Form A/LU "Doing Business With the City Form" - New York City

What Is Form A/LU?

This is a legal form that was released by the New York City Department of City Planning - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2018;
  • The latest edition provided by the New York City Department of City Planning;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form A/LU by clicking the link below or browse more documents and templates provided by the New York City Department of City Planning.

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Download Form A/LU "Doing Business With the City Form" - New York City

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Doing Business Data Form
Land Use Actions
To be completed by the City agency prior to distribution
Agency
Application #
 General ( GEN )
 Lease Acquisition ( LES )
Check One
A Doing Business Data Form must be completed by any land use applicant subject to the provisions of Local Law 34 of 2007 (see Q&A sheet for more information).
Please either type responses directly into this fillable form or print answers by hand in black ink. For all submissions, please be sure to fill out the certification box on the
last page, and include the completed Data Form as part of the land use application package. Submission of a complete and accurate form is required at the time
of application filing and, where applicable, is required for the certification or referral forpublic review of any land use application subject to the provisions of
Local Law 34 of 2007 (see 62 RCNY § 2-02(a)(1)).
This Data Form requires information to be provided on principal officers, owners and senior managers. The name, employer and title of each person identified on the
Data Form will be included in a public database of people who do business with the City of New York, as will the organizations that own 10% or more of the enitity. No
other information reported on this form will be disclosed to the public.
Please return the completed Data Form to the City office that supplied it. Please contact the Doing Business Accountability Project at
DoingBusiness@mocs.nyc.gov or 212-788-8104 with any questions regarding this Data Form. Thank you for your cooperation.
If you are completing this form by hand, please print clearly.
Applicant Information
Applicant EIN/TIN
Applicant Name
Filing Status
(Select One)
NEW: Data Forms submitted now must include the
 Applicant has never completed a Doing Business Data Form. Fill out the entire form.
listing of organizations, as well as individuals, with 10%
 Change from previous Data Form dated
. Fill out only those sections that have
or more ownership of the entity. Until such certification
changed, and indicate the name of the persons who no longer hold positions with the applicant.
of ownership is submitted through a change, new or
 No Change from previous Data Form dated
. Skip to the bottom of the last page.
update form, a no change form will not be accepted.
Applicant is a Non-Profit
 Yes
 No
Applicant Type  Corporation (any type)
 Joint Venture
 LLC
 Partnership (any type)
 Sole Proprietor
 Other (specify)
Address
City
State
Zip
Phone
E-mail
Provide your e-mail address in order to receive notices regarding this form by e-mail.
Principal Officers
Please fill in the required identification information for each officer listed below. If the applicant has no such officer or its equivalent, please check "This position does not
exist." If the applicant is filing a Change Form and the person listed is replacing someone who was previously disclosed, please check "This person replaced..." and fill in
the name of the person being replaced so his/her name can be removed from the Doing Business Database, and indicate the date that the change became effective.
Chief Executive Officer (CEO) or equivalent officer
 This position does not exist
The highest ranking officer or manager, such as the President, Executive Director, Sole Proprietor or Chairperson of the Board.
First Name
MI
Last
Birth Date (mm/dd/yy)
Office Title
Employer (if not employed by applicant)
Home Address
 This person replaced former CEO
on date
Chief Financial Officer (CFO) or equivalent officer
 This position does not exist
The highest ranking financial officer, such as the Treasurer, Comptroller, Financial Director or VP for Finance.
First Name
MI
Last
Birth Date (mm/dd/yy)
Office Title
Employer (if not employed by applicant)
Home Address
 This person replaced former CFO
on date
Chief Operating Officer (COO) or equivalent officer
 This position does not exist
The highest ranking operational officer, such as the Chief Planning Officer, Director of Operations or VP for Operations.
First Name
MI
Last
Birth Date (mm/dd/yy)
Office Title
Employer (if not employed by applicant)
Home Address
 This person replaced former COO
on date
1/2018
For information or assistance, please contact the Doing Business Accountability Project at DoingBusiness@mocs.nyc.gov or 212-788-8104.
Doing Business Data Form
Land Use Actions
To be completed by the City agency prior to distribution
Agency
Application #
 General ( GEN )
 Lease Acquisition ( LES )
Check One
A Doing Business Data Form must be completed by any land use applicant subject to the provisions of Local Law 34 of 2007 (see Q&A sheet for more information).
Please either type responses directly into this fillable form or print answers by hand in black ink. For all submissions, please be sure to fill out the certification box on the
last page, and include the completed Data Form as part of the land use application package. Submission of a complete and accurate form is required at the time
of application filing and, where applicable, is required for the certification or referral forpublic review of any land use application subject to the provisions of
Local Law 34 of 2007 (see 62 RCNY § 2-02(a)(1)).
This Data Form requires information to be provided on principal officers, owners and senior managers. The name, employer and title of each person identified on the
Data Form will be included in a public database of people who do business with the City of New York, as will the organizations that own 10% or more of the enitity. No
other information reported on this form will be disclosed to the public.
