EntreBuild AI — C-Corporation Formation Intake Form

Section 1 of 6 — Primary Contact Information

Please provide your personal information as it will appear on official filings.

Full legal name

Preferred name

Date of birth

Month

Day

Year

Social Security Number

Required for EIN application — encrypted and confidential. Your SSN is securely stored and accessible only to authorized EntreBuild staff.

Home address

Mailing address (if different from home)

Phone number

Email address

Citizenship status