Blast Investment - Quick KYC

As part of our investment in your company, Blast - Hassan Lantry needs to verify your founders' identities and confirm ownership. This takes a few minutes.

Company

Company name

Certificate of incorporation

Founders1 of 12

Ownership % is pre-filled with an equal split — edit any box if the founders don't own equal shares.

Option / equity pool

% reserved for the pool — sets the default equal split. Set to 0 if none.

Founder 1

Full legal name

Title / role

Ownership %

Government-issued ID

Ownership declaration

Founders hold in total80%

Founder 1>25%80%

20% is held outside the founders (option pool / other shareholders). 1 of 1 is a beneficial owner (>25%).

Declaration you are signing

Founder Ownership Declaration

the company

Blast

I, —, declare on my honor, on behalf of all founders of the company, that the information set out below is accurate and complete, and that the government-issued IDs and the certificate of incorporation provided are authentic and belong to the named individuals and to the company.

Founder	Title	Ownership
Founder 1>25%	—	80%
Held outside the founders (option pool / other shareholders)		20%

—

Signature — on behalf of all founders

Awaiting signature

Electronically signed via Blast KYC

I declare on my honor, on behalf of all founders, that the information above is accurate and that the documents provided are authentic.

Signature (type your full name)

Your documents are stored securely and used only for verification purposes by Blast - Hassan Lantry.

Blast - Hassan Lantry