I-924 Frm Toc

I924-008-FRM-TOC-BiometricsRule-NPRM-05182020.docx

Application for Regional Center Under the Immigrant Investor Pilot Program

I-924 FRM TOC

OMB: 1615-0061

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TABLE OF CHANGES – FORM

Form I-924, Application for Regional Center Designation Under the Immigrant Investor Program

OMB Number: 1615-0061

05/18/2020


Reason for Revision: Biometrics Rule

Project Phase: NPRM


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes

Expires 11/30/2021

Edition Date 11/21/2019



Current Page Number and Section

Current Text

Proposed Text

Pages 2-6,

Part 4. Information About the Organizational Structure, Ownership, and Control of the Regional Center Entity

[page 3]



17. Website Address (if any)


[new]








































Information About the Principals of the Regional Center Entity - Non-Owners


List all principals associated with the regional center, other than those already identified in Part 4., Item Numbers 2.a. - 12. For each person, include the principal non-owner's name, date of birth, country of birth, U.S. Social Security Number, the position/title held within the regional center entity, and any other names or aliases used. All principals are required to provide a copy of a valid government-issued photo identification document and should provide a U.S. Social Security Number. For each principal that is an entity or organization, provide the name of the entity, the Federal Employer Identification Number, any trade name (DBA), and list the names of all persons having ownership, control, or a beneficial interest in that entity or organization, their date of birth, country of birth, the percentage of ownership, and the position held (if any) within the entity or organization. For each principal, provide the mailing address, telephone number, email address, and website address. If you need extra space to complete this section, use the space provided in Part 10. Additional Information.



[Page 4]


Information About the Principal Non-Owner of the Regional Center Entity

18.a. Family Name (Last Name)

18.b. Given Name (First Name)

18.c. Middle Name


19. Date of Birth (mm/dd/yyyy)


20. Country of Birth


21. U.S. Social Security Number (if any)


22. Position Held Within the Regional Center Entity


23. Entity Name (for a principal of the Regional Center Entity that is an entity or organization)


24. Federal Employer Identification Number (for a principal of the Regional Center Entity that is an entity or organization)


25.a. Persons Having Ownership, Control, or Beneficial Interest in the Entity Listed in Part 4., Item Number 23.

25.b. Date of Birth (mm/dd/yyyy)

25.c. Country of Birth

25.d. Percentage Ownership in the Entity Listed in Part 4., Item Number 23. %

25.e. Position Held (if any) in the Entity Listed in Part 4., Item Number 23.



26.a. Family Name (Last Name)

26.b. Given Name (First Name)

26.c. Middle Name


27. Trade Name (DBA if any) (for the entity listed in Part 4., Item Number 23.)


Mailing Address For the Principal Non-Owners of the Regional Center Entity

28.a. In Care Of Name (if any)

28.b. Street Number and Name or PO Box

28.c. Apt. Ste. Flr.

28.d. City or Town

28.e. State

28.f. ZIP Code

28.g. Province

28.h. Postal Code

28.i. Country


Contact Information For the Principal Non-Owners of the Regional Center Entity

29. Daytime Telephone Number

30. Fax Number

31. Email Address (if any)

32. Website Address (if any)











































[Page 5]


Information About the Regional Center


33. Date the Regional Center Entity Was Established (mm/dd/yyyy)


34. State or Territory Where the Regional Center Entity Was Formed


Geographic Area of the Regional Center


35. Have you provided a listing of the geographic components that comprise the limited and contiguous geographic area of the regional center? Y/N



36. Have you provided a map or other illustration that shows the geographic area of the regional center? Y/N



37. The regional center focuses on a limited, contiguous geographical area of the United States? Y/N


38. The boundaries are reasonable based on evidence that the proposed area is contributing significantly to the supply chain and labor pool of the proposed new commercial enterprises? Y/N



39. Regional Center Entity Federal Employer Identification Number


Administration, Oversight, and Management Functions


40. Have you submitted a plan that demonstrates that there are (or will be) sufficient management, oversight, and administrative functions in place to monitor all EB-5 capital investment activities? Y/N



41. Indicate the type of documentation you have submitted to establish the regional center's ownership, structure, control and administration, oversight, and management functions. This list is not exclusive and if you have documentation that is not reflected in the examples listed below, select “Other” and describe the nature of the documentation.



