Get Captive Application Revised 8 26101315pmdocx. Section 1115(a) Extension Application

This guide provides step-by-step instructions on how to complete the Captive Application Revised 8 26101315PMdocx. Section 1115(a) Extension Application online. Follow these clear directions to ensure that your application is filled out correctly and completely.

Follow the steps to effectively complete your application.

1. Press the 'Get Form' button to download the form and open it in your preferred digital document editor.
2. Begin the application by entering the name of the proposed captive in the designated field.
3. Input the name of the parent or beneficial owner in the appropriate section. Make sure to include all relevant details.
4. Fill in the names and addresses of all beneficial owners, along with their percentage of ownership.
5. Provide an explanation of the relationship among the beneficial owners as requested in the form.
6. Attach the most recent audit financial statements for all beneficial owners as required.
7. Enter the name, address, phone number, and email of the individual to be contacted regarding the application.
8. Indicate the type of proposed captive by selecting the applicable options. Include specifics if forming cells.
9. List the jurisdiction(s) where the majority of risks will be located to ensure compliance.
10. Specify the location of books and records, which is an essential requirement for the application.
11. Provide the name and address of the resident registered agent to ensure proper representation.
12. Detail the initial capital and/or surplus of the company, breaking it down into specified categories.
13. If Letters of Credit will be used, enter the name and address of the bank, and provide necessary amounts.
14. Include the name, address, telephone number, and email of the captive manager for the application process.
15. Fill in details for the legal representation, including lawyer's name, contact information, and address.
16. List the claims handler and underwriter details as required in the form.
17. Provide the name and address of the certified public accountant involved with the captive.
18. Input the name and address of the actuary who will evaluate the captive.
19. Indicate the reinsurance broker/intermediary by filling in their name and contact details.
20. List all service providers and their roles, including compensation methods and estimated annual costs.
21. Provide biographical information for directors and officers, ensuring to list all pertinent details.
22. Attach all required documents and fees as outlined in the application instructions, ensuring completeness.
23. Finally, review the completed application, and ensure all sections are filled accurately. Save changes, and choose to download, print, or share your form as needed.

Complete your Captive Application online to streamline the process and ensure accuracy.