INFORMATION NEEDED FOR COMPLETION OF FORM SS4

Information needed to complete form SS4 to obtain EIN, in addition we will need signed SS4 Form, plus a clear copy of the passport.

1.       What is the closing month of the accounting year? _________________

2.       What is the first date wages or annuities were paid or will be paid? _________

3.       What is the highest number of employees expected in the next 12 months? ______

4.       What is the principal activity of the business? _____________________

_______________________________________________________________

5.       Is the principal activity manufacturing? _____yes ______no

6.       Which of the following best describes your business? ___Health care & social assistance  ___Wholesale  ___agent/broker  ___Construction  ___Rental & Leasing  ___Transportation & warehousing  ___Accommodation & food service  ___Wholesale other  ___Rental ___Real Estate  ___Manufacturing  ___ Finance & Insurance  ___Other (specify)

Please complete the above and sign the attached SS-4 Form (http://offshoresimple.com/ss4.pdf) and fax both to us along with a clear copy of your passport at +1 212 202 6468.