Business Entity Registration FormBusiness Entity Registration FormThe Movie Book Club, LLC2838 South Bronson Avenue, Los Angeles, California 90018www.themoviebookclub.com Tel. (800) 737-2514 Fax (323) 544-2754Business Entity AddendumIf you are applying to become a The Movie Book Club Independent Buzz Builder using any business form other than a sole proprietorship, this Business Entity Addendum must be completed and submitted with your Independent Buzz Builder Application and Agreement. Independent Buzz Builder InformationFederal Tax ID Number of Applicant EntityName of Business EntityContact PersonTitleEntity’s Buzz Builder ID NumberBusiness Office AddressBusiness PhoneMobile PhoneEmail Address 1. Type of business entity Proprietorship doing business under an assumed name Corporation Partnership Trust OtherSponsor Information Identities of ALL Owners is necessary.NameTitleAddressBusiness PhoneMobile PhoneEmail Address Are there any more Owners (shareholders, partners, members, trustees, beneficiaries, or others have any legal or equitable interest) in the entity? Yes NoNameTitleAddressBusiness PhoneMobile PhoneEmail Address Are there any more Owners (shareholders, partners, members, trustees, beneficiaries, or others have any legal or equitable interest) in the entity? Yes NoNameTitleAddressBusiness PhoneMobile PhoneEmail Address
