FOR OFFICE USE ONLY http://www.com.ohio.gov/liqr OFFICER/ SHAREHOLDERS DISCLOSURE FORM (This form must accompany all applications of a corporate business entity) Name of Corporation DBA Name Permit Premises Address City, State Township, if in Unincorporated Area Tax Identification No. (TIN) Zip Code SECTION B. 1. Is stock publicly traded? If "YES", YES NO YES NO indicate exchange & Do NOT complete SECTION D. 2. Does any stockholder own 5% or more sh.
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How to fill out the DLC4030 OFFICER SHAREHOLDER DISCLOSURE FORM - Com Ohio online
Filling out the DLC4030 Officer Shareholder Disclosure Form is a crucial step for corporate business entities operating in Ohio. This guide will walk you through each section of the form to ensure a smooth and accurate submission process online.
Follow the steps to complete your disclosure form online.
- Click ‘Get Form’ button to obtain the form and open it for editing.
- In Section A, provide the necessary details about your corporation, including the name, trade name, address, and tax identification number.
- Proceed to Section B. Answer whether the stock is publicly traded and if any stockholder owns 5% or more of the shares, providing the details as needed.
- Move to Section C and list the top five corporate officers. Be sure to include their full names, Social Security numbers, and dates of birth as required.
- If there are stockholders holding 5% or more outstanding shares, complete Section D. Provide their names, addresses, contact information, number of shares held, and dates of birth.
- Complete any additional declarations or background check statements as necessary, ensuring that all information provided is accurate and truthful.
- Once all sections are filled out, review the form for any errors or omissions before proceeding to save your changes.
- Finally, you can choose to download, print, or share the completed form as needed.
Complete your DLC4030 Officer Shareholder Disclosure Form online today!
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