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Questionnaire for identification of foreign taxpayers

1. Name of Entity
  • filled in Russian
  • filled in English
Please indicate the full or short name as constituent documents. If constitutional documents do not state Latin transcription of the entity name please define and indicate the name using Latin alphabet.
2. Country of incorporation of the entity
  • Country of incorporation of the entity
Please indicate the country of incorporation of the entity
3. Residence address
  • filled in Russian
  • filled in English
  • Residence address belongs to the US
Please indicate residence address as stated in constitutional documents. If constitutional documents do not state Latin transcription of the residence address please define and indicate the address using Latin alphabet.
4. Mailing address
  • Mailing address belongs to the US
Please indicate the mailing address
5. Telephone number(s) and faxes
  • Telephone number(s) and faxes belong/belongs to the US
Please indicate Telephone number(s) and faxes
6. Main OKVED code and main actual type of activity of the entity (if any)
  • OKVED code

    Description
Please indicate the code obtained by the entity in accordance with Russian classification of economic activity (OKVED), as well as the main type of activity actually performed by the entity
7. Has the entity obtained Russian tax identification number (INN) or code of foreign organization (KIO)?
  • Tax identification number (TIN)
  • Code of foreign organization (KIO)
8. Do you have a power of attorney / signature authorization to the person having an address belonging to the US (address of residence or mailing address)

9. Do you have bank transfer orders for more than one bank transfer to US account or address?

10. Is the entity a US tax resident?
If your answer is “Yes”, please proceed to question 9 and submit W-91 form and indicate your US TIN.
If you selected “No” here but in question 2 and/or 3 provided a US address, and/or a US phone number in question 4, and/or selected “Yes” for question 6, file the Form W-82 and a copy of registration certificate to certify your non-US person status.
If you selected “Yes” here but “No” for question 5, please provide a copy of registration certificate or the Form W8 to certify your non-US person status.
If you selected «No» here but «Yes» for question 8, please provide a copy of registration certificate or the Form W8 to certify your non-US person status.
11. Does the entity have a US Taxpayer Identification Number (TIN)?
  • please indicate TIN
If you selected «Yes», please answer question 12
12. If the entity is a US tax resident, please specify its residency status (please select one of the options)


13. Confirmation of tax resident status of another country (except for Russia or USA) and tax identification number (or equivalent)
  • Is the entity tax resident of another country (different from Russia and the US)?
  • If Yes, please specify the country/countries:
    Country


    TIN jurisdiction

    Equivalent of TIN
Indicate all countries of tax residency and corresponding TINs (or equivalents)
14. Does the entity conduct financial activities?
    • Entity holds financial assets for the benefit of other persons as a substantial portion of its business3 ;
    • Entity primarily4 conducts one or more of the following activities or operations for or on behalf of a customer:
Please select all licensed types of activities If you selected «The entity’s (or structure established in any form other than a legal entity) gross income is primarily attributable to investing, reinvesting, or trading in financial assets and the entity is managed by another entity which performs any of the financial activities…» please complete Annex 4B (Questionnaire for identification of beneficial owner (controlling person) for every beneficial owner (controlling person) of the entity (or structure established in any form other than a legal entity) and please upload it at the end of this Questionnaire.
Note that in this case, under FATCA organization will be treated as financial institution. However, under CRS the organization may be classified as both financial institution or passive non-financial entity (depending on its country of tax residency). Therefore, please fill in all required fields for both financial institutions and nonfinancial entities.
15. Is the entity a holding company or treasury center?

If you selected in p. 14 «No, the statements mentioned above in present section are not applicable to the entity (or structure established in any form other than a legal entity)» and selected in p. 15 only «Yes, the entity is a holding company or treasury center» without any additional selections, answers to questions 19 and 20 are not required.

If you selected «Yes, the entity is a holding company or treasury center» and selected any additional answer in p.15, answer to question 21 is not required.
16. Does the entity act as an intermediary (works under surety, commission, trust management, agency agreements, or any other civil law agreements for the benefit of a third party(ies))?
  • Yes, the entity acts as an intermediary (works under surety, commission, trust management, agency agreements (or any other civil law agreements for the benefit of a third party(ies)).
  • No, the entity does not work as an intermediary (under surety, commission, trust management, agency agreements or any other civil law agreements for the benefit of a third party(ies)). It executes all transactions and payments for its own benefit and at its own expense.
If you selected “No, the entity is not a financial institution” for question 11 and selected “Yes, the entity acts as an intermediary (works under surety, commission, trust management, agency agreements or any other civil law agreements for the benefit of a third party(ies))” for this question, please complete the Individual/Self-employed Beneficiary Questionnaire for each individual/self-employed beneficiary, and the Questionnaire for identifying an entity for the purposes of FATCA for each beneficiary that is a legal entity, and please upload it at the end of this Questionnaire.
17. Is the entity disregarded for the purposes of FATCA?5
  • Yes, it is a disregarded entity
  • No, it is not a disregarded entity
If you selected "Yes, it is a disregarded entity," please complete the Questionnaire for identifying an entity for the purposes of FATCA for your beneficiary/shareholder (the beneficiary/shareholder will be the owner of the account for the purposes of FATCA), and please upload it at the end of this Questionnaire.
18. Does the entity have a Global Intermediary Identification Number (GIIN)?
  • Please indicate GIIN
If your answer is «Yes» and selected «Yes» for question 14, please answer question 19.

