American companies with italian presence

Enfinity Global is headquartered in the United States and has significant operations and investments in Italy, including multiple solar power projects and substantial financial commitments.

Bregal Investments is headquartered in the United States and has an office in Italy, fulfilling both criteria of the query.

The company Malta is headquartered in the United States and has multiple employees based in Italy, indicating a significant presence in Italy.

Horizon Therapeutics is headquartered in the United States (Deerfield, Illinois) and has a significant presence in Italy.

Condé Nast is headquartered in the United States and has operations in Italy.

Philip Morris International (PMI) is headquartered in the United States and has a significant presence in Italy, as evidenced by the roles and operations of its executives and the company's history of managing operations in Italy.

Barry's Bootcamp is headquartered in the United States and has operations in Italy.

Amicus Therapeutics is headquartered in Princeton, NJ, United States, and has an office in Italy.

Brown-Forman is headquartered in the United States and has launched its own distribution business in Italy, indicating a significant presence in the country.