LLC - EIN For Signature
LLC - EIN For Signature
LLC - EIN For Signature
Form
(Rev. December 2023)
SS-4 Application for Employer Identification Number
(For use by employers, corporations, partnerships, trusts, estates, churches,
government agencies, Indian tribal entities, certain individuals, and others.)
EIN
OMB No. 1545-0003
Department of the Treasury See separate instructions for each line. Keep a copy for your records.
Internal Revenue Service Go to www.irs.gov/FormSS4 for instructions and the latest information.
1 Legal name of entity (or individual) for whom the EIN is being requested
Jude Emeka LLC
Type or print clearly.
2 Trade name of business (if different from name on line 1) 3 Executor, administrator, trustee, “care of” name
4a Mailing address (room, apt., suite no. and street, or P.O. box) 5a Street address (if different) (Don’t enter a P.O. box.)
30 N Gould St STE R
4b City, state, and ZIP code (if foreign, see instructions) 5b City, state, and ZIP code (if foreign, see instructions)
Sheridan, WY 82801
6 County and state where principal business is located
Sheridan, WY
7a Name of responsible party 7b SSN, ITIN, or EIN
Jude Okoroafor
8a Is this application for a limited liability company (LLC) 8b If 8a is “Yes,” enter the number of
(or a foreign equivalent)? . . . . . . . . Yes4 No LLC members . . . . . . .
8c If 8a is “Yes,” was the LLC organized in the United States? . . . . . . . . . . . . . . . . . . 4 Yes No
9a Type of entity (check only one box). Caution: If 8a is “Yes,” see the instructions for the correct box to check.
Sole proprietor (SSN) Estate (SSN of decedent)
Partnership Plan administrator (TIN)
Corporation (enter form number to be filed) Trust (TIN of grantor)
Personal service corporation Military/National Guard State/local government
Church or church-controlled organization Farmers’ cooperative Federal government
Other nonprofit organization (specify) REMIC Indian tribal governments/enterprises
4 Other (specify) Group Exemption Number (GEN) if any
9b If a corporation, name the state or foreign country (if State Foreign country
applicable) where incorporated
10 Reason for applying (check only one box) Banking purpose (specify purpose)
4 Started new business (specify type) Changed type of organization (specify new type)
Purchased going business
Hired employees (Check the box and see line 13.) Created a trust (specify type)
Compliance with IRS withholding regulations Created a pension plan (specify type)
Other (specify)
11 Date business started or acquired (month, day, year). See instructions. 12 Closing month of accounting year
07/15/2024 14
If you expect your employment tax liability to be $1,000 or less
13 Highest number of employees expected in the next 12 months (enter -0- if none). in a full calendar year and want to file Form 944 annually
If no employees expected, skip line 14. instead of Forms 941 quarterly, check here. (Your employment
tax liability will generally be $1,000 or less if you expect to pay
$5,000 or less, $6,536 or less if you’re in a U.S. territory, in total
Agricultural Household Other
wages.) If you don’t check this box, you must file Form 941 for
every quarter.
15 First date wages or annuities were paid (month, day, year). Note: If applicant is a withholding agent, enter date income will first be paid to
nonresident alien (month, day, year) . . . . . . . . . . . . . . . . .
16 Check one box that best describes the principal activity of your business. Health care & social assistance Wholesale—agent/broker
Construction Rental & leasing Transportation & warehousing Accommodation & food service Wholesale—other Retail
Real estate Manufacturing Finance & insurance 4 Other (specify) e commerce
17 Indicate principal line of merchandise sold, specific construction work done, products produced, or services provided.
e commerce
18 Has the applicant entity shown on line 1 ever applied for and received an EIN? Yes 4 No
Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, it is true, correct, and complete. Applicant’s telephone number (include area code)
Name and title (type or print clearly) Jude Okoroafor, Responsible Party 08134720438
Applicant’s fax number (include area code)
Signature Date 208-248-8426
For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 16055N Form SS-4 (Rev. 12-2023)