680Palestinian Settlements +970Panama +507Papua New Guinea +675Paraguay +595Peru +51Philippines +63Poland +48Portugal +351Puerto Rico +1-787 or +1-939Qatar +974Réunion Island +262Romania +40Russia +7Rwandese Republic +250St. Helena +290St. Kitts/Nevis +1-869St. Lucia +1-758St. Pierre & Miquelon +508St. Vincent & Grenadines +1-784Samoa +685San Marino +378São Tomé and Principe +239Saudi Arabia +966Senegal +221Serbia +381Seychelles Republic +248Sierra Leone +232Singapore +65Slovak Republic +421Slovenia +386Solomon Islands +677Somali Democratic Republic +252South Africa +27Spain +34Sri Lanka +94Sudan +249Suriname +597Swaziland +268Sweden +46Switzerland +41Syria +963Taiwan +886Tajikistan +992Tanzania +255Thailand +66Thuraya (Mobile Satellite service) +88216Timor Leste +670Togolese Republic +228Tokelau +690Tonga Islands +676Trinidad & Tobago +1-868Tunisia +216Turkey +90Turkmenistan +993Turks and Caicos Islands +1-649Tuvalu +688Uganda +256Ukraine +380United Arab Emirates +971United Kingdom +44United States of America +1US Virgin Islands +1-340Universal Personal Telecommunications (UPT) +878Uruguay +598Uzbekistan +998Vanuatu +678Vatican City +39 and +379Venezuela +58Vietnam +84Wake Island +808Wallis and Futuna Islands +681Yemen +967Zambia +260Zanzibar +255Zimbabwe +263Home Phone Number(Required)Responsible Party's Home Phone NumberCountry Prefix (Fax)(Required)United States of America +1---Afghanistan +93Albania +355Algeria +213American Samoa +1-684Andorra +376Angola +244Anguilla +1-264Antarctica +672Antigua +1-268Argentina +54Armenia +374Aruba +297Ascension +247Australia +61Australian External Territories +672Austria +43Azerbaijan +994Bahamas +1-242Bahrain +973Bangladesh +880Barbados +1-246Barbuda +1-268Belarus +375Belgium +32Belize +501Benin +229Bermuda +1-441Bhutan +975Bolivia +591Bosnia & Herzegovina +387Botswana +267Brazil +55British Virgin Islands +1-284Brunei Darussalam +673Bulgaria +359Burkina Faso +226Burundi +257Cambodia +855Cameroon +237Canada +1Cape Verde Islands +238Cayman Islands +1-345Central African Republic +236Chad +235Chatham Island (New Zealand) +64Chile +56China (PRC) +86Christmas Island +61-8Cocos-Keeling Islands +61Colombia +57Comoros +269Congo +242Congo, Dem. Rep. of (former Zaire) +243Cook Islands +682Costa Rica +506Côte d'Ivoire (Ivory Coast) +225Croatia +385Cuba +53Cuba (Guantanamo Bay) +5399Curaçao +599Cyprus +357Czech Republic +420Denmark +45Diego Garcia +246Djibouti +253Dominica +1-767Dominican Republic +1-809 and +1-829East Timor +670Easter Island +56Ecuador +593Egypt +20El Salvador +503Ellipso (Mobile Satellite service) +8812 and +8813EMSAT (Mobile Satellite service) +88213Equatorial Guinea +240Eritrea +291Estonia +372Ethiopia +251Falkland Islands (Malvinas) +500Faroe Islands +298Fiji Islands +679Finland +358France +33French Antilles +596French Guiana +594French Polynesia +689Gabonese Republic +241Gambia +220Georgia +995Germany +49Ghana +233Gibraltar +350Global Mobile Satellite System (GMSS) +881ICO Global +8810 and +8811Ellipso 8812 +8813Iridium 8816 +8817Globalstar 8818 and 8819Globalstar (Mobile Satellite Service) +8818 and +8819Greece +30Greenland +299Grenada +1-473Guadeloupe +590Guam +1-671Guantanamo Bay +5399Guatemala +502Guinea-Bissau +245Guinea +224Guyana +592Haiti +509Honduras +504Hong Kong +852Hungary +36ICO Global (Mobile Satellite Service) +8810 and +8811Iceland +354India +91Indonesia +62Inmarsat (Atlantic Ocean - East) +871Inmarsat (Atlantic Ocean - West) +874Inmarsat (Indian Ocean) +873Inmarsat (Pacific Ocean) +872Inmarsat SNAC +870International Freephone Service +800International Shared Cost Service (ISCS) +808Iran +98Iraq +964Ireland +353Iridium (Mobile Satellite service) +8816 and +8817Israel +972Italy +39Ivory Coast +225Jamaica +1-876Japan +81Jordan +962Kazakhstan +7Kenya +254Kiribati +686Korea (North) +850Korea (South) +82Kuwait +965Kyrgyz Republic +996Laos +856Latvia +371Lebanon +961Lesotho +266Liberia +231Libya +218Liechtenstein +423Lithuania +370Luxembourg +352Macao +853Macedonia (Former Yugoslav Rep of.) +389Madagascar +261Malawi +265Malaysia +60Maldives +960Mali Republic +223Malta +356Marshall Islands +692Martinique +596Mauritania +222Mauritius +230Mayotte Island +269Mexico +52Micronesia (Federal States of) +691Midway Island +1-808Moldova +373Monaco +377Mongolia +976Montenegro +382Montserrat +1-664Morocco +212Mozambique +258Myanmar +95Namibia +264Nauru +674Nepal +977Netherlands +31Netherlands Antilles +599Nevis +1-869New Caledonia +687New Zealand +64Nicaragua +505Niger +227Nigeria +234Niue +683Norfolk Island +672Northern Marianas Islands (Saipan, Rota & Tinian) +1-670Norway +47Oman +968Pakistan +92Palau +680Palestinian Settlements +970Panama +507Papua New Guinea +675Paraguay +595Peru +51Philippines +63Poland +48Portugal +351Puerto Rico +1-787 or +1-939Qatar +974Réunion Island +262Romania +40Russia +7Rwandese Republic +250St. Helena +290St. Kitts/Nevis +1-869St. Lucia +1-758St. Pierre & Miquelon +508St. Vincent & Grenadines +1-784Samoa +685San Marino +378São Tomé and Principe +239Saudi Arabia +966Senegal +221Serbia +381Seychelles Republic +248Sierra Leone +232Singapore +65Slovak Republic +421Slovenia +386Solomon Islands +677Somali Democratic Republic +252South Africa +27Spain +34Sri Lanka +94Sudan +249Suriname +597Swaziland +268Sweden +46Switzerland +41Syria +963Taiwan +886Tajikistan +992Tanzania +255Thailand +66Thuraya (Mobile Satellite service) +88216Timor Leste +670Togolese Republic +228Tokelau +690Tonga Islands +676Trinidad & Tobago +1-868Tunisia +216Turkey +90Turkmenistan +993Turks and Caicos Islands +1-649Tuvalu +688Uganda +256Ukraine +380United Arab Emirates +971United Kingdom +44United States of America +1US Virgin Islands +1-340Universal Personal Telecommunications (UPT) +878Uruguay +598Uzbekistan +998Vanuatu +678Vatican City +39 and +379Venezuela +58Vietnam +84Wake Island +808Wallis and Futuna Islands +681Yemen +967Zambia +260Zanzibar +255Zimbabwe +263Fax Number(Required)Responsible Party's Fax NumberCountry Prefix (Other)(Required)United States of America +1---Afghanistan +93Albania +355Algeria +213American Samoa +1-684Andorra +376Angola +244Anguilla +1-264Antarctica +672Antigua +1-268Argentina +54Armenia +374Aruba +297Ascension +247Australia +61Australian External Territories +672Austria +43Azerbaijan +994Bahamas +1-242Bahrain +973Bangladesh +880Barbados +1-246Barbuda +1-268Belarus +375Belgium +32Belize +501Benin +229Bermuda +1-441Bhutan +975Bolivia +591Bosnia & Herzegovina +387Botswana +267Brazil +55British Virgin Islands +1-284Brunei Darussalam +673Bulgaria +359Burkina Faso +226Burundi +257Cambodia +855Cameroon +237Canada +1Cape Verde Islands +238Cayman Islands +1-345Central African Republic +236Chad +235Chatham Island (New Zealand) +64Chile +56China (PRC) +86Christmas Island +61-8Cocos-Keeling Islands +61Colombia +57Comoros +269Congo +242Congo, Dem. Rep. of (former Zaire) +243Cook Islands +682Costa Rica +506Côte d'Ivoire (Ivory Coast) +225Croatia +385Cuba +53Cuba (Guantanamo Bay) +5399Curaçao +599Cyprus +357Czech Republic +420Denmark +45Diego Garcia +246Djibouti +253Dominica +1-767Dominican Republic +1-809 and +1-829East Timor +670Easter Island +56Ecuador +593Egypt +20El Salvador +503Ellipso (Mobile Satellite service) +8812 and +8813EMSAT (Mobile Satellite service) +88213Equatorial Guinea +240Eritrea +291Estonia +372Ethiopia +251Falkland Islands (Malvinas) +500Faroe Islands +298Fiji Islands +679Finland +358France +33French