EIN / Tax ID 2024 Step 1: 2024 EIN - Tax ID / SS-4 FormLEGAL INFORMATIONLegal Name of Entity(Required) Legal Entity StructureLIMITED LIABILITY COMPANY (LLC)SOLE PROPRIETORCORPORATIONS-CORPORATIONPERSONAL SERVICE CORPORATIONNON-PROFIT ORGANIZATIONESTATECHURCH ORGANIZATIONTrade name or DBA Number of membersPlease enter a number from 0 to 100.Select the Tax classification of the entity(Required) Individual/Partnership: Not taxed as a separate entity from owner(s). S-Corporation: Planning to elect an S-Corporation tax structure. Corporation: Planning to elect a Corporation tax structure. In which state is the entity incorporated?(Required)Select a stateAlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces AmericasArmed Forces Europe, Canada, Africa and Middle EastArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRepublic of Marshall IslandsRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingMANAGING MEMBER INFORMATIONFirst Name(Required) First Middle Name (optional) First Last Name(Required) Last Name Suffix Name (optional)Please SelectDDSMDPhDJRSRIIIIIIIVVVITitle(Required)Please SelectCEOExecutorOwnerManaging MemberManaging Member / OwnerPresidentOtherSocial Security Number(Required) ACTIVITYClosest Reason For Applying(Required)Please SelectStarted New BusinessHired EmployeesBanking PurposesChanged Type of OrganizationPurchased BusinessPrimary Activity(Required)Please SelectAccommodationsConstructionFinanceFood ServiceHealth CareInsuranceManufacturingReal EstateRental & LeasingRetailSocial AssistanceTransportationWarehousingWholesaleOtherSpecific Products/ServicesPlease SelectCasino hotelHotelMotelOtherPlease specify Do you focus on a single construction trade (concrete, framing, glass, roofing, siding, electrical, plumbing, HVAC, flooring, etc.)?Please SelectYesNoPlease specify Please specify your primary business activity in constructionPlease SelectI construct NEW residential properties (homes, condominiums, townhouses)I am involved in the remodeling of existing residential structuresI construct non-residential properties (commercial, industrial)I construct other types of structures (bridges, highways, water and sewer lines, pipeline, etc.)Please specify type of property constructed Please specify type of structure constructed Specific Products/ServicesPlease SelectCommodities brokerCredit card issuingInvestment adviceInvestment clubInvestment holdingIMortgage broker – agent for selling mortgagesMortgage company – lending funds with real estate as collateralPortfolio managementSales financingSecurities brokerTrust administrationVenture capital companyOtherPlease specify type of financial activity Specific Products/ServicesPlease SelectBarBar and restaurantCatering serviceCoffee shopFast food restaurantFull service restaurantIce cream shopMobile food serviceOtherPlease specify type of food service Does your establishment include medical practitioners having the degree of M.D. (Doctor of medicine) or D.O. (Doctor of osteopathy)?Please SelectYesNoPlease choose one of the following that best describes your primary business activityPlease SelectMedical doctorPsychiatristOther mental health practitionerPlease specify type Please choose one of the following that best describes your primary business activityPlease SelectChiropractorDentistHMO medical centerHospitalKidney dialysis centerOptometristOutpatient care centerOptometristPsychologistOther mental health practitionerOtherPlease specify Please specify Specific Products/ServicesPlease SelectI am an insurance carrierI am an insurance agent or brokerOtherPlease specify type of activity Please specify the type of goods that you manufacture and the primary materials used (such as “wood furniture”) Specific Products/ServicesPlease SelectI rent or lease property that I ownI use capital to build propertyI sell property for othersI manage real estate for othersOtherPlease choose one of the followingPlease SelectI rent residential real estateI rent commercial, industrial, or other real estateOtherPlease specify Do you focus on a single construction trade (concrete, framing, glass, roofing, siding, electrical, plumbing, HVAC, flooring, etc.)