Please return the completed Data Form to the City office that supplied it. Please contact the Doing Business Accountability Project at
DoingBusiness@mocs.nyc.gov or 212-788-8104 with any questions regarding this Data Form. Thank you for your cooperation.
If you are completing this form by hand, please print clearly.
Applicant Information
Applicant EIN/TIN
Applicant Name
Filing Status
(Select One)
NEW: Data Forms submitted now must include the
 Applicant has never completed a Doing Business Data Form. Fill out the entire form.
listing of organizations, as well as individuals, with 10%
 Change from previous Data Form dated
. Fill out only those sections that have
or more ownership of the entity. Until such certification
changed, and indicate the name of the persons who no longer hold positions with the applicant.
of ownership is submitted through a change, new or
 No Change from previous Data Form dated
. Skip to the bottom of the last page.
update form, a no change form will not be accepted.
Applicant is a Non-Profit
 Yes
 No
Applicant Type  Corporation (any type)
 Joint Venture
 LLC
 Partnership (any type)
 Sole Proprietor
 Other (specify)
Address
City
State
Zip
Phone
E-mail
Provide your e-mail address in order to receive notices regarding this form by e-mail.
Principal Officers
Please fill in the required identification information for each officer listed below. If the applicant has no such officer or its equivalent, please check "This position does not
exist." If the applicant is filing a Change Form and the person listed is replacing someone who was previously disclosed, please check "This person replaced..." and fill in
the name of the person being replaced so his/her name can be removed from the Doing Business Database, and indicate the date that the change became effective.
Chief Executive Officer (CEO) or equivalent officer
 This position does not exist
The highest ranking officer or manager, such as the President, Executive Director, Sole Proprietor or Chairperson of the Board.
First Name
MI
Last
Birth Date (mm/dd/yy)
Office Title
Employer (if not employed by applicant)
Home Address
 This person replaced former CEO
on date
Chief Financial Officer (CFO) or equivalent officer
 This position does not exist
The highest ranking financial officer, such as the Treasurer, Comptroller, Financial Director or VP for Finance.
First Name
MI
Last
Birth Date (mm/dd/yy)
Office Title
Employer (if not employed by applicant)
Home Address
 This person replaced former CFO
on date
Chief Operating Officer (COO) or equivalent officer
 This position does not exist
The highest ranking operational officer, such as the Chief Planning Officer, Director of Operations or VP for Operations.
First Name
MI
Last
Birth Date (mm/dd/yy)
Office Title
Employer (if not employed by applicant)
Home Address
 This person replaced former COO
on date
1/2018
For information or assistance, please contact the Doing Business Accountability Project at DoingBusiness@mocs.nyc.gov or 212-788-8104.
Principal Owners
Please fill in the required identification information for all individuals or organizations that, through stock shares, partnership agreements or other means, own or control
10% or more of the applicant. If no individual or organization owners exist, please check the appropriate box to indicate why and skip to the Senior Managers
section. If the applicant is owned by other companies that control 10% or more of the entity, those companies must be listed. If an owner was identified on the previous
page, fill in his/her name and write "See above." If the applicant is filing a Change Form, list any individuals or organizations that are no longer owners at the bottom of
this section. If more space is needed, attach additional pages labeled "Additional Owners."
There are no owners listed because (select one):
 The entity is not-for-profit
 The entity is an individual
 No individual or organization owns 10% or more of the entity
Other (explain)
Individual Owners (who own or control 10% or more of the applicant)
First Name
MI
Last
Birth Date (mm/dd/yy)
Office Title
Employer (if not employed by applicant)
Home Address
First Name
MI
Last
Birth Date (mm/dd/yy)
Office Title
Employer (if not employed by applicant)
Home Address
Organization Owners (that own or control 10% or more of the applicant)
Organization Name
Organization Name
Organization Name
Remove the following previously-reported Principal Owners
Name
Removal Date
Name
Removal Date
Name
Removal Date
Senior Managers
Please fill in the required identification information for all senior managers who oversee land use applications. Senior managers include anyone who, either by title or
duties, has substantial discretion and high-leveloversight regarding the administration of such land use applications, not limited to the land use application forwhich this
form is being filed. At least one senior manager must be listed, or the Data Form will be considered incomplete. If a senior manager has been identified on a previous
page, fill in his/her name and write "See above." If the applicant is filing a Change Form, list individuals who are no longer senior managers at the bottom of this section.
If more space is needed, attach additional pages labeled "Additional Senior Managers."
Senior Managers
First Name
MI
Last
Birth Date (mm/dd/yy)
Office Title
Employer (if not employed by applicant)
Home Address
First Name
MI
Last
Birth Date (mm/dd/yy)
Office Title
Employer (if not employed by applicant)
Home Address
First Name
MI
Last
Birth Date (mm/dd/yy)
Office Title
Employer (if not employed by applicant)
Home Address
Remove the following previously-reported Senior Managers
Name
removal date
Name
removal date
Certification
I certify that the information submitted on these two pages and
additional pages is accurate and complete. I understand that willful or fraudulent submission of a
materially false statement may result in the applicant being subject to appropriate sanctions.
Name
Title
Applicant Name
Work Phone #
Signature
Date
Please return this form to the City agency that supplied it to you, not to the Doing Business Accountability Project.
Form A/LU
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