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NEW YORK STATE DEPARTMENT OF HEALTH
WADSWORTH CENTER
CLINICAL LABORATORY EVALUATION PROGRAM
EMPIRE STATE PLAZA, P.O. BOX 509
ALBANY, NEW YORK 122010509Disclosure of Ownership and
Controlling Interest
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How to fill out controlling interest statement

How to fill out controlling interest statement
01
Gather all relevant information and documents regarding the entity for which you are filling out the controlling interest statement.
02
Start by providing basic information about the entity, such as its name, address, and identification number.
03
Clearly state the purpose of the controlling interest statement and describe the nature of the control that is being asserted.
04
Provide details about the specific interests and assets that are being controlled. This may include ownership of shares, voting rights, or decision-making authority.
05
Include information about any agreements or contracts that govern the control of the entity, such as shareholder agreements or partnership agreements.
06
Clearly indicate the individuals or entities that hold the controlling interest, including their names, contact information, and percentage of ownership or control.
07
Include any additional relevant information that may be required by the governing authority or organization for which the controlling interest statement is being prepared.
08
Review the completed controlling interest statement for accuracy and completeness before submitting it.
09
Keep a copy of the completed controlling interest statement for your records.
Who needs controlling interest statement?
01
Companies or organizations that have multiple shareholders or stakeholders may need to prepare a controlling interest statement.
02
Investors or lenders who want to assess the level of control exerted over a particular entity may require a controlling interest statement.
03
Regulatory bodies or government authorities may require entities to submit controlling interest statements as part of compliance or reporting obligations.
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Business partners or potential acquirers may request a controlling interest statement to evaluate the amount of control they would have in a partnership or acquisition.
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Legal professionals or advisors may need controlling interest statements to provide legal guidance or advice to their clients.
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Individuals or entities involved in disputes or litigation related to control or ownership of an entity may use controlling interest statements as evidence or to clarify their position.
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What is controlling interest statement?
Controlling interest statement is a document that identifies individuals or entities that have a significant ownership or controlling interest in a company.
Who is required to file controlling interest statement?
Any company or organization that has shareholders, investors, or other stakeholders with significant ownership or control over the company.
How to fill out controlling interest statement?
Controlling interest statement can typically be filled out online or through a paper form provided by the relevant government agency or regulatory body.
What is the purpose of controlling interest statement?
The purpose of controlling interest statement is to provide transparency and accountability regarding ownership and control of a company.
What information must be reported on controlling interest statement?
Information such as names of individuals or entities with controlling interest, percentage of ownership or control, and relationship to the company.
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