If you selected «No» here and «Yes» for question 14 please answer question 20.
19. If the entity is a financial institution with GIIN or is in the process of registration on the FATCA Portal for obtaining GIIN, please indicate its status for the FATCA purposes (select one of the options)


Select the status that you specified during the registration portal on the IRS
20. If the entity is a financial institution without GIIN and is not in the process of registration on the FATCA Portal for obtaining GIIN, please indicate if the entity has the status of an FFI which does not require registration on the FATCA Portal
If you selected “Yes”, please complete Annex1 and submit all Form W8 documents. If you selected “No”, your entity will be classified as a non-participating foreign financial institution (NPFFI).
21. If the entity is a nonfinancial entity, please indicate its status for the CRS purposes (select one of the options)
If you selected «Active NFE», please complete Annex 3.

If you selected «Any other entity, that is NOT included in the list of entities, indicated in Annex 3 (Passive NFE)» please complete Annex 4B «Beneficial Owner (Controlling Person) Identification Questionnaire for Individuals» for the beneficial owner (controlling person) of the entity (or structure established in any form other than a legal entity) who directly or indirectly owns more than 25% of share capital or who exercises control through other means and please upload it at the end of this Questionnaire.

Annex 1. Identification of FATCA-compliant FFIs that are not obliged to register on FATCA Portal

Status of FATCA compliant FFIs that are not obliged to register on FATCA Portal

Account Beneficiary Identification Questionnaire

1 If you provide W-9 form, the entity will have a US person status, indicated in the provided form W-9.
2 W-8EXP form is required from organizations exempt from withholding tax in the US; W-8IMY form is required from any Intermediary.
3 The Entity’s gross income attributable to holding financial assets and related financial services equals or exceeds 20 per cent of the entity’s gross income during the shorter of:
• the three-year period ending on December 31 of the year preceding the year in which this questionnaire is completed;
• or the period during which the entity has been in existence
4 The Entity will be regarded as an investment entity if the Entity’s gross income attributable to investment activities equals or exceeds 50 per cent of the entity’s gross income during the shorter of:
• the three-year period ending on December 31 of the year preceding the year in which this questionnaire is completed;
• or the period during which the entity has been in existence
5 An entity is a holding company if its primary activity consists of holding (directly or indirectly) all or part of the outstanding stock of one or more members of its expanded affiliated group (or related entities).
6 An entity is a treasury center if the primary activity of such entity is to enter into investment, hedging, and financing transactions with or for members of its expanded affiliated group (or related entities).
7 An entity is considered to be part of an expanded affiliated group or considered to be a related entity of another entity if either entity controls the other entity, or the two entities are under common control. For this purpose control includes direct or indirect ownership of more than 50 per cent of the vote and value in an entity.
5 A disregarded entity is a company that is not considered a taxpayer for the purposes of US tax legislation. The company's owner/shareholder will be regarded as a US taxpayer on the company's revenue. Companies that meet the two following requirements are considered to be disregarded entities:
  • Requirement 1: the company has a sole owner/shareholder;
  • AND
  • Requirement 2:
    1. the company is a company with unlimited liability in accordance with national laws (its owner/shareholder bears unlimited personal responsibility for any debts and claims against the company);
    2. OR
    3. the company is a limited liability company in accordance with national laws, and it:
      • is not a corporation (an analogue of an OJSC or PJSC);
      • AND
      • made a choice to consider itself as a disregarded entity by completing the required IRS forms (with regard to foreign (non-US) companies)/ did not make a choice to consider itself as a disregarded entity by completing the required IRS forms (with regard to US companies).

Russian legislation contains no analogue of the "disregarded entity" term.

9 «The consent of the Client for transfer of information to foreign tax authorities represents the consent for transfer of information to the Central Bank of the Russian Federation and other competent authorities of the Russian Federation (section 6, clause 2 of the Federal Law of 28.06.2014 №173-FZ)»
10 If the following conditions are met: one or more classes of the stock of the corporation (1) were listed on one or more established securities markets during the prior calendar year and (2), in aggregate, represent more than 50% of (a) the total combined voting power of all class of stock of such corporation entitled to vote and (b) the total value of the stock of such corporation and (3) the aggregate number of shares in each class that are traded on such market during the prior year are at least 10% of the average number of shares outstanding in that class during the prior calendar year. The possibility of application of this status should be analysed on a case-by-case basis and will depend on the market where the stock is traded.
11 An entity is considered to be a related entity of another entity if either entity controls the other entity, or the two entities are under common control. For this purpose control includes direct or indirect ownership of more than 50 per cent of the vote and value in an entity.
12 Controlling person – an individual who directly or indirectly owns more than 25% of share capital or who exercises control over the entity (or structure established in any form other than a legal entity) through other means.