Form I-526 Immigrant Petition by Alien Entrepreneur

OMB No. 1615-0026; Exp. 08/31/07

I-526, Immigrant Petition
by Alien Entrepreneur

Department of Homeland Security
U.S. Citizenship and Immigration Services

Classification

Do Not Write in This Block - For USCIS Use Only (Except G-28 Block Below)
Fee Receipt
Action Block

Priority Date
To be completed by Attorney or Representative, if any

G-28 is attached
Attorney's State License No.
Remarks:
START HERE - Type or print in black ink.

Part 1.

Information about you.

Family
Name

Given
Name

Middle
Name

Address:
In care of
Number and
Street

Apt. #
State or
Province

City
Date of Birth
(mm/dd/yyyy)

Country
of Birth

If you are in the United States, provide
the following information:
Current
Nonimmigrant Status

Part 2.
a.
b.
c.

Part 3.

Zip/Postal
Code

Country
Social Security #
(if any)
Date of Arrival
(mm/dd/yyyy)
Date Current Status
Expires (mm/dd/yyyy)

A#
(if any)
I-94 #
Daytime Phone #
with Area Code

Application type. (Check one)
This petition is based on an investment in a commercial enterprise in a targeted employment area for which the required
amount of capital invested has been adjusted downward.
This petition is based on an investment in a commercial enterprise in an area for which the required amount of capital invested
has been adjusted upward.
This petition is based on an investment in a commercial enterprise that is not in either a targeted area or in an upward
adjustment area.

Information about your investment.

Name of commercial enterprise in which funds are invested
Street
Address
Phone #
with Area Code
Kind of business
(e.g. furniture manufacturer)

Business organized as
(corporation, partnership, etc.)
Date established
(mm/dd/yyyy)

IRS Tax #

RECEIVED: ________________ RESUBMITTED: ____________ RELOCATED: SENT ________________ REC'D ____________
Form I-526 (Rev. 07/30/07)Y

Part 3.

Information about your investment. (Continued.)

Date of your initial
investment (mm/dd/yyyy)
Your total capital investment
in the enterprise to date

Amount of your
initial investment

$

Percentage of the
enterprise you own

$

If you are not the sole investor in the new commercial enterprise, list on separate paper the names of all other parties (natural and nonnatural) who hold a percentage share of ownership of the new enterprise and indicate whether any of these parties is seeking
classification as an alien entrepreneur. Include the name, percentage of ownership and whether or not the person is seeking classification
under section 203(b)(5). NOTE: A "natural" party would be an individual person and a "non-natural" party would be an entity such as a
corporation, consortium, investment group, partnership, etc.
If you indicated in Part 2 that the enterprise is in a targeted employment area
County
or in an upward adjustment area, name the county and state:

Part 4.

State

Additional information about the enterprise.

Type of Enterprise (check one):
New commercial enterprise resulting from the creation of a new business.
New commercial enterprise resulting from the purchase of an existing business.
New commercial enterprise resulting from a capital investment in an existing business.

Composition of the Petitioner's Investment:
Total amount in U.S. bank account ......................................................................................

$

Total value of all assets purchased for use in the enterprise.................................................

$

Total value of all property transferred from abroad to the new enterprise...........................

$

Total of all debt financing....................................................................................................

$

Total stock purchases...........................................................................................................

$

Other (explain on separate paper)........................................................................................

$

Total

$

Income:
When you made the investment.........

Gross

$

Net

$

Now....................................................

Gross

$

Net

$

Gross

$

Now $

Net worth:
When you made investment...............

Form I-526 (Rev. 07/30/07)Y Page 2

Part 5.

Employment creation information.

Number of full-time employees in the enterprise in U.S. (excluding you, your spouse, sons and daughters)
When you made your initial investment?

Now

How many of these new jobs were
created by your investment?

Difference

How many additional new jobs will be
created by your additional investment?

What is your position, office or title with the new commercial enterprise?

Briefly describe your duties, activities and responsibilities.

What is your salary?

Part 6.

$

What is the cost of your benefits?

$

Processing information.

Check One:
The person named in Part 1 is now in the United States and an application to adjust status to permanent resident will be filed
if this petition is approved.
If the petition is approved and the person named in Part 1 wishes to apply for an immigrant visa abroad, complete the
following for that person:
Country of nationality:
Country of current residence or, if now in the
United States, last permanent residence abroad:
If you provided a United States address in Part 1, print the person's foreign address:

If the person's native alphabet is other than Roman letters, write the foreign address in the native alphabet:

Is a Form I-485, Application for Adjustment of Status, attached to this petition?

Yes

No

Are you in deportation or removal proceedings?

Yes (Explain on separate paper)

No

Have you ever worked in the United States without permission?

Yes (Explain on separate paper)

No

Part 7.

Signature. Read the information on penalties in the instructions before completing this section.

I certify, under penalty of perjury under the laws of the United States of America, that this petition and the evidence submitted with it is
all true and correct. I authorize the release of any information from my records that the U.S. Citizenship and Immigration Services needs
to determine eligibility for the benefit I am seeking.
Date

Signature

NOTE: If you do not completely fill out this form or fail to the submit the required documents listed in the instructions, you may not be
found eligible for the immigration benefit you are seeking and this petition may be denied.

Part 8.

Signature of person preparing form, if other than above. (Sign below)

I declare that I prepared this application at the request of the above person and it is based on all information of which I have knowledge.
Signature

Print Your
Name

Date

Firm Name

Address

Daytime phone #
with area code
Form I-526 (Rev. 07/30/07)Y Page 3