EntreBuild AI — LLC Formation Intake Form

Section 1 — Primary Contact Information

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

Legal first name

Legal last name

Preferred name

Date of birth

Month

Day

Year

Social Security Number (SSN)

Required for EIN application. Your SSN will be collected securely by an EntreBuild representative. It is encrypted and confidential, restricted to authorized staff only.

Home address

Mailing address (if different from home)

Phone number

Email address

Citizenship status