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Submitted URL: https://www.americanexpress.com/us/companykyc/
Effective URL: https://oneforms.americanexpress.com/iForms/open/kycAssociate_en_US?page=1
Submission: On August 12 via manual from US — Scanned from NL

Form analysis 1 forms found in the DOM

<form>
  <div class="row">
    <h1 class="heading-4 margin-2-tb pad-2-tb dls-white dls-deep-blue-bg col-md-12">American Express® USA Corporate Program: Know Your Customer (KYC)</h1>
  </div>
  <div class="row">
    <p class="label-3 col-md-12  margin-1-b "><a class="link-underlined" rel="noopener noreferrer" target="_blank" href="https://www.americanexpress.com/en-us/company/corporate-updates/">General Instructions</a></p>
  </div>
  <div class="row">
    <p class="label-2 col-md-12 dls-bright-blue">What is this form?</p>
  </div>
  <div class="row">
    <p class="body-1 col-md-12 margin-2-b">To help the government fight financial crime, Federal regulation requires certain financial institutions to obtain, verify, and record information about the beneficial owners of legal entity customers. Legal
      entities can be abused to disguise involvement in terrorist financing, money laundering, tax evasion, corruption, fraud, and other financial crimes. Requiring the disclosure of key individuals who own or control a legal entity (i.e., the
      beneficial owners) helps law enforcement investigate and prosecute these crimes.</p>
  </div>
  <div class="row">
    <p class="label-2 col-md-12 dls-bright-blue">What information do I have to provide?</p>
  </div>
  <div class="row">
    <p class="body-1 col-md-12">We will need details of all legal entities that are part of your American Express<sup>®</sup> USA Corporate Card Program. We also require you to provide the name, address, date of birth, and Social Security number (in
      the case of non-U.S. individuals, details of a government-issued identification document) for the following:</p>
  </div>
  <div class="row">
    <p class="body-1 col-md-12 pad-4-l margin-2-b"></p>
    <ol>
      <li>The Authorizing Officer certifying this document.</li>
      <li>Each individual, if any, who owns, directly or indirectly, 25 percent or more of the equity interests of this legal entity customer (e.g., each natural person that owns 25 percent or more of the shares of a corporation); and</li>
      <li>An individual with significant responsibility for managing the legal entity customer (e.g., a Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner, President, Vice President, or
        Treasurer).</li>
    </ol>
    <p></p>
  </div>
  <div class="row">
    <p class="label-2 col-md-12 dls-bright-blue">Could my company be exempt from providing beneficial owner information?</p>
  </div>
  <div class="row">
    <p class="body-1 col-md-12 margin-2-b">If an exclusion applies to any of the legal entity(ies) you are providing information for, you can specify it in the form in the Exclusions section. You would not be asked to provide beneficial owner(s)
      information for any legal entity that qualifies for an exclusion. You can see the list of exclusions
      <a class="link-underlined" rel="noopener noreferrer" target="_blank" href="https://www.americanexpress.com/content/dam/amex/en-us/company/corporate-updates/US-Corporate-KYC-Beneficial-owner-exclusions.pdf">here</a>.</p>
  </div>
  <div class="row">
    <p class="label-2 col-md-12 dls-bright-blue">Who can certify this form?</p>
  </div>
  <div class="row">
    <p class="body-1 col-md-12 margin-2-b">This form must be certified by an Authorizing Officer, who is an individual with the authority to open accounts on behalf of these legal entities.</p>
  </div>
  <div class="row">
    <p class="label-2 col-md-12 dls-bright-blue">Need more information?</p>
  </div>
  <div class="row">
    <p class="body-1 col-md-12 margin-2-b">For more instructions on how to provide these details, please refer to our
      <a class="link-underlined label-2 dls-bright-blue" rel="noopener noreferrer" target="_blank" href="https://www.americanexpress.com/content/dam/amex/en-us/company/corporate-updates/US-Corporate-KYC-Company-Flyer.pdf">Company KYC guide</a>. If
      you have questions or would like to learn more about our KYC refresh program, please visit our
      <a class="link-underlined label-2 dls-bright-blue" rel="noopener noreferrer" target="_blank" href="https://www.americanexpress.com/en-us/company/corporate-updates/">FAQ</a> page for Frequently Asked Questions and other supporting materials.</p>
  </div>
  <div class="row text-align-center">
    <div class="col-md-12"><button id="continue" type="submit" class="btn btn-block margin-3-b margin-auto-lr continue css-19hct2l">Continue</button></div>
  </div>
</form>

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AMERICAN EXPRESS® USA CORPORATE PROGRAM: KNOW YOUR CUSTOMER (KYC)

General Instructions

What is this form?

To help the government fight financial crime, Federal regulation requires
certain financial institutions to obtain, verify, and record information about
the beneficial owners of legal entity customers. Legal entities can be abused to
disguise involvement in terrorist financing, money laundering, tax evasion,
corruption, fraud, and other financial crimes. Requiring the disclosure of key
individuals who own or control a legal entity (i.e., the beneficial owners)
helps law enforcement investigate and prosecute these crimes.

What information do I have to provide?

We will need details of all legal entities that are part of your American
Express® USA Corporate Card Program. We also require you to provide the name,
address, date of birth, and Social Security number (in the case of non-U.S.
individuals, details of a government-issued identification document) for the
following:

 1. The Authorizing Officer certifying this document.
 2. Each individual, if any, who owns, directly or indirectly, 25 percent or
    more of the equity interests of this legal entity customer (e.g., each
    natural person that owns 25 percent or more of the shares of a corporation);
    and
 3. An individual with significant responsibility for managing the legal entity
    customer (e.g., a Chief Executive Officer, Chief Financial Officer, Chief
    Operating Officer, Managing Member, General Partner, President, Vice
    President, or Treasurer).



Could my company be exempt from providing beneficial owner information?

If an exclusion applies to any of the legal entity(ies) you are providing
information for, you can specify it in the form in the Exclusions section. You
would not be asked to provide beneficial owner(s) information for any legal
entity that qualifies for an exclusion. You can see the list of exclusions here.

Who can certify this form?

This form must be certified by an Authorizing Officer, who is an individual with
the authority to open accounts on behalf of these legal entities.

Need more information?

For more instructions on how to provide these details, please refer to our
Company KYC guide. If you have questions or would like to learn more about our
KYC refresh program, please visit our FAQ page for Frequently Asked Questions
and other supporting materials.

Continue

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