Corporate Application - US EN

Know Your Customer (KYC) Disclosure Requirements for ENTITIES

You will need the following items to complete this application:

Color picture of front and back of driver’s license, state ID, or current passport
Selfie with your face, the front of your ID, and a handwritten note that says “Athena Plus” in the same picture. ID must be readable.
Filled out and signed W-9 form (you can download this later in the application)
Picture or PDF of the last 30 days of your bank statement which shows the account holder name, address, and the last four digits of the account number. This must be the bank that you intend to use for wires to/from Athena Plus. Screenshots from your cell phone/computer are not acceptable!
A copy of the operating agreement for the company. If you are not the majority owner of the company and there are other partners, we will require a release signed by the other partners indicating that you are able to trade on behalf of the company. We will send the release to you.

P.O. Boxes are not acceptable on any document

Legal Name of Entity *

Business Address *

Address Line 1

Address Line 2

City

State

Zip Code

Business Website

Business Phone Number *

Business Email *

Industry *

Goods and Services (please be specific)

Company KYC

Accessor 1 Full Name *

First

Last

Role at Company *

Residential Address (no PO Boxes) *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Email *

Date of Birth *

% Interest in the Company *

Citizenship *

e.g., United States, Canada, etc.

Upload front of ID for Accessor 1 *

Click or drag a file to this area to upload.

Photos of the front (showing all four corners) of a current government-issued ID. If you are a US citizen, you may use your state issued Driver’s License or ID.

File format allowed: .jpg or .jpeg.

Upload back of ID for Accessor 1 *

Click or drag a file to this area to upload.

Photos of the back (showing all four corners) of a current government-issued ID. If you are a US citizen, you may use your state issued Driver’s License or ID.

File format allowed: .jpg or .jpeg.

Upload Selfie:

Selfie for Accessor 1 *

Click or drag a file to this area to upload.

A photo showing yourself holding both your ID (passport, driver’s license, or state ID) and a handwritten note with the words “ATHENA PLUS”

File format allowed: .jpg, .jpeg, or .pdf.

Is there more than one Accessor? *

Corporate Athena Plus Application

Fraud Warning

Company

Focus Areas

ATM Information

Contact

Company

Focus Areas

ATM Information

Contact