When establishing or maintaining a business entity's structure in South Carolina, the ABL-919 Form plays a crucial role in ensuring compliance with the Department of Revenue's requirements. This form, formally known as the Entity Structure Supplemental Information Form, is a necessary document for businesses operating within the state, particularly for those involved in activities requiring licenses related to alcohol, beverages, and liquor (ABL). Updated last on August 16, 2021, the ABL-919 form requires detailed information about the management structure of the legal entity in question, whether it's an LLC, a partnership, or another form of organization. Businesses are required to disclose the names and ownership percentages of members, managers, or partners, depending on the entity's management style. The form serves a dual purpose: it helps in maintaining accurate state records and ensures accountability and transparency within the entity's operational structure. Moreover, the form includes a perjury clause, emphasizing the seriousness of providing truthful and accurate information. Submitting this form is a critical step in either obtaining or retaining the licenses necessary for operating legally within South Carolina, making it an indispensable document for business owners and operators in the state.
| Question | Answer |
|---|---|
| Form Name | Form Abl 919 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | STATE OF SOUTH CAROLINA DEPARTMENT OF REVENUE C-268 ... |
1350
dor.sc.gov
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
ENTITY STRUCTURE
SUPPLEMENTAL INFORMATION FORM
(Rev. 8/16/21)
4378
Mail to: SCDOR, ABL Section, PO Box 125, Columbia, SC
Email: ABL@dor.sc.gov
Legal entity name:
Check the number that applies and provide the requested information.
1.This LLC is managed by its Members:
•Listed below is the name of every Member that has an ownership interest in the LLC.
2.This LLC is managed by its Managers:
•Listed below is the name of every Manager of the LLC and/or every member that has an ownership of 25% or more.
3.This is a Partnership:
•Listed below is the name of every Partner. The total share of the partners' ownership must equal 100%.
Individual, LLC, Corporation name, or Partner
Title (member, manager, or partner)
Percentage of ownership
If there are more than eight members, managers, or partners, attach a complete list.
I,__________________________________, upon being first duly sworn, do hereby acknowledge and affirm
(Principal's name)
that I have fully provided all information requested, and that information is true and correct.
I understand that a misstatement or concealment of fact in an application is sufficient grounds for the revocation of the license and/or permit. Under penalties of perjury, I declare that I have read and understood this form and the information I have provided herein is true, correct, and complete.
Principal's signature |
Date |
43781012