?Please SelectYesNoPlease specify trade Please specify your primary business activity in constructionPlease SelectI construct NEW residential properties (homes, condominiums, townhouses)I am involved in the remodeling of existing residential structuresI construct non-residential properties (commercial, industrial)I construct other types of structures (bridges, highways, water and sewer lines, pipeline, etc.)Please specify type of property constructed Please specify type of structure constructed Please specify Specific Products/ServicesPlease SelectI rent, lease, or sell real estateI rent or lease goodsI manage real estate for othersPlease choose one of the followingPlease SelectI am a real estate agent - I do not own the structures I rent or sell.I rent residential real estate that I own.I rent commercial, industrial, or other real estate that I own.Please specify the type of goods Specific Products/ServicesPlease SelectSelling goods exclusively over the Internet (includes independently selling on auction sites)Sales from a storefrontDirect salesAuction houseOtherPlease specify type of store Please specify type of selling method (catalogue, mail order, door to door) Please specify Specific Products/ServicesPlease SelectNursing homeShelterYouth servicesOtherPlease specify type of social assistance Specific Products/ServicesPlease SelectCargoPassengersI provide a support activity for transportationPlease choose the primary mode used to transport cargoPlease SelectAirRailTruckingWaterOtherPlease specify Please choose the primary mode used to transport passengersPlease SelectLimousine serviceShuttle busTaxi serviceOtherPlease specify Please specify the support activity Do you own or take title to the goods that you sell?Please SelectYesNoPlease specify type of goods sold Do you receive a commission or fee from selling these goods?Please SelectYesNoPlease specify type of goods sold Specific Products/ServicesPlease SelectConsultingManufacturingOrganization (such as religious, environmental, social or civic, athletic, etc.)RentalRepairSell goodsServiceOtherDo you provide operating advice and assistance to businesses and other organizations?Please SelectYesNoPlease specify type of consulting (for example, management, marketing, etc.) Please specify your primary business activity Please specify the type of goods that you manufacture and the primary materials used (such as “wood furniture”) What is the primary activity of your organization?Please selectAthleticConservationEnvironmentalFundraisingHomeownersReligiousSocial or civicOtherPlease specify Please specify Please specify Please specify Please specify Please specify Please specify Please specifyPlease specifyI rent, lease, or sell real estate.I rent or lease goods.Please specifyPlease specifyI am a real estate agent - I do not own the structures I rent or sell.I rent residential real estate that I own.I rent commercial, industrial, or other real estate that I own.Please specify the type of goods What are the primary goods you repair? Please choose one of the following that best describes your primary business activityPlease selectRetailWholsalePlease choose one of the followingPlease selectSelling goods exclusively over the Internet (includes independently selling on auction sites)Sales from a storefront (includes independently selling on auction sites)Direct salesAuction houseOtherPlease specify type of store Please specify type of selling method (catalogue, mail order, door to door) Please specify Do you own or take title to the goods that you sell?Please SelectYesNoPlease specify type of goods sold Do you receive a commission or fee from selling these goods?Please SelectYesNoPlease specify type of goods sold What is the primary service you provide? Please specify your primary business activity GENERAL QUESTIONDoes your business own a highway motor vehicle weighing 55,000 pounds or more?(Required) YES NO Does your business involve gambling?(Required) YES NO Does your business sell or manufacture alcohol, tobacco, or firearms?(Required) YES NO Does your business pay federal excise taxes?(Required) YES NO Federal excise tax is collected mostly from sales of motor fuel, airline tickets, tobacco, alcohol, and health-related goods and servicesHas this LLC ever received or applied for an EIN before?(Required) YES NO Previous EIN number, first 2 digits(Required) Previous EIN number, last 7 digits(Required) Do you currently have, or plan to hire employees within the next year (not including owners)?(Required) YES NO Do you expect your employment tax liability to be $1,000 or less in a full calendar year? (January-December)?(Required) YES NO Do you want to file employment tax annually instead of quarterly?(Required) YES NO Number of Agricultural EmployeesNumber of Household EmployeesNumber of Other EmployeesPlease specify a number. Total number of employees must be at least 1.First date wages will be paid to employees MM slash DD slash YYYY CORPORATE ADDRESS (PO Boxes are not authorized)Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Do you want to receive your mail at another address? YES NO Mailing Address(Required) Mailing Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code DATESDate entity was started or acquired. MM slash DD slash YYYY Closing month of accounting year (Usually December)JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberCOMMUNICATIONPhone Number(Required)Email address(Required)