Hexagate Ecosystem Security Submission
Sign in to Google to save your progress. Learn more
Company's Legal Name
Fictitious or Common Name

If the Company commonly goes by a name that is different from the legal name, or if it had a d/b/a or alias please provide that:
Location

Country where the Company is incorporated, organized, or otherwise domiciled or legally registered.
Physical Address

Please provide the address where the company is headquartered or where its main corporate offices are located. If there is no official headquarters or corporate office (e.g. remote work companies), please provide the address where the majority of the company’s work actually takes place.
Project website

Please share your project’s website URL.
Project X profile

Please share your project's X profile.
Primary Contact

Please share your project’s or primary contact’s Telegram handle (@):
First name: 
Last name: 
Position:
Email (please provide the email address associated with the Company's URL): 
Key Management Person

Please provide the following information for a key management person (e.g. CEO or President)

First name: 
Last name: 
Position:
Email (please provide the email address associated with the Company's URL): 
Ultimate Beneficial Owner

Please identify any persons (individuals or entities) that hold 25% or more of (a) the outstanding shares or equity of the company or (b) the voting rights of the company. If there are no such persons, please identify the person who otherwise exercises control over the company (e.g. CEO or President).

Which blockchain ecosystems or networks do you have top of mind for Hexagate?

List the chains, L2s, or ecosystems you are building on, monitoring, or would like Hexagate to support. (Examples: Ethereum, Base, Arbitrum, BNB Smart Chain, Avalanche, Solana, Bitcoin, etc.)

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Chainalysis.

Does this form look suspicious? Report

Google Forms