Form De 1np - Nonprofit Employers Registration And Update Form - 2016 Page 4
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4H. LEGAL NAME OF ORGANIZATION – Enter the business legal name. For Corporation/LLC/LLP/LP, enter the name
exactly as it appears on your official registration documents. If you are registered with the California Secretary of State
(SOS) and do not have the business name as it was registered, log on to the SOS website at
to
obtain the information.
I.
DOING BUSINESS AS (DBA) (If applicable) – Enter business name known to the public, if different from the legal name.
J. FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN) – Enter the Federal Employer Identification Number
(FEIN) assigned by the Internal Revenue Service (IRS). If not assigned, enter “Applied For.”
K. DATE OWNERSHIP BEGAN – Enter the date (MM/DD/YYYY) new ownership began operating.
L. STATE OR PROVINCE OF INCORPORATION/ORGANIZATION – Enter the state or province where the business is
incorporated or organized.
M. CALIFORNIA SECRETARY OF STATE ENTITY NUMBER – Enter the California Corporate/LLC/LLP/LP entity
number. If you are registered with the California Secretary of State (SOS) and do not have the entity number, log on to
the SOS website at
to obtain the information.
N. PHYSICAL BUSINESS LOCATION – Enter the California street address (PO Box or Private Mail Box will not be
accepted) and phone number where the business is physically conducted. If you have multiple California locations,
please attach a listing of the physical business addresses.
O. MAILING ADDRESS – Enter the mailing address where the EDD correspondence and forms should be sent (PO
Box or Private Mail Box is acceptable). If the physical and mailing addresses are the same, check the box “Same as
above.” Provide a daytime phone number.
P. E-MAIL – Enter a valid e-mail address. Check the box if you would like to receive registration information via e-mail.
Q. INDUSTRY ACTIVITY – Describe in detail the principal product or service your business offers/provides and check
the box that best describes the industry activity. This information is used to assign an Industrial Classification Code
to your business. For more information on industry coding or the North American Industrial Classification System
(NAICS), visit the website at
R. CONTACT PERSON – Enter the name, daytime phone number, e-mail address, relation, and address of the person
authorized by the ownership to provide the EDD with information needed to maintain the accuracy of your employer
account. If the contact person is an outside accountant, agent, or tax representative, complete and submit a Power
of Attorney (POA) Declaration
(DE
48).
S. DECLARATION – This declaration must be signed by an individual having the authority to sign on behalf of the
business under penalty of perjury.
Allow up to 14 days for your paper request to be processed. You will receive your Employer Account Number by US Postal
Service. To obtain an Employer Account Number faster, register online at The
California Employer’s Guide (DE 44) is available at
to help you understand your
tax withholding and filing responsibilities.
Need more help or information?
If you have questions regarding this form, the registration process, or to determine whether your business is required
to register, visit the EDD website at
or contact the
Taxpayer Assistance Center at 888-745-3886 or TTY (nonverbal) 800-547-9565.
The EDD provides seminar and other educational opportunities for taxpayers to learn how to report employees’
●
wages, pay taxes, and to help avoid errors and unnecessary billings. Register for a seminar near you at
or call 888-745-3886 for more information.
The EDD website
offers additional information, forms, publications, and information sheets to
●
assist you.
DE 1NP Rev. 8 (2-16) (INTERNET)
Page 4 of 4
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