Ultimate Beneficial ownership (UBO)
Declaration Forum
Instructions:
⦁ Please fill all sections of the form carefully. Strike-off sections that are not
applicable.
⦁ The form must be filled by the legal entity’s authorized signatory.
Company Details
Company Name
SAFECORE SOLUTIONS LLC
Company
License Number 2024-0015376996
Beneficiary Ownership Details
I/We declare the legal entity stated in the section above is ultimately owned by:
Percentage of Shares in
Company Name Registered Office Address
Company
30 N GOULD ST STE R
SAFECORE SOLUTIONS LLC SHERIDAN WY 82801 100%
⦁ For publicly listed companies, details of the stock exchange or government authority that
is responsible for the trading of their shares must be listed.
⦁ Trust Companies must provide details of their Owner(s), Beneficiary/Beneficiaries,
settlors that own more than 25% of the legal entity.
Ultimate Beneficiary Ownership Details
I/We declare the following individual ultimately own the above company:
First Name ALLAH
Middle Name
1
Last Name RAKHA
Company SAFECORE SOLUTIONS LLC
Date of Birth (DD/MM/YYY) 10/APRIL/1974
Nationality PAKISTAN
PASSPORT AE9343383
HOUSE NO 71/1-C, STREET #21, GULSHAN PARK FATEH GARH ROAD
Residential Address (Detailed) MUGHAL PURA LAHORE CANTT 54000
Percentage of Shares in Company 100%
The table in this section must be filled separately for each Ultimate Beneficial Owner (UBO) of
the company.
OR
⦁ I/We declare that the individual partner/shareholder mentioned in the table above is the
only individual who holds 25% or more of the company directly or indirectly.
Supporting Documents for Off-shore Jurisdictions
Supporting documents for confirming the information given above must be attached with
this form. The following documents must be attached:
⦁ Share Certificates
⦁ Registry Extract
⦁ Memorandum and Articles of Association
⦁ Confirmation from an Auditor Lawyer or Government Authority
I/We declare that all information provided in this form is accurate and true. If any information
provided in this form changes, I/We shall notify the Licensing Authority of the changes in
accordance to Cabinet Resolution No.58/2020. I/We understand that if any of the provided
information is inaccurate, untrue, or misleading, mine/our company license and registration will
be terminated. The Licensing authority has mine/our consent to make enquiries regarding this
declaration with anyone they deem necessary. I/We agree to the fact that the Licensing Authority
may decline our application without providing any reason.
This form’s signatory has/have the authority needed to provide this declaration on behalf of the
legal entity they represent.
Name: ALLAH RAKHA
Signature: ALLAH RAKHA
