Open an Account – Zodiac Bullion LLC

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Open an account with us:

- Step 1 of 4

1. COMPANY DETAILS

Name *

Email *

Phone *

Registered Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Business Address (if different from the registered address)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Business Activities *

Country of Incorporation *

Incorporation Date *

Business Registration Number *

Tax Identification/Registration Number *

License Number

License Expiry Date

External financial auditors since date

How many direct and indirect subsidiaries does the company have? *

Provide a group chart

2. BUSINESS ACTIVITY

Type of Business: *

Large-scale (<100,000 oz / year)
Medium scale (30-100,000 oz / year)
Small-scale (> 100,000 oz / year)
Others

In which countries do you currently trade your precious metals? *

Specify the business type:

Description of the main commercial activity *

3. BENEFICIARY OWNERS

Shareholders (More than 25%)

Shareholder 1 Percentage (%) *

Person 1

Shareholder 1 Name *

Shareholder 1 Address *

Shareholder 1 Date of Incorporation/DOB *

Date of Incorp. / DOB

Shareholder 2 Percentage (%)

Person 2

Shareholder 2 Name

Shareholder 1 Address

Shareholder 2 Date of Incorporation/DOB

Date of Incorp./DOB

Shareholder 3 Percentage (%)

Person 3

Shareholder 3 Name

Shareholder 3 Address

Shareholder 3 Date of Incorporation/DOB

Date of Incorp./DOB

Final effective owner (more than 25% - Only individual)

Final owner 1 Percentage (%) *

Owner 1

Final owner 1 Name *

Final owner 1 Address *

Final owner 1 Date of Incorporation/DOB *

Date of Incorp./DOB

Final owner 2 Percentage (%)

Owner 2

Final owner 2 Name

Final owner 2 Address

Final owner 2 Date of Incorporation/DOB

Date of Incorp./DOB

4. ADMINISTRATION STRUCTURE

Board of Directors

Directors Name *

Directors Title *

Directors Nationality *

Directors Date of Birth *

Senior Management

Senior Management Name *

Senior Management Title *

Senior Management Nationality *

Senior Management Date of Birth *

5. FINANCIAL INFORMATION

5.1. Financial statement details

Paid up Capital

Paid up Capital Currency *

Paid up Capital Last Report Period *

Paid up Capital Last year *

Purchase

Purchase Currency

Purchase Last Report Period

Purchase Last year

Sales

Sales Currency

Sales Last Report Period

Sales Last year

Net Income

Net Income Currency

Net Income Last Report Period

Net Income Last year

5.2 Other Financial Information

Financing source of operation

Own capital: *

Government entity name: *

Bank loan name: *

Third party loan name: *

What usual payment method does the Company use to pay its suppliers?

Bank transfer *

Percentage (%)

Checks *

Percentage (%)

Cash *

Percentage (%)

5.3 BANK DETAILS

Account name / Beneficiary name *

Bank name *

Currency (use single currency) *

IBAN number *

Account number *

Swift Code *

Address and Country *

6. HUMAN RESOURCES

No. of employees in the company *

No. of employees in the group *

7. PRECIOUS RESPONSIBLE METAL SUPPLY CHAIN POLICY

Has your company established a responsible gold supply chain for conflict-affected and high-risk areas policy that is consistent with the standards set out in the model supply chain policy in Annex II of the OECD for Responsible Supply Chains of Conflicting Minerals - Affected and High-Risk Areas? *

Does your company comply with or plan to comply with the OECD Due Diligence Guide for Responsible Mineral Supply Chains in Conflict Affected and High-Risk Areas? *

What are the established procedures to guarantee that the precious metals purchased have not financed conflicts? *

8. POLITICALLY EXPOSED PERSON (“PEP”) STATUS

"PEP": Entrusted with prominent public functions, for example Heads of State or of government, a government minister, a senior public servant, a senior judicial or military official, a senior executive of a state-owned corporation, a member of the legislature, a senior official of a political party, or a member of the senior management of an international organization.

Do any of your directors, shareholders or authorized personnel hold, have previouslyheld or actively seeking a position or being considered for a prominent public position? *

If yes, Please provide details of the position below (title, department, country, etc)

Do any family member/close associate of your directors, shareholders or authorized personnel hold, have previously held or actively seeking a position or being considered for a prominent public position? *

If yes, Please provide details of the position below (title, department, country, etc)

9. ADDITIONAL DISCLOSURE

Have any of the directors, shareholders, or authorized personal been the subject of any proceedings of a disciplinary or criminal nature of have been notified of any potential proceedings or investigation, under any law in any jurisdiction? *

If yes, Please describe below

Have any directors, shareholders or authorized personal been convicted for any offence or is being subject to any pending proceedings relating to money laundering or terrorist financing? *

If yes, Please describe below