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Certification Regarding Ultimate Beneficial Owners of Legal Entity I. General Instructions

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32 views

Certification Regarding Ultimate Beneficial Owners of Legal Entity I. General Instructions

Uploaded by

litonali.freelencer
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Certification Regarding Ultimate Beneficial Owners of Legal Entity

I. General Instructions
What is this form?
To help the government fight financial crime, federal regulation requires certain
financial institutions to obtain, verify, and record information about the beneficial
owners of legal entity.Legal entities can be abused to disguise involvement in
terrorist financing, money laundering, tax evasion, corruption, fraud, and other
financial crimes. Requiring the disclosure of key individuals who ultimately own or
control a legal entity (i.e., the beneficial owners) helps law enforcement investigate
and prosecute these crimes.

Who has to complete this form?


This form must be completed by the person opening a new account on behalf of
a legal entity with any of the following U.S. financial institutions: (i) a bank or
credit union; (ii) a broker or dealer in securities; (iii) a mutual fund; (iv) a futures
commission merchant; or (v) an introducing broker in commodities.
For the purposes of this form, a legal entity includes a corporation, limited liability
company, or other entity that is created by a filing of a public document 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 natural persons
opening accounts on their own behalf.

What information do I have to provide?


This form requires you to provide the name, address, date of birth and social
security number (or passport number or other similar information, in the case
of foreign persons) for the following individuals (i.e., the beneficial owners):
(i) Each individual, if any, who owns, directly or indirectly, any interest of the
legal entity customer (e.g., each natural person that owns any share of a
corporation); and

(ii) An individual with significant responsibility for managing the legal entity
customer (e.g., a Chief Executive Officer, Chief Financial Officer, Chief
Operating Officer, Managing Member, General Partner, President, Vice President
or Treasurer).
The number of individuals that satisfy this definition of “beneficial owner” may vary,
but should total 100%
Please include a copy of the driver's license of other identifying document for
each beneficial owner and control person listed on this form.
II.Certification Of Beneficial Owner(s)
Persons opening an account or maintaining a business relationship on behalf of a legal entity must
provide the following information:

A. Name of Person Opening Account:

Mst Lavli Begum


B. Name, Type and Address of Legal Entity for Which the Account is Being Opened:
(exactly as it reads on your organizational documents)

AIHEAT LTD

70 Wimperis Way Birmingham B43 7DF


Address -Business Street City/State/Zip

AIHEAT LTD
Private Limited by Shares
C. The following information for each INDIVIDUAL*, if any, who directly or indirectly, through any contract,
arrangement, understanding, relationship or otherwise, owns ANY interest of the legal entity. The total of
% of ownership in this section should equal 100% in most cases.
*(If no individual meets this definition, please check this box “Beneficial Owner Not Applicable” _____ and
skip this section.)

- For a person with a Taxpayer Identification Number (TIN), provide the TIN if availble
Beneficial Owner 1 Information
Individual Name Date of Birth % of Ownership
Mst Lavli Begum 09 Oct 1975 100

Address -Residential Street (no PO


Box) City/State/Zip

Panchagarh - Atwari Road Boro Singia,


Bangladesh Borshalupara 5040

Beneficial Owner 2 Information


Individual Name Date of Birth % of Ownership

Address -Residential Street (no PO City/State/Zip


Box)

Copy of ID Attached Home Phone Office Phone


D. The following information for any one 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 or makes the
day to day decisions for the legal entity.
(If appropriate, an individual listed under section (C) above may also be listed in this section (D)).
- For a person with a Taxpayer Identification Number (TIN), provide the TIN if Have

Individual Name Date of Birth Company number:


Mst Lavli Begum 09 Oct 1975 16036541

Certified/ Agreed To

I, ____ Mst Lavli ________, hereby certify, to the best of my knowledge, that the information provided above is
complete and correct, and will immediately notify secretary of state or IRS of any change to such information.

mstlavlibegum 23 Oct 2024


Signature Date
Please Verify the following have been completed:

Attach copies of driver's licenses or other identifying document for each person listed in Section C and D.
Include copies of your organizational documents (by-laws, operating agreement, partnership agreement,
minutes, etc.).
Verify all owners listed in Section C above so that it totals 100%. If not, please describe why:

Recertification and Agreement:

I, _______Amir Hanif___________________________, hereby certify, that the information provided above is


still complete and correct, and will immediately notify secretary fo state and IRS of any change to such
information.

Signature Date

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