I-924a Frm Toc

TABLE OF CHANGES – FORM

Form I-924A, Annual Certification of Regional Center

OMB Number: 1615-0061

07/28/2020

Reason for Revision: Final Fee Rule.

Project Phase: Post G-1056

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Please note – all instances of “if any” and “if applicable” have been removed from Form I-924A.

Expires 7/31/2022

Edition Date 7/23/2020

Current Page Number and Section	Current Text	Proposed Text
Page 1, To be completed by an attorney or BIA-accredited representative (if any).	[Page 1] To be completed by an attorney or BIA-accredited representative (if any). Select box if Form G-28 is attached. Attorney State Bar Number (if applicable) Attorney or Accredited Representative USCIS Online Account Number (if any)	[Page 1] To be completed by an attorney or BIA-accredited representative. Select box if Form G-28 is attached. Attorney State Bar Number Attorney or Accredited Representative USCIS Online Account Number
Page 1, Part 1. Information About the Regional Center	[Page 1] … 5.a. In Care Of Name (if any) 5.b. Street Number and Name or PO Box 5.c. Apt. Ste. Flr. 5.d. City or Town 5.e. State 5.f. ZIP Code … 8. Email Address (if any) 9. Website Address (if any) …	[Page 1] … 5.a. In Care Of Name 5.b. Street Number and Name or PO Box 5.c. Apt. Ste. Flr. 5.d. City or Town 5.e. State 5.f. ZIP Code … 8. Email Address 9. Website Address …
Pages 1-2, Part 2. Information About the Managing Company or Agency (if different from regional center entity)	[Page 1] … 2.a. In Care Of Name (if any) 2.b. Street Number and Name or PO Box 2.c. Apt. Ste. Flr. 2.d. City or Town 2.e. State 2.f. ZIP Code … 5. Email Address (if any) 6. Website Address (if any) …	[Page 1] … 2.a. In Care Of Name 2.b. Street Number and Name or PO Box 2.c. Apt. Ste. Flr. 2.d. City or Town 2.e. State 2.f. ZIP Code … 5. Email Address 6. Website Address …
Pages 2-4, Part 4. Information About the Organizational Structure, Ownership, and Control of Regional Center Entity	[Page 2] … 4. U.S. Social Security Number (if any) … Other Names Used By the Principal Owner of the Regional Center Entity (if applicable) … 6. Position Held Within the Regional Center Entity (if any) … 9.e. Position Held (if any) in the Entity Listed in Part 4., Item Number 7. Other Names Used By the Principal Owner of the Regional Center Entity (if applicable) … 11. Trade Name (DBA if any) (for the entity listed in Part 4., Item Number 7.) [Page 3] 12.a. In Care Of Name (if any) 12.b. Street Number and Name or PO Box 12.c. Apt. Ste. Flr. 12.d. City or Town 12.e. State 12.f. ZIP Code 12.g. Province 12.h. Postal Code 12.i. Country … [Page 3] 15. Email Address (if any) 16. Website Address (if any) … 20. U.S. Social Security Number (if any) … 24.e. Position Held (if any) in the Entity Listed in Part 4., Item Number 22. Other Names Used By the Principal Non-Owner of the Regional Center Entity (if applicable) … 26. Trade Name (DBA if any) (for the entity listed in Part 4., Item Number 22. [Page 4] Mailing Address for the Principal Non-Owner of the Regional Center Entity 27.a. In Care Of Name (if any) 27.b. Street Number and Name or PO Box 27.c. Apt. Ste. Flr. 27.d. City or Town 27.e. State 27.f. ZIP Code 27.g. Province 27.h. Postal Code 27.i. Country … 30. Email Address (if any) 31. Website Address (if any)	[Page 2] … 4. U.S. Social Security Number … Other Names Used By the Principal Owner of the Regional Center Entity … 6. Position Held Within the Regional Center Entity … 9.e. Position Held in the Entity Listed in Part 4., Item Number 7. Other Names Used By the Principal Owner of the Regional Center Entity … 11. Trade Name (DBA) (for the entity listed in Part 4., Item Number 7.) [Page 3] 12.a. In Care Of Name 12.b. Street Number and Name or PO Box 12.c. Apt. Ste. Flr. 12.d. City or Town 12.e. State 12.f. ZIP Code 12.g. Province 12.h. Postal Code 12.i. Country … [Page 3] 15. Email Address 16. Website Address … 20. U.S. Social Security Number … 24.e. Position Held in the Entity Listed in Part 4., Item Number 22. Other Names Used By the Principal Non-Owner of the Regional Center Entity … 26. Trade Name (DBA) (for the entity listed in Part 4., Item Number 22. [Page 4] Mailing Address for the Principal Non-Owner of the Regional Center Entity 27.a. In Care Of Name 27.b. Street Number and Name or PO Box 27.c. Apt. Ste. Flr. 27.d. City or Town 27.e. State 27.f. ZIP Code 27.g. Province 27.h. Postal Code 27.i. Country … 30. Email Address 31. Website Address
Pages 5-6, Part 6. Information About the New Commercial Enterprise	[Page 5] … 3.a. In Care Of Name (if any) 3.b. Street Number and Name or PO Box 3.c. Apt. Ste. Flr. 3.d. City or Town 3.e. State 3.f. ZIP Code …	[Page 5] … 3.a. In Care Of Name 3.b. Street Number and Name or PO Box 3.c. Apt. Ste. Flr. 3.d. City or Town 3.e. State 3.f. ZIP Code …

1