Compliance

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Enterprise Angels Tax Certificate

Enterprise Angels is required to collect tax residency information under CRS (Common Reporting Standards) and FATCA (Foreign Account Tax Compliance Act). Please answer the questions below specifically for your investing entity.

If you are a company, trust or joint shareholding you may have 'controlling persons' who also need to make a disclosure. You can use this form to let us know who they are. Alternatively, if you have multiple layers of related entitles or have special circumstances such as a charity or managed investment service please contact us here to make a tax disclosure offline. You can also provide us with any offline FACTA/CRS self-certifications that you have provided to other New Zealand financial institutions.
Investing Entity Name*
Registered Address*
The main address for this entity. For a company it will be the registered office, for a trust or joint holding please specify the main address for any legal correspondence.

Street Address Suburb City State / Province / Region ZIP / Postal Code Country
Exemptions
United States tax resident*
Is this entity a United States tax resident?
- Yes
- No
As a US tax resident, the Financial Institutions and Active NFE exemptions are not relevant for you. Please enter the details of any Controlling Persons below, along with your US Tax Identification Number (and any other tax residencies) for the entity itself.
Financial Institution*
Is this entity a Financial Institution?
- Yes
- No
As a financial institution we do not need to collect your overseas Tax Identification Numbers or the details of your Controlling Persons. Please enter your Global Intermediary Identification Number below.
Global Intermediary Identification Number
Active Non Financial Entity*
Is this entity an Active Non Financial Entity?
"Active" means over 50% of income is derived from a day-to-day operating business such as the sale of goods and services. "Passive" means investment type activities or a non-trading entity.
- Yes - Active
- No - Passive
As an active trading business with day-to-day business operations you will already be filing tax returns in your main tax jurisdiction and do not need to make additional 'controlling persons' disclosures using this form. You still need to disclose any overseas tax residencies for the entity itself below.
Overseas Controlling Persons*
CRS and FATCA define "controlling persons" as meaning any natural persons who exercise control over the entity.
- - Any director of a company
- - Any person who owns more than 25% of a company
- - Any trustee, beneficiary, protector, settlor of a trust
- - Any general partner of a partnership
- - Any joint owner
Are any of the Controlling Persons for this entity tax residents of a country outside New Zealand?
- Yes
- No
Controlling Persons with tax residency outside of New Zealand*
Select number of Controlling Persons with residency outside of New Zealand.
- 1
- 2
- 3
- 4
- 5
Please add the details below of any controlling persons. If a person has more than one type of relationship with your entity (ie. both shareholder and director), please pick the capacity that affords the most control over decision making for the entity. If the relationship is via another intermediate entity, please select "Indirect".
Controlling Person 1*
Controlling Person 1 Relationship*
Controlling Person 1 Date of birth*
Controlling Person 1 Address*
Street Address Suburb City State / Province / Region ZIP / Postal Code Country
Controlling Person 1 TIN*
Please provide TIN numbers for any country outside of New Zealand where the controlling person has a unique tax number.

Tax Identification Number Country
Controlling Person 1 TIN (2)
Tax Identification Number Country
Controlling Person 2*
Controlling Person 2 Relationship*
Controlling Person 2 Date of birth*
Controlling Person 2 Address*
Street Address Suburb City State / Province / Region ZIP / Postal Code Country
Controlling Person 2 TIN*
Please provide TIN numbers for any country outside of New Zealand where the controlling person has a unique tax number.

Tax Identification Number Country
Controlling Person 2 TIN (2)
Tax Identification Number Country
Controlling Person 3*
Controlling Person 3 Relationship*
Controlling Person 3 Date of birth*
Controlling Person 3 Address*
Street Address Suburb City State / Province / Region ZIP / Postal Code Country
Controlling Person 3 TIN*
Please provide TIN numbers for any country outside of New Zealand where the controlling person has a unique tax number.

Tax Identification Number Country
Controlling Person 3 TIN (2)
Tax Identification Number Country
Controlling Person 4*
Controlling Person 4 Relationship*
Controlling Person 4 Date of birth*
Controlling Person 4 Address*
Street Address Suburb City State / Province / Region ZIP / Postal Code Country
Controlling Person 4 TIN*
Please provide TIN numbers for any country outside of New Zealand where the controlling person has a unique tax number.

Tax Identification Number Country
Controlling Person 4 TIN (2)
Tax Identification Number Country
Controlling Person 5*
Controlling Person 5 Relationship*
Controlling Person 5 Date of birth*
Controlling Person 5 Address*
Street Address Suburb City State / Province / Region ZIP / Postal Code Country
Controlling Person 5 TIN*
Please provide TIN numbers for any country outside of New Zealand where the controlling person has a unique tax number.

Tax Identification Number Country
Controlling Person 5 TIN (2)
Tax Identification Number Country
Entity Tax Numbers*
Please add the TIN (tax identification number) for each country where your entity is a tax resident. The TIN will be whatever tax identification number is used in that country such as an IRD Number, Tax File Number, Social Security Number or HMRC Number. Please also include your New Zealand IRD number (if this entity has one).
If you have already disclosed TIN's for Controlling Persons in this form you do not need to enter.

Tax Identification Number Country
Entity Tax Number 2
Tax Identification Number Country
Entity Tax Number 3
Tax Identification Number Country
Self Certification
I hereby confirm that my tax entity has no tax residencies outside New Zealand other than as disclosed above.
Authority
I confirm that I have authority to sign on behalf of this investing entity and to make this tax disclosure.
Initials*
Please type your initials below to sign this Tax Certificate.
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Email
This field is for validation purposes and should be left unchanged.

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Risk Warning: Investing in early stage companies involves risk and should be done only as part of a diversified portfolio. Offers facilitated by Enterprise Angels are for Wholesale Investors who make their own investment decisions and understand the risks. Read the full risk warning.