Fillable Form 111111111111111111: EDD I I I ID I (California)

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Form 111111111111111111: EDD I I I ID I (California)

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Employment
EDD
Development
Department
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Page 1 of 2
000101151
COMMERCIAL EMPLOYER ACCOUNT REGISTRATION AND UPDATE FORM
Did you know you can register online anytime? The Employment Development Department (EDD) e-Services for Business online
application is secure, saves paper, postage, and time. You can access the online application at
www.edd.ca.gov/e-Services_for_Business and follow the easy step-by-step process to complete your registration.
Review the Instructions for Completing the Commercial Employer Account Registration and Update Form (DE1-I) prior to completing this
form. Do not submit this form until you have paid wages in excess of $100 to one or more employees in any calendar quarter. Additional
information about registering with the EDD is available online at
www.edd.ca.gov/Payroll_Taxes/Am_I_Required_to_Register_as_an_Employer.htm.
Important: This form may not be processed if the required information is missing.
A. I WANT TO
(Select only
one box then
complete the
items specied
for that selection.)
Register for a New Employer Account Number (Go to Item B.) Request Account for CalJOBS
SM
(Go to Item B.)
Existing Employer
Account Number:
(Enter Employer Account Number when reporting an Update,
Purchase, Sale, Reopen, Close, or Change in Status.)
– –
Update Employer Account Information
Address (O, P) DBA (J) Personal Name Change (G) Add/Change/Delete Ofcer/Partner/Member (H)
(Provide the Employer Account Number at the top of Item A, then complete the Items identied above and Item T.)
Effective Date of Update(s): ____/____/ ______
Report a Purchase of Business
(Provide the Seller’s Employer
Account Number at the top of Item A.)
Date of Purchase
/ /
Purchase Price
$
Entire Business Purchase
____ ____ ______ ______________ Partial Business Purchase
Report a Sale of Business
(Provide the business’ Employer
Account Number at the top of
Item A. Complete Item P.)
Date of Sale
/ /
Entire Business Sold
____ ____ ______ Partial Business Sold
Reopen a Previously Closed Account (Provide the previous Employer Account Number at the top of Item A then go to Item B.)
Close Employer Account
(Provide the Employer Account
Number at the top of Item A.)
Reason for Closing Account
No longer have employees
Out of Business
Date of Last Payroll
____/____/ ______
Report a Change in Status: Business Ownership, Entity Type, or Name
Reason for Change:
Change: From To
(Provide the Employer Account Number at the top of Item A, and complete the rest of the form.)
E
ffective Date of Change: ____/____/ ______
B. EMPLOYER TYPE
(Select type then
proceed to Item C.)
COMMERCIAL PACIFIC MARITIME FISHING BOAT
C. TAXPAYER TYPE
(Select only
one type then
complete the
items specied
for that
selection.)
Individual Owner
(D, E1, F, G, J, K, L, O-T)
Limited Partnership
(D, F, H-T)
Joint Venture
(D, F, H, I, K, L, O-T)
Co-Ownership
(D, E2, F, G, J, K, L, O-T)
Association
(D, F, H-T)
Receivership
(D, F, H, K, L, O-T)
General Partnership
(D, E3, F, H, J, K, L, O-T)
Limited Liability Company (LLC)
(D, F, H-T)
Estate Administration
(D, F, H, I, K, L, O-T)
Corporation
(D, F, H-T)
Limited Liability Partnership (LLP)
(D, F, H-T)
Trusteeship
(D, F, H, I, K, L, O-T)
Other (Specify)
(Complete remaining items as applicable.)
D. FIRST PAYROLL
DATE
(MM/DD/YYYY)
First payroll date wages paid exceeded $100: ____ ______ // (Wages are all compensation for an employee’s
