Guidelines and amendment of Forms

(1) The competent authority may issue guidelines for complying with this Act including any guidelines for review and designation under section 22 and any person or entity subject to the Act shall comply with such guidelines. (2) The Minister may from time to time, by Order published in the Gazette, amend the Schedule to the Act. Economic Substance [CAP. 273:01 31 SCHEDULE I FORM A [section 7(2)(c)] To be completed annually by the Managing Agent Name of Managing Agent Registration Number Date of incorporation Type:  Companies Act (Cap. 250)  International Business Companies Act (Cap. 270)  Other specify International Financial Services Commission Licence No. Registered Office of Managing Agent Principal Office of Managing Agent Email Address: Telephone Contact: Description and nature of outsourcing services rendered No. of Full-Time Employees 32 Economic Substance Qualification of Full-Time Employees Performing Outsourced Activities No. of Clients by Service Relevant Activity (Dropped menu) Specify if Regulated Entity  Yes  No If Yes, name of client Specify if you are conducting core income generating activities for your clients  Yes  No If Yes, list the activities and provide a brief description: I certify that the particulars set out in this form are true and correct to the best of my knowledge, information and belief. …………………………………………….. ………………………………. (Name of Director) (Date) Economic Substance [CAP. 273:01 33 FORM B [section 10(1)(a)] To be completed by Included Entities Name of included entity International business company registration number Date of incorporation Tax identification number Type  International Business Companies Act (Ch. 270)  Other specify Please indicate whether Regulated  Yes  NO Relevant activity you are conducting Description of the nature of business Registered Office of entity Principal Office of entity 34 Economic Substance DETAILS OF CONTROLLING PERSONS Directors (make an entry in respect of every Director) Name Name Address Address Contact Information Contact Information Shareholders (make an entry in respect of every Shareholder) Name Name Address Address Contact Information Contact Information Jurisdiction of Tax Residence Jurisdiction of Tax Residence SUBSTANTIAL ECONOMIC PRESENCE REQUIREMENT INFORMATION Details of amount and type of gross income General In Belize Description of amount and type of expenses and assets General In Belize Economic Substance [CAP. 273:01 35 Number of full-time employees General In Belize Summary and description of core income generating activities (section 6) Physical Office General In Belize Summary and description of management and control activities (section 8) List portion of core income generating activities that is outsourced Name of entity to whom core income generating activities is outsourced 36 Economic Substance If applicable, append additional information (section 10) I certify that– (a) the particulars set out in this Form are true and correct to the best of my knowledge, information and belief ; and (b) management and control of abovenamed entity is not outsourced to any person and remains with the said entity. .………………………… ………………………………. (Name of Director) (Date) Economic Substance [CAP. 273:01 37 FORM C [section 10(1)(b)] To be completed by Holding Companies including Pure Equity Holding Companies Name of company Registration Number Date of Incorporation Tax Identification Number Type  International Business Companies Act (Ch. 290)  Other specify Registered Office of Holding Company Principal Office of Holding Company Tick as appropriate:  Holding Company  Pure Equity Holding Company  Other Specify _______________________ If Pure Equity Holding Company, complete Part A, below. 38 Economic Substance PART A: Indicate asset type (of shares, etc.) Describe management in Belize: Describe human resources in Belize: Describe premise in Belize: Are you conducting relevant activity as a secondary business activity?  Yes  No If Yes, list the activities and refer to Form B and provide details of relevant activity. Economic Substance [CAP. 273:01 39 I certify that – (a) the (Name of Company) is a holding company for the purpose of the Economic Substance Act 2019. (b) the (Name of Company) is in good standing and complies with all Acts and regulations of Belize; and (c) the particulars set out in this Form are true and correct to the best of my knowledge, information and belief. ……………………………………… …………………………… (Name of Director) (Date) 40 Economic Substance FORM D [section 10(1)(c)] To be completed by Non-Included Entities Name of entity Registration Number Date of Incorporation Type  International Business Companies Act (Ch. 270)  Other Specify _________________________ Description of the nature of business activities JURISDICTION OF TAX RESIDENCE (if the entity is asserting tax residency in a jurisdiction other than Belize, append additional information (section 10) DETAILS OF CONTROLLING PERSONS Economic Substance [CAP. 273:01 41 Directors (make an entry in respect of every Director) Name Name Address Address Contact Information Contact Information Register Shareholders (make an entry in respect of every Shareholder) Name Name Address Address Contact Information Contact Information Jurisdiction of Tax Residence Jurisdiction of Tax Residence I certify that the particulars set out in this Form are true and correct to the best of my knowledge, information and belief. ………………………… …………………………… (Name of Director) (Date)