Business Entity Registration Form
How to register a corporation, LLC, partnership, or trust as an IA.
Form Version: November 2025
Overview
A corporation, Limited Liability Company (LLC), partnership, or trust (collectively a "Business Entity") may apply to become an IA. All documentation must be accompanied by proof of government-issued tax identification.
Submit to: compliance@corsairconnect.com
Entity Types
| Entity Type | Form Section |
|---|---|
| Proprietorship (DBA) | Section 5 |
| Corporation | Section 6 |
| Limited Liability Company (LLC) | Section 7 |
| Partnership | Section 8 |
| Trust | Section 9 |
IA Information (All Entity Types)
Complete this section regardless of entity type:
| Field | Required |
|---|---|
| Federal Tax ID Number of IA Entity | Yes |
| Name of Entity (Corporation, LLC, Partnership, Trust, or DBA) | Yes |
| Contact Person | Yes |
| Street Address | Yes |
| Suite Number | If applicable |
| P.O. Box | If applicable |
| City, State, Zip | Yes |
| Phone | Yes |
| Fax | If applicable |
| Yes |
Agreement to Arbitrate
By signing, the authorized representative confirms:
"I represent that I have authority to bind the above listed business entity to arbitration as set forth in the terms and conditions of the Corsair Connect Independent Associate Application, Policies and Procedures, and Compensation Plan (collectively the 'Agreement'), all of which I acknowledge I have read and agree to."
Key acknowledgments:
- Entity agrees to arbitrate all disputes
- Gives up right to jury trial
- All ownership transfers subject to IA Policies and Procedures
Enroller Information
| Field | Required |
|---|---|
| Enroller Name | Yes |
| Enroller IA Identification Number | Yes |
| Assumed Name (if applicable) | If applicable |
Section 5: Proprietorship (DBA)
For proprietorships operating under an assumed name.
Required Information
| Field | Required |
|---|---|
| Business Name (DBA) | Yes |
| Owner 1 Name (Printed) | Yes |
| Owner 1 Signature | Yes |
| Owner 1 Social Security Number | Yes |
| Owner 2 Name (if applicable) | If applicable |
| Owner 2 Signature | If applicable |
| Owner 2 Social Security Number | If applicable |
Required Attachments
- True and correct copy of documentation filed with the state in which the proprietorship resides
Acknowledgments
Each owner acknowledges:
- Authorized to sign any document necessary to conduct business
- Jointly and severally liable for all contracts
- Personally and individually bound to IA Application, Policies and Procedures, and Compensation Plan
Section 6: Corporation
Required Information
| Field | Required |
|---|---|
| Name of Corporation | Yes |
| State of Incorporation | Yes |
Shareholder/Director/Officer Information
List ALL of the following (use additional pages if necessary):
| Field | Required |
|---|---|
| Name | Yes |
| SSN | Yes |
| Address | Yes |
| Phone | Yes |
| Title/Position | Yes |
Corporate Resolution
Must include resolution stating:
"Resolved that [Name of Corporation] is authorized to enter into Corsair Connect Independent Associate Application with Corsair Connect and to execute any and all documents necessary to conduct business with Corsair Connect."
| Field | Required |
|---|---|
| Date Resolution Adopted | Yes |
| President Signature | Yes |
| Secretary Signature | Yes |
| Corporate Seal | Yes |
Required Attachments
- True and correct copy of Articles of Incorporation filed with the state
Acknowledgments
Each shareholder, director, and officer acknowledges they are personally and individually bound to the Agreement.
Section 7: Limited Liability Company (LLC)
Required Information
| Field | Required |
|---|---|
| Name of LLC | Yes |
| State of Registration | Yes |
Member/Manager/Officer Information
List ALL of the following (use additional pages if necessary):
| Field | Required |
|---|---|
| Name | Yes |
| SSN | Yes |
| Address | Yes |
| Phone | Yes |
| Title/Position | Yes |
Required Signatures
All members must sign, with date.
Required Attachments
- True and correct copy of Articles of Organization filed with the state
- Copy of LLC Operating Agreement
Acknowledgments
Each member acknowledges:
- Authorized to sign any document necessary to conduct business
- Jointly and severally liable for all contracts
- Personally and individually bound to the Agreement
Section 8: Partnership
Required Information
| Field | Required |
|---|---|
| Name of Partnership | Yes |
| Date Partnership Agreement Formed | Yes |
Partner Information
List ALL partners (use additional pages if necessary):
| Field | Required |
|---|---|
| Name | Yes |
| SSN | Yes |
| Address | Yes |
| Phone | Yes |
| Title/Position | Yes |
Required Signatures
All partners must sign, with date.
Required Attachments
- True and correct copy of the Partnership Agreement
Acknowledgments
Each partner acknowledges:
- Authorized to sign any document necessary to conduct business
- Jointly and severally liable for all contracts
- Personally and individually bound to the Agreement
Section 9: Trust
Required Information
| Field | Required |
|---|---|
| Name of Trust | Yes |
| Date Trust Created | Yes |
Trustee Information
List ALL trustees (use additional pages if necessary):
| Field | Required |
|---|---|
| Name | Yes |
| SSN | Yes |
| Address | Yes |
| Phone | Yes |
| Title/Position | Yes |
Required Signatures
| Field | Required |
|---|---|
| Trustee 1 Name (Printed) | Yes |
| Trustee 1 Signature | Yes |
| Trustee 2 Name (Printed) | If applicable |
| Trustee 2 Signature | If applicable |
| Trustee 3 Name (Printed) | If applicable |
| Trustee 3 Signature | If applicable |
Required Attachments
- True and correct copy of the Trust Document
Acknowledgments
Each trustee acknowledges they are personally and individually bound to the Agreement.
Important Restrictions
12-Month Waiting Period (P&P Section 2.6)
It is NOT permissible for any shareholder, officer, director, partner, member, trustee, or beneficiary of a Business Entity applying to be an IA to have been an IA within the preceding 12 calendar months as:
- An individual
- A partner of another IA partnership
- A stockholder, officer, or director of an IA corporation
- A member of another IA LLC
- A trustee or beneficiary of an IA trust
Exception: Section 2.6.1 permits one personal IA position plus one additional business entity position under the same sponsor.
Multiple Business Entities (Section 2.6.1)
- Maximum: 2 Corsair Connect businesses per individual
- Additional entity must be under same sponsor as initial position
- Maximum 2 IA positions at the same address
Entity Changes (Section 2.6.6)
To change from individual to entity (or entity to entity):
- Fee: $100.00 per change
- Processed once per year only
- Must submit by November 30 to be effective January 1
Submission Checklist
- All IA information fields completed
- Appropriate section (5-9) completed based on entity type
- All required signatures obtained
- All required attachments included
- Government-issued tax ID proof included
- Submitted to compliance@corsairconnect.com
Processing
| Stage | Timeline |
|---|---|
| Receipt confirmation | 2 business days |
| Review | 5-10 business days |
| Approval/Rejection | Written notification |
Contact
Questions about business entity registration:
- Email: compliance@corsairconnect.com
- Subject: Business Entity Registration - [Your IA ID]