Business Registration Optional Ownership Data - State Of Utah Department Of Commerce

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State of Utah
Clear Form
DEPARTMENT OF COMMERCE
Division of Corporations & Commercial Code
Business Registration Optional Ownership Data
(Statute) requires the division to give the opportunity to business entities to indicate the gender and race of one or
more Owner’s of the entity for which the form is filed.
This information is not required to be provided.
Please list the name of the Business: ______________________________________________________________
Select/Type the position here
Please pick the entity type of the Business: _________________________________________________________
Please list the entity number of the Business: _______________________________________________________
For each Yes button that you mark the question will appear below for you to fill out.
Do you wish to provide the race and gender of the Owner’s of this business?
Yes
No
st
What is the name of the 1
owner? _______________________________________________________________
Select/Type the race of the owner here
st
What is the race of the 1
owner? ______________________________________
st
What is the gender of the 1
owner?
Male
Female
Is there more than 1 owner?
Yes
No
nd
What is the name of the 2
owner? _______________________________________________________________
Select/Type the race of the owner here
nd
What is the race of the 2
owner? ______________________________________
nd
What is the gender of the 2
owner?
Male
Female
Would you like to indicate the race/gender of additional Owner’s?
Yes
No
What is the name of the additional owner? _________________________________________________________
Select/Type the race of the owner here
Additional Owner’s Race: ______________________________________
Additional Owner’s Gender:
Male
Female
What is the name of the additional owner? _________________________________________________________
Select/Type the race of the owner here
Additional Owner’s Race: ______________________________________
Additional Owner’s Gender:
Male
Female
What is the name of the additional owner? _________________________________________________________
Select/Type the race of the owner here
Additional Owner’s Race: ______________________________________
Additional Owner’s Gender:
Male
Female
What is the name of the additional owner? _________________________________________________________
Select/Type the race of the owner here
Additional Owner’s Race: ______________________________________
Additional Owner’s Gender:
Male
Female
Mailing/Faxing Information:
Division's Website:
/contactus.html
Under GRAMA {63-2-201}, all registration information maintained by the Division is classified as public record. For confidentiality purposes, you
may use the business entity physical address rather than the residential or private address of any individual affiliated with the entity.

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