Angel Fund Qualified Investment Reporting Form
This file is designed for angel funds reporting qualified investments in certified businesses in North Dakota. It provides necessary instructions and forms for compliance with tax regulations. Businesses and funds must follow this to apply for the Angel Investor Tax Credit.
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How do I fill this out?
To fill out this reporting form, ensure you have all required information about the angel fund and the qualified business. Gather details such as investment dates, amounts, and equity structures. Follow each part of the form systematically to ensure compliance and accuracy.

How to fill out the Angel Fund Qualified Investment Reporting Form?
1
Identify the angel fund details in Part 1.
2
Complete Part 2 with information about the qualified business.
3
Fill out Part 3 with the qualified investment specifics.
4
Provide necessary declarations in Part 4.
5
Make sure to attach required supporting statements.
Who needs the Angel Fund Qualified Investment Reporting Form?
1
Angel fund managers need the form to report their investments.
2
Qualified businesses may need the report for taxation reviews.
3
Tax professionals require this form to assist clients with tax credits.
4
Investors in the angel funds need documentation for their records.
5
Compliance officers need this form for regulatory adherence.
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What are the instructions for submitting this form?
To submit this form, mail it to the Office of State Tax Commissioner at 600 East Boulevard Ave, Dept 127, Bismarck, ND 58505-0599. Ensure it is submitted within 30 days after the date of the investment to avoid penalties. For questions or further assistance, contact the tax office directly.
What are the important dates for this form in 2024 and 2025?
In 2024, ensure investments are reported within 30 days of the investment date. For 2025, continue adhering to the same timeline for reporting. Be mindful of the deadlines to avoid penalties.

What is the purpose of this form?
The Angel Fund Qualified Investment Reporting Form is essential for ensuring compliance with North Dakota's tax credit regulations. It facilitates the reporting of qualified investments made by angel funds in pre-certified businesses. By providing a structured format, this form helps streamline the reporting process for both funds and businesses.

Tell me about this form and its components and fields line-by-line.

- 1. Angel Fund: Identify the name and address of the angel fund.
- 2. Qualified Business: Document details of the business receiving the investment.
- 3. Qualified Investment: Record details about the investment amount and equity interests.
- 4. Angel Fund Declaration: Provide declarations confirming compliance with ownership rules.
What happens if I fail to submit this form?
Failing to submit this form on time may result in penalties and could jeopardize tax credit eligibility. It is crucial to file promptly to maintain compliance with North Dakota tax regulations.
- Financial Penalties: Late submissions incur a $1,000 penalty for each month overdue.
- Loss of Tax Benefits: Failure to submit may forfeit eligibility for the Angel Investor Tax Credit.
- Compliance Issues: Delaying submission can lead to scrutiny from tax authorities.
How do I know when to use this form?

- 1. Qualified Investments: When reporting any cash exchanged for equity interests in a certified business.
- 2. Tax Credit Application: To apply for the Angel Investor Tax Credit, this form is mandatory.
- 3. Compliance Reporting: For annual compliance reporting required by the state tax authority.
Frequently Asked Questions
What is the purpose of this form?
This form is designed for angel funds to report qualified investments made in certified businesses.
How can I edit the PDF?
You can edit the PDF directly on PrintFriendly by selecting fields and updating information as needed.
Is there a deadline for submission?
The report must be filed within 30 days after the investment date to avoid penalties.
What is a qualified business?
A qualified business is certified by the Commerce Department and meets specific criteria, including revenue caps.
How do I attach supporting documents?
You can attach supporting documents by following instructions in the form and ensuring they are included in your submission.
What happens if I submit late?
A late filing may incur a penalty of $1,000 for each month the report is overdue.
Who should fill out this form?
Angel fund representatives are responsible for completing this form on behalf of their fund.
Can I share the edited PDF easily?
Yes, PrintFriendly allows you to generate sharable links or download the edited PDF for easy distribution.
What information do I need to fill out the form?
You need details about the angel fund, the qualified business, and investment specifics.
How do I know if my investment qualifies?
Your investment must meet criteria outlined in the form and be completed within your fund's certification period.
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