Antilles +596French Guiana +594French Polynesia +689Gabonese Republic +241Gambia +220Georgia +995Germany +49Ghana +233Gibraltar +350Global Mobile Satellite System (GMSS) +881ICO Global +8810 and +8811Ellipso 8812 +8813Iridium 8816 +8817Globalstar 8818 and 8819Globalstar (Mobile Satellite Service) +8818 and +8819Greece +30Greenland +299Grenada +1-473Guadeloupe +590Guam +1-671Guantanamo Bay +5399Guatemala +502Guinea-Bissau +245Guinea +224Guyana +592Haiti +509Honduras +504Hong Kong +852Hungary +36ICO Global (Mobile Satellite Service) +8810 and +8811Iceland +354India +91Indonesia +62Inmarsat (Atlantic Ocean - East) +871Inmarsat (Atlantic Ocean - West) +874Inmarsat (Indian Ocean) +873Inmarsat (Pacific Ocean) +872Inmarsat SNAC +870International Freephone Service +800International Shared Cost Service (ISCS) +808Iran +98Iraq +964Ireland +353Iridium (Mobile Satellite service) +8816 and +8817Israel +972Italy +39Ivory Coast +225Jamaica +1-876Japan +81Jordan +962Kazakhstan +7Kenya +254Kiribati +686Korea (North) +850Korea (South) +82Kuwait +965Kyrgyz Republic +996Laos +856Latvia +371Lebanon +961Lesotho +266Liberia +231Libya +218Liechtenstein +423Lithuania +370Luxembourg +352Macao +853Macedonia (Former Yugoslav Rep of.) +389Madagascar +261Malawi +265Malaysia +60Maldives +960Mali Republic +223Malta +356Marshall Islands +692Martinique +596Mauritania +222Mauritius +230Mayotte Island +269Mexico +52Micronesia (Federal States of) +691Midway Island +1-808Moldova +373Monaco +377Mongolia +976Montenegro +382Montserrat +1-664Morocco +212Mozambique +258Myanmar +95Namibia +264Nauru +674Nepal +977Netherlands +31Netherlands Antilles +599Nevis +1-869New Caledonia +687New Zealand +64Nicaragua +505Niger +227Nigeria +234Niue +683Norfolk Island +672Northern Marianas Islands (Saipan, Rota & Tinian) +1-670Norway +47Oman +968Pakistan +92Palau +680Palestinian Settlements +970Panama +507Papua New Guinea +675Paraguay +595Peru +51Philippines +63Poland +48Portugal +351Puerto Rico +1-787 or +1-939Qatar +974Réunion Island +262Romania +40Russia +7Rwandese Republic +250St. Helena +290St. Kitts/Nevis +1-869St. Lucia +1-758St. Pierre & Miquelon +508St. Vincent & Grenadines +1-784Samoa +685San Marino +378São Tomé and Principe +239Saudi Arabia +966Senegal +221Serbia +381Seychelles Republic +248Sierra Leone +232Singapore +65Slovak Republic +421Slovenia +386Solomon Islands +677Somali Democratic Republic +252South Africa +27Spain +34Sri Lanka +94Sudan +249Suriname +597Swaziland +268Sweden +46Switzerland +41Syria +963Taiwan +886Tajikistan +992Tanzania +255Thailand +66Thuraya (Mobile Satellite service) +88216Timor Leste +670Togolese Republic +228Tokelau +690Tonga Islands +676Trinidad & Tobago +1-868Tunisia +216Turkey +90Turkmenistan +993Turks and Caicos Islands +1-649Tuvalu +688Uganda +256Ukraine +380United Arab Emirates +971United Kingdom +44United States of America +1US Virgin Islands +1-340Universal Personal Telecommunications (UPT) +878Uruguay +598Uzbekistan +998Vanuatu +678Vatican City +39 and +379Venezuela +58Vietnam +84Wake Island +808Wallis and Futuna Islands +681Yemen +967Zambia +260Zanzibar +255Zimbabwe +263Other Phone Number(Required)Responsible Party's Other Phone NumberType of Business the Company conducts(Required) Closing month of accounting year(Required)Select from the Drop Down MenuJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberNumber of Employees(Required) Agricultural?(Required) Yes No Household?(Required) Yes No First Date Wages or Annuities Paid Day Month Year Principal activity of the Business(Required) Principal line of merchandise sold, specific construction work done, products produced, or services provided (to add more press the "+" icon)(Required) Add RemoveCAPTCHA