Azure Capital Partners L.P.

Azure Capital Partners L.P.
Document Request Form
If you have any questions or need assistance completing this form, please call 845-579-6564 or email ir@azurecapital.us
Investing Entity
IndividualJointCorporationPartnershipLLCTrustIRATax Exempt Entity
Individual's Name
First NameLast Name
Individual's Name
First NameLast Name
Entity Name
IRA Name
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Email
example@example.com
Email
example@example.com
Phone Number
Please enter a valid phone number.
Phone Number
Please enter a valid phone number.
Copy of ID and proof of address required for the following:
1. All directors of the corporation
2. Individuals who own 25% or more of the corporation stock
3. Principal controller of the corporation
Copy of ID and proof of address required for at least 2 signatories. The above may count towards this requirement.
Copy of ID required for all trustees.
Copy of ID and proof of address required for each signatory.
Copy of ID
Drivers License or Passport
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Proof of Residential Address
Recent (last 3 months) Utility Bill or Bank Statement
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Memorandum of Association/Entity Agreement
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Evidence of Entity's Registered Address
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Copy of State Registration/Certificate of Formation
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Copy of Articles of Incorporation
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List of Officers' Signatures/Signed, Certified Corporate Resolution*
* Resolution must identify the corporate officer(s) empowered.
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List of Names and Country of Citizenship for Individuals/Entities Who Own >25% of the Entity
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Account Information and Name of Custodian
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Tax Exempt Description
A description of purpose and objectives of stated activities, donor base and any other sources of funds, use of funds and basic beneficiary information, any controls and policies implemented to detect and prevent the use of the tax exempt entity as a vehicle for money laundering, a list of large contributors and grantors
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Should be Empty: