Download New York Ls 665 Template in PDF

• New York LS 665 Form: This form is specifically for Professional Employer Organizations (PEOs) in New York, requiring detailed information about ownership, business structure, and compliance with state labor laws.
• IRS Form SS-4: This form is used to apply for an Employer Identification Number (EIN). Like the LS 665, it collects information about the business structure and ownership, but it focuses on tax identification rather than labor compliance.
• New York State Corporation Application: This document registers a business entity in New York. Similar to the LS 665, it requires information about ownership and business type, but it is focused on legal formation rather than PEO-specific regulations.
• Form W-9: This form requests taxpayer information from a business. Both the W-9 and LS 665 require ownership details, but the W-9 is primarily for tax purposes, while the LS 665 is for labor compliance.
• New York State Workers' Compensation Insurance Application: This application is necessary for obtaining workers' compensation coverage. It shares similarities with the LS 665 in terms of requiring business and ownership information, but it is specifically focused on insurance needs.
• Form 941: This is the Employer's Quarterly Federal Tax Return. Like the LS 665, it involves reporting on employees, but it is focused on tax obligations rather than registration and compliance as a PEO.
• New York State Business License Application: This application is required for many businesses operating in New York. Both it and the LS 665 require information about the business structure and ownership, but the business license focuses on operational permissions rather than PEO registration.

Guide to Filling Out New York Ls 665

Filling out the New York LS 665 form requires careful attention to detail. This form is essential for registering as a Professional Employer Organization (PEO) in New York. Make sure you have all necessary information and documents ready before you start. Follow these steps to complete the form accurately.

1. Type of Request: Check the appropriate box for either "Initial" or "Renewal" and indicate if it’s for an individual PEO or a PEO Group.
2. General Information:
   • Provide the name of the individual PEO or parent organization.
   • List any additional business names used.
   • Select the type of business organization from the options provided.
   • Enter the Federal Employer Identification Number (FEIN).
   • Fill in the complete physical address of the Principal Administrative Office.
   • If different, provide the mailing address.
   • Include the telephone, fax, and email address of the Principal Administrative Office.
   • List current addresses of any additional offices in New York.
   • Provide addresses of any offices maintained in New York during the past five years.
   • Indicate the start and end dates of the fiscal year.
3. Ownership Information:
   • If privately held, list all owners with 5% or greater interest.
   • List any owners with 5% or greater interest from the past five years.
   • If publicly traded, list all owners with 50% or greater interest.
4. Group Information:
   • List all PEOs in the group, including their FEIN and addresses.
   • Provide any additional names used by the PEOs.
   • List addresses of additional offices maintained by group members in New York.
   • Provide addresses of any offices maintained by group members in the past five years.
5. Submission Instructions:
   • Ensure all required documents are attached, including corporate filings and financial statements.
   • Include proof of New York Workers’ Compensation and Disability Insurance.
   • Sign the request according to your business structure (corporation, partnership, etc.).
   • Mail the completed form and attachments to the specified address.
6. Responsibilities:
   • Submit quarterly statements certifying timely payment of payroll taxes.
   • Provide a client list with updates every quarter.
   • Advise clients about contacting the Unemployment Insurance Division upon contract termination.
7. Declaration: Sign and date the declaration, affirming the accuracy of the information provided.
8. Group Guaranty: If applicable, each group member must sign the guaranty section.