Supplement to Form I-924

OMB No. 1615-0061; Expires 01/31/2015
Department of Homeland Security
U.S. Citizenship and Immigration Services

What Is the Purpose of This Form?
This form is used to demonstrate a Regional Center's
continued eligibility for the Regional Center designation. Each
designated Regional Center entity must file a Form I-924A for
each fiscal year (October 1 through September 30) within 90
days after the end of the fiscal year (on or before December
29) of the calendar year in which the fiscal year ended.
Failure to timely file a Form I-924 Supplement for each fiscal
year in which the regional center has been designated for
participation in the Immigrant Investor Pilot Program will
result in the issuance of an intent to terminate the participation
of the regional center in the Pilot Program, which may
ultimately result in the termination of the approval and
designation of the regional center.

Who May File This Form?
This form may be filed by an individual who has the executive
or managerial authority to act on behalf of the Regional Center
with respect to the Regional Center's designation.

Filing Instructions for Form I-924A
Provide a detailed statement which describes for the last fiscal
year, (and prospectively if noted):
A. The aggregate amount of EB-5 alien capital invested
through your regional center [Form I-924A
Supplement, Part 3, No. 1];
B. The aggregate number of new direct and/or indirect
jobs created by EB-5 investors through your regional
center [Form I-924A Supplement, Part 3, No. 1] ;
C. The aggregate number of jobs “maintained” jobs by
EB-5 capital investments into a “troubled business”
through your regional center, if applicable [Form
I-924A Supplement, Part 3, No. 1];
D. The industry(s) that have been the focus of EB-5
capital investments sponsored through the regional
center, and the resulting aggregate EB-5 capital
investment and job creation. (Note: Separately identify
jobs maintained through investments in “troubled
businesses”) [Form I-924 Supplement, Part 3, No. 2];

Instructions for Form I-924A,
Supplement to Form I-924
E. The names, addresses, and industry category title of
each job creating commercial enterprise located within
the geographic scope of your regional center that has
received alien investor capital. Also, provide the
aggregate amount of EB-5 capital investment, the
aggregate number of new direct and/or indirect jobs
created by EB-5 investors, and if applicable, the
aggregate number of jobs that have been “maintained”
through EB-5 capital investments into a “troubled
business,” for each commercial enterprise located
within the geographic scope of your regional center
[Form I-924A Supplement, Part 3, No. 3];
F. If the EB-5 commercial enterprise(s) serve as a vehicle
for investment into other business entities that have or
will create or maintain jobs for EB-5 purposes, then
please identify the names, addresses, amount of EB-5
capital investment, and the number of jobs created or
maintained by the actual job creating businesses
through EB-5 investments [Form I-924A Supplement,
Part 3, No. 3];
G. The total number of approved, denied, or revoked
Form I-526 petitions filed by EB-5 alien investors, for
capital investments sponsored through your regional
center [Form I-924A Supplement, Part 3, No. 4];
H. The total number of approved, denied, or revoked
Form I-829 petitions filed by EB-5 alien investors, for
capital investments sponsored through your regional
center [Form I-924A Supplement, Part 3, No. 5];
NOTE: USCIS may require case-specific data relating to
individual EB-5 petitions and the job creation determination
and allocation methodologies utilized by a regional center in
certain instances in order to verify the aggregate data provided
A-H on Page 1.

General Evidence
Translations. Any document containing foreign language
submitted to USCIS must be accompanied by a full English
language translation which the translator has certified as
complete and accurate, and by the translator's certification that
he or she is competent to translate from the foreign language
into English.

Copies. Unless specifically required that an original
document be filed with an application or petition, a legible
photocopy may be submitted. Original documents submitted
when not required may remain a part of the record.

Form I-924A Instructions 01/03/13 Y Page 1

Where To File?
Submit Form I-924A and all supporting documentation to:
For direct mail, send to:
U.S. Citizenship and Immigration Services
California Service Center
Attn: EB-5 Processing Unit
P.O. Box 10526
Laguna Niguel, CA 92607-0526
For non-U.S. Postal Service deliveries (e.g., private couriers),
send to:
U.S. Citizenship and Immigration Services
California Service Center
Attn: EB-5 Processing Unit
24000 Avila Road, 2nd Floor
Laguna Niguel, CA 92677

What Is the Filing Fee?
There is no filing fee for filing Form I-924A.

