Follow the steps to fill out the form online efficiently.

1. Use the ‘Get Form’ button to obtain the Limited Liability Company Disclosure Form and open it in your preferred digital editor.
2. In Section A, enter the name of your limited liability company, any Doing Business As (DBA) name, and the permit premises address including city, state, township, tax identification number, and zip code. Provide a valid email address for correspondence.
3. In Section B, list the names of the top five officers of your LLC. For any position that is not held, indicate this by writing ‘NONE.’ Ensure that each officer will have a background check performed by BCI&I.
4. In Section C, provide detailed information about the managing members and individuals with a 5% or greater membership or voting interest in the LLC. Include their names, social security numbers (if applicable), residence addresses, tax identification numbers (if applicable), city and state, telephone numbers, zip codes, and birthdates.
5. Check all applicable interests next to each individual's name, marking ‘Managing Member’, ‘Voting Interest’, and ‘Membership Interest’ as necessary.
6. At the end of the form, in the affidavit section, include the title of the person completing the form, sign it, and print their name and title. Ensure that the affidavit is sworn to and subscribed in the presence of a notary public.
7. Review all sections for completeness and accuracy. Once verified, you can save changes, download, print, or share the completed form as needed.

Complete your Limited Liability Company Disclosure Form online today to ensure your business is compliant with Ohio regulations.