Flavon USA, LLC.

1370 North US 1, Suite 206,

Ormond Beach, Florida 32174

TIN: 45-4887162

Phone: +1-386-872-3606

Toll free: +1-855-352-8668

BUSINESS ENTITY INFORMATION FORM

Name of primary contact for entity: ....................................................................................................................................................................

E-mail of primary contact for entity: ...................................................................................................................................................................

SPONSOR INFORMATION • Sponsor’s name: ...................................................................... Sponsor’s IFC ID#: ................................

Please fill in the following sections with the information for all persons and/or entities with a beneficial interest in 

this business entity. If more sections needed, attach a separate page to this form when submitting.

1) 

Name:   ...................................................................................................................... IFC  ID#:  ....................................................................

Position in the company: ...................................................... E-mail: ........................................................... Phone: .........................................

Signature: 

....................................................................................................................... Date: ..........................................................................

2) 

Name:   ...................................................................................................................... IFC  ID#:  ....................................................................

Position in the company: ...................................................... E-mail: ........................................................... Phone: .........................................

Signature: 

....................................................................................................................... Date: ..........................................................................

3) 

Name:  ...................................................................................................................... IFC ID#: ...................................................................

Position in the company: ...................................................... E-mail: ........................................................... Phone: .........................................

Signature: 

....................................................................................................................... Date: ..........................................................................

4) 

Name:   ...................................................................................................................... IFC  ID#:  ....................................................................

Position in the company: ...................................................... E-mail: ........................................................... Phone: .........................................

Signature: 

....................................................................................................................... Date: ..........................................................................

who hereby state that they have beneficial interest in the above mentioned business entity and their commissions deriving 

from Flavon USA LLC will be invoiced through this company.

The following documents are also necessary when submitting this form:

• 

Copy of Articles of incorporation, Partnership agreement, Trust documents or other legal 

 

documents of the business entity

• 

IRS letter assigning EIN of the business entity

Address: .................................................................................................. 

Phone: .....................................................................................................

City, State, ZIP: ........................................................................................ 

E-mail: ......................................................................................................

Please complete this form in its entirety and return it to the mailing adress of Flavon USA, LLC.

Please  review  the  most  current  version  of  the  Independent  Flavon  Consultant  (IFC)  Agreement

and the Policies and Procedures of Flavon max Network before completing and submitting this

document.

Name of business entity: .....................................................................................................................................................................................

Type of entity: Corporation (LLC) 

 

Partnership   

Trust   

 

 

E.I.N.: _ _ _ _ _ _ _ _ _

Signature of primary contact

Company seal

City, State, Date