Address Changes
If you change your address and you have a Form I-924A
application pending with USCIS, you may change your
address by sending notification to:
For direct mail, send to:
U.S. Citizenship and Immigration Services
California Service Center
Attn: EB-5 Processing Unit
P.O. Box 10526
Laguna Niguel, CA 92607-0526
For non-U.S. Postal Service deliveries (e.g., private couriers),
send to:
U.S. Citizenship and Immigration Services
California Service Center
Attn: EB-5 Processing Unit
24000 Avila Road, 2nd Floor
Laguna Niguel, CA 92677

Processing Information
Acceptance. Any application that is not signed. will be

Initial processing. Once Form I-924A has been received, it
will be checked for completeness, including submission of the
required initial evidence. If you do not completely fill out the
form or file it without required initial evidence, USCIS may
initiate proceedings to terminate your Regional Center's
designation under the Immigrant Investor Pilot Program.
Requests for more information or interview. We may
request more information or evidence. We may also request
that you submit the originals of any copy. We will return these
originals when they are no longer needed.
Use of Information. The information collected through the
Form I-924A permits USCIS to determine whether the
Regional Center continues to serve the purposes of the
Immigrant Investor Pilot Program. USCIS may initiate
termination proceedings to terminate a Regional Center's
designation for participation in the Immigrant Investor Pilot
Program if a Regional Center fails to submit the information
required by this form, or upon a determination that the
Regional Center no longer serves the purpose of promoting
economic growth, including increased export sales, improved
regional productivity, job creation, and increased domestic
capital investment.

USCIS Forms and Information
To ensure you are using the latest version of this form, visit
the USCIS Web site at www.uscis.gov where you can obtain
the latest USCIS forms and immigration-related information.
If you do not have internet access, you may order USCIS
forms by calling our toll-free number at 1-800-870-3676. You
may also obtain forms and information by telephoning our
USCIS National Customer Service Center at 1-800-375-5283.
For TDD (hearing impaired) call: 1-800-767-1833.
To make an inquiry or ask a question about the Regional
Center Program you may send an e-mail to:
[email protected]

USCIS Compliance Review and Monitoring
By signing this form, you have stated under penalty of perjury
(28 U.S.C. 1746) that all information and documentation
submitted with this form is true and correct. You also have
authorized the release of any information from your records
that USCIS may need to determine eligibility for the benefit
you are seeking and consented to USCIS verification of such
information.

rejected with a notice that it is deficient. You may correct the
deficiency and resubmit the application. However, an
application is not considered properly filed until accepted by
USCIS.

Form I-924A Instructions 01/03/13 Y Page 2

The Department of Homeland Security has the right to verify
any information you submit to establish eligibility for the
immigration benefit you are seeking at any time. USCIS'
legal right to verify this information is in 8 U.S.C. 1103, 1155,
1184, and 8 CFR parts 103, 204, and 205. To ensure
compliance with applicable laws and authorities, USCIS may
verify information before or after your case has been decided.
Subject to the restrictions under 8 CFR part 103.2(b)(16), you
will be provided an opportunity to address any adverse or
derogatory information that may result from a USCIS
compliance review, verification, or site visit after a formal
decision is made on your case or after the agency has initiated
an adverse action which may result in revocation or
termination of an approval.

Paperwork Reduction Act
An agency may not conduct or sponsor an information
collection and a person is not required to respond to a
collection of information unless it displays a currently valid
OMB control number. The public reporting burden for this
collection of information is estimated at 3 hours per response
for Form I-924A.
The estimated reporting burden for this collection of
information includes the time for reviewing instructions and
completing and submitting the form. Send comments
regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing
this burden, to: U.S. Citizenship and Immigration Services,
Regulatory Coordination Division, Office of Policy and
Strategy, 20 Massachusetts Ave., N.W., Washington, D.C.
20529-2140, OMB No. 1615-0061. Do not mail your
completed Form I-924A to this address.

Form I-924A Instructions 01/03/13 Y Page 3