services.) Refer to Information Sheet: Wages (DE 231A) and Information Sheet: Types of Payments (DE 231TP ) at
www.edd.ca.gov/Payroll_Taxes/Forms_and_Publications.htm.
____
E. EMPLOYEE
INFORMATION
“Employment” does not include service performed by a child under the age of 18 years in the employ of his/her father or
mother, or service performed by an individual in the employ of his/her son, daughter, or spouse, including the employee’s
registered domestic partner. (Section 631 of the California Unemployment Insurance Code) Refer to Information Sheet:
Family Employment (DE 231FAM) at www.edd.ca.gov/Payroll_Taxes/Forms_and_Publications.htm.
E1. INDIVIDUAL
OWNER (Only)
Do you only employ your spouse, parent(s), or minor child(ren) (under 18)? If yes, you are not subject to
Unemployment Insurance (UI) and State Disability Insurance (SDI) but may be subject to Personal Income Tax (PIT).
Yes No
E2. CO-OWNERSHIP
(Only)
Do you only employ your minor child(ren) (under 18)? If yes, you are not subject to UI and SDI but may
be subject to PIT.
Yes No
E3. PARTNERSHIP
(Consisting of
siblings only.)
Do you only employ your parent(s)? If yes, you are not subject to UI and SDI but may be subject to PIT.
Yes No
DE 1 Rev. 79 (3-16) (INTERNET) CU
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COMMERCIAL EMPLOYER ACCOUNT
REGISTRATION AND UPDATE FORM
Page 2 of 2
000101152
F. LOCATION OF
EMPLOYEE
SERVICES
Do you have employees working in California? Yes No
Do you have employees residing in California that are working outside of California? Yes No
G. INDIVIDUAL
OWNER/
CO-OWNER
INFORMATION
(If applicable)
NAME TITLE SSN
CA Driver
License
Number
Add Chg. Del.
H. CORPORATE
OFFICER(S),
PARTNERS, OR
LLC MEMBER(S),
MANAGER(S),
AND/OR
OFFICER
INFORMATION
NAME TITLE SSN
CA Driver
License
Number
Add Chg. Del.
I. LEGAL NAME OF ORGANIZATION (Corporation/LLC/LLP/LP: Enter exactly as it appears on your ofcial registration documents.)
J. DOING BUSINESS AS (DBA) (If applicable)
K. FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN) L. DATE OWNERSHIP BEGAN (MM/DD/YYYY)
____/____/ ______
M. STATE OR PROVINCE OF INCORPORATION/ORGANIZATION N. CALIFORNIA SECRETARY OF STATE ENTITY NUMBER
O. PHYSICAL BUSINESS
LOCATION
(PO Box or Private
Mail Box will not be
accepted.)
Street Number Street Name Unit Number (If applicable)
City State/Province ZIP Code Country
Business Phone Number
P. MAILING ADDRESS
(PO Box or Private Mail
Box is acceptable.)
Same as above
Street Number Street Name Unit Number (If applicable)
City State/Province ZIP Code Country
Phone Number
Q.
E-MAIL
Check to allow
e-mail contact.
Valid E-mail Address
R. INDUSTRY ACTIVITY Describe in detail your specic product/services:
Select your business industry
Services Retail Wholesale Manufacturing Temporary Services
Leasing Employer Professional Employer Organization Other (Specify) _____________________
S. CONTACT PERSON
(Complete a Power of
Attorney [POA] Declaration
[DE 48], if applicable.)
Name Contact Phone Number E-mail Address
Relation Address
T. DECLARATION I certify under penalty of perjury that the above information is true, correct, and complete, and that
these actions are not being taken to receive a more favorable Unemployment Insurance rate. I further
certify that I have the authority to sign on behalf of the above business.
Signature Date
Name Title Phone Number
MAIL TO: EDD, Account Services Group, MIC 28, PO Box 826880, Sacramento, CA 94280-0001
DE 1 Rev. 79 (3-16) (INTERNET)
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Form 111111111111111111: EDD I I I ID I (California)

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Completed 23 April 2021

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