Annual Economic Substance Notification

* Denotes Required Inputs

Client Reference Number:*

Incorporation/Registration Number:*

Economic Substance Reporting Period:*

Did the entity carry on a Relevant Activity, as defined in the ES Law 2018, during the year?*i

"Relevant Activity" means - (a) banking business; (b) distribution and service centre business; (c) financing and leasing business; (d) fund management business; (e) headquarters business; (f) holding company business; (g) insurance business; (h) intellectual property business; or (i) shipping business;

Banking Business i
"Banking Business" has the meaning given to that expression by section 2 of the Banks and Trust Companies Law (2018 Revision);
Distribution and Service Centre Business i
"Distribution And Service Centre Business" means the business of either or both of the following - (a) purchasing from an entity in the same Group - (i) component parts or materials for goods; or (ii) goods ready for sale, and reselling such component parts, materials or goods outside the Islands; (b) providing services to an entity in the same Group in connection with the business outside the Islands, but does not include any activity included in any other relevant activity except holding company business;
Financing and Leasing Business i
"Financing And Leasing Business" means the business of providing credit facilities for any kind of consideration to another person but does not include financial leasing of land or an interest in land, banking business, fund management business or insurance business;
Fund Management Business i
"Fund Management Business" means the business of managing securities as set out in paragraph 3 of Schedule 2 to the Securities Investment Business Law (2015 Revision) carried on by a relevant entity licensed under that Law for an investment fund;
Headquarters Business i
"Headquarters Business" means the business of providing any of the following services to an entity in the same Group - (a) the provision of senior management; (b) the assumption or control of material risk for activities carried out by any of those entities in the same Group; or (c) the provision of substantive advice in connection with the assumption or control of risk referred to in paragraph (b), but does not include banking business, financing and leasing business, fund management business, intellectual property business, holding company business or insurance business;
Holding Company Business i
"Holding Company Business" means the business of a pure equity holding company. activities may include, for example, ownership of a bank account, governance decisions, entering into contractual arrangements with professional or other service providers, and the payment of fees and expenses. The ownership of any other form of investment or asset (for example, an interest bearing bond, government securities, legal or beneficial interests in real property), even if held in addition to one or more equity participations, will result in the entity falling outside this definition. Similarly, where a relevant entity undertakes other activities or earns other income that is not part of, or incidental to, its business as a pure equity holding company, it is outside the scope of the pure equity holding company business definition and will instead need to meet the higher substance requirements, if applicable, for any relevant activity it carries on.
Insurance Business i
"Insurance Business" has the meaning given to that expression by section 2 of the Insurance Law, 2010;
Intellectual Property Business i
"Intellectual Property Business" means the business of holding, exploiting or receiving income from intellectual property assets, that is, an intellectual property right including a copyright, design right, patent and trademark;
Shipping Business i
"Shipping Business" means any of the following activities involving the operation of a ship anywhere in the world other than in the territorial waters of the Islands or between the Islands - (a) the business of transporting, by sea, passengers or animals, goods or mail for a charge; (b) the renting or chartering of ships for the purpose described in paragraph (a); (c) the sale of travel tickets and ancillary ticket related services connected with the operation of a ship; (d) the use, maintenance or rental of containers, including trailers and other vehicles or equipment for the transport of containers, used for the transport of anything by sea; or (e) the functioning as a private seafarer recruitment and placement service,

Yes No

Check this box if the Cayman Islands Monetary Authority ("CIMA"), Financial Institution ("FI") or Global Intermediary Identification Number ("GIIN") numbers provided below relate to another investment fund that directly or indirectly invests or operates through the entity.

Please complete one or more of the below fields. If you do not have a number, please confirm by clicking the appropriate box.

CIMA Type:

Number:i

The CIMA number can be found at https://www.cima.ky/search-entities

Confirm the entity does not have a CIMA Type and Number

Financial Institution:i

Financial Institution (FI) Number -Assigned to an entity registered on the Cayman Islands Automatic Exchange of Information Portal for FATCA/CRS purposes. If registered, the number can be found (by a registered user) on the first screen after logging into the Cayman Islands AEOI Portal. FI number format is comprised of FI and six digits. For example, FI049659

Confirm the entity does not have the FI Number.

IRS GIIN:i

IRS Global Intermediary Identification Number (GIIN) - Assigned by the IRS to Financial Institutions registered for FATCA with The FATCA Registration System. If registered, the GIIN can be found by using the IRS GIIN search tool. IRS GIIN format is comprised of numbers and letters (except letter "O"). For example, A9B8C7.12345.SF.123

Confirm the entity does not have the IRS GIIN.

Which exemption does it qualify for?*

Tax resident outside of the Cayman Islands A domestic company i

"Domestic Company" means a company that is not part of an MNE Group and that is - (a) carrying on business in the Islands and which complies with section 4(1) of the Local Companies (Control) Law (2015 Revision) or section 3(a) of the Trade and Business Licensing Law (2018 Revision); (b) a company referred to in section 9 or 80 of the Companies Law (2018 Revision), or a subsidiary company of any such company;

Confirm the entity is not part of an MNE Group,i

"MNE Group" means any Group that - (a) includes two or more enterprises for which the tax residence is in different jurisdictions or includes an enterprise that is resident for tax purposes in one jurisdiction and is subject to tax with respect to the business carried out through a permanent establishment in another jurisdiction; and (b) is not an Excluded MNE Group; "Excluded MNE Group" means, with respect to any Fiscal Year of the Group, a Group having total consolidated group revenue of less than eight hundred and fifty million United States Dollars during the Fiscal Year immediately preceding the Reporting Fiscal Year as reflected in its Consolidated Financial Statements for such preceding Fiscal Year;

is only carrying on business in the Islands and complies with Section 3(a) of the Trade and Business Licensing Law ("TBL")i

The TBL can be found here: http://www.gov.ky/portal/pls/portal/docs/1/12756509.PDF

Confirm the entity is not part of an MNE Group, is only carrying on business in the Islands and licenced under Section 4(1) of the Licenses ("LCCL"). i

The LCCL can be found here http://www.gov.ky/portal/pls/portal/docs/1/12754625.PDF

Confirm the entity is not part of an MNE Group and is a company referred to in Section 80 or Section 9 of the Companies Law (2018 Revision). i

The Companies Law can be found here: https://www.cima.ky/upimages/commonfiles/CompaniesLaw2018Revision_1543503729.PDF

, on behalf of

acknowledge that by submitting this form I hereby confirm that I am an authorised signatory of the entity, and I acknowledge that Genesis Trust & Corporate Services Ltd. ("Genesis") will make a submission to the Cayman Islands Tax Information Authority, based on the information provided in this form. I acknowledge that there are sanctions as outlined in Section 13(2) of the ES Law 2018 for providing inaccurate information and I confirm that the entity will indemnify Genesis for any liability that may result from the submission of inaccurate information. I also acknowledge that Genesis will make the submission without undertaking any investigation or verification of the information I am providing.

By submitting this form, I further confirm that I, or another authorised signatory of the entity, will immediately advise Genesis should any of the information submitted, as required by Law and/or the regulations, cease to be true.

Annual Economic Substance Notification

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