Form I-526 Immigrant Petition by Alien Entrepreneur

Form I-526, Immigrant Petition by Alien Entrepreneur

OMB No: 1615-0026

EB-5 NPRM

12/20/2016

START HERE- Type or print in black ink.

Part 1. Information About You

Family Name

Given Name

Middle Name

Address- In Care of Name, if applicable

Street Number and Name

Apt. Number

City

State or Province

Country

Zip/Postal Code

Date of Birth (mm/dd/yyyy)

Country of Birth

Social Security Number (if any)

A-Number (if any)

_{If you are in the United States, provide the following information:}

Date of Arrival (mm/dd/yyyy)

I-94 Number

Passport Number

Travel Document Number

Expiration Date for Passport or Travel Document

Country of Issuance for Passport or Travel Document

Current Nonimmigrant Status

Date Current Status Expires (mm/dd/yyyy)

Daytime Telephone Number (with Area Code)

Part 2. Application Type (Check one)

1. ^{__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

2. ^{__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.

3. ^__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.

Part 3., Information About Your Investment

Name of commercial enterprise in which funds are invested (Required Field - Do Not Leave Blank)

Street Address

_{Phone Number with Area Code}

Business organized as (corporation, partnership, etc.)

Kind of business (e.g., furniture manufacturer)

Date established (mm/dd/yyyy)

IRS Tax #

Date of your initial investment (mm/dd/yyyy)

Amount of your initial investment

Your total capital investment in the enterprise to date

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 non- natural) 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 or in an upward adjustment area, name the county and State.}

_County

_State

Part 4., 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

_{Net worth:}

_{When you made the investment}

_Gross

_Now

Part 5. Employment Creation Information

Number of full-time employees in the enterprise in the United States (excluding you, your spouse, sons, and daughters)

When you made your initial investment?

Now

Difference

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

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? $___}

_{________}

_{What is the cost of your benefits? $}

Part 6. 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:}

_{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 U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit I am seeking.

Signature

Date

Mobile Phone Number

E-Mail Address

NOTE: If you do not completely fill out this form or fail to 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 the 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

Daytime phone # with area code

Address

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