42. Have you submitted documentation, such as a budget, that details how the regional center has or will conduct promotional activities? Y/N



[Page 6]


Plan of Operation


43. Have you submitted a plan of operation that details how EB-5 investors will be recruited, the methods by which the capital investment opportunities will be offered, and how potential investors will subscribe or commit to the investment? Y/N



44. Has USCIS ever terminated this regional center's designation; or has the regional center entity, principal, managing company, or agent involved with this application ever been associated with a regional center whose designation was terminated; or has the regional center entity, principal, managing company, or agent involved with this application ever filed Form I-924, Application for Regional Center Designation Under the Immigrant Investor Program, or Form I-924 amendment that was denied? Y/N


If you answered “Yes” to Item Number 44., provide an explanation of the denial or termination and/or the association between the regional center principal, managing company, or owner and the denied or terminated regional center in Part 10. Additional Information and the following information associated with the denied or terminated regional center:


45. Regional Center Name


46. Regional Center Identification Number


[page 3]



17. Website Address (if any)


Biographic Information for the Owners of the Regional Center Entity


18. Ethnicity (Select only one box)

Hispanic or Latino

Not Hispanic or Latino


19. Race (Select all applicable boxes)

White

Asian

Black or African American

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander


20. Height Feet Inches


21. Weight Pounds


22. Eye Color (Select only one box)

Black

Blue

Brown

Gray

Green

Hazel

Maroon

Pink

Unknown/Other


23. Hair Color (Select only one box)

Bald (No hair)

Black

Blond

Brown

Gray

Red

Sandy

White

Unknown/Other


Information About the Principals of the Regional Center Entity - Non-Owners


List all principals associated with the regional center, other than those already identified in Part 4., Item Numbers 2.a. - 12. For each person, include the principal non-owner's name, date of birth, country of birth, U.S. Social Security Number, the position/title held within the regional center entity, any other names or aliases used, and biographic information. All principals are required to provide a copy of a valid government-issued photo identification document and should provide a U.S. Social Security Number. For each principal that is an entity or organization, provide the name of the entity, the Federal Employer Identification Number, any trade name (DBA), and list the names of all persons having ownership, control, or a beneficial interest in that entity or organization, their date of birth, country of birth, the percentage of ownership, position held (if any) within the entity or organization, and their biographic information. For each principal, provide the mailing address, telephone number, email address, and website address. If you need extra space to provide information for each person, use the space provided in Part 10. Additional Information.


[Page 4]


Information About the Principal Non-Owner of the Regional Center Entity

24.a. Family Name (Last Name)

24.b. Given Name (First Name)

24.c. Middle Name


25. Date of Birth (mm/dd/yyyy)


26. Country of Birth


27. U.S. Social Security Number (if any)


28. Position Held Within the Regional Center Entity


29. Entity Name (for a principal of the Regional Center Entity that is an entity or organization)


30. Federal Employer Identification Number (for a principal of the Regional Center Entity that is an entity or organization)


31.a. Persons Having Ownership, Control, or Beneficial Interest in the Entity Listed in Part 4., Item Number 29.

31.b. Date of Birth (mm/dd/yyyy)

31.c. Country of Birth

31.d. Percentage Ownership in the Entity Listed in Part 4., Item Number 29. %

31.e. Position Held (if any) in the Entity Listed in Part 4., Item Number 29.



32.a. Family Name (Last Name)

32.b. Given Name (First Name)

32.c. Middle Name


33. Trade Name (DBA if any) (for the entity listed in Part 4., Item Number 29.)


Mailing Address For the Principal Non-Owners of the Regional Center Entity

34.a. In Care Of Name (if any)

34.b. Street Number and Name or PO Box

34.c. Apt. Ste. Flr.

34.d. City or Town

34.e. State

34.f. ZIP Code

34.g. Province

34.h. Postal Code

34.i. Country


Contact Information For the Principal Non-Owners of the Regional Center Entity

35. Daytime Telephone Number

36. Fax Number

37. Email Address (if any)

38. Website Address (if any)


Biographic Information for the Principal Non-Owner of the Regional Center Entity


39. Ethnicity (Select only one box)

Hispanic or Latino

Not Hispanic or Latino


40. Race (Select all applicable boxes)

White

Asian

Black or African American

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander


41. Height Feet Inches


42. Weight Pounds


43. Eye Color (Select only one box)

Black

Blue

Brown

Gray

Green

Hazel

Maroon

Pink

Unknown/Other


44. Hair Color (Select only one box)

Bald (No hair)

Black

Blond

Brown

Gray

Red

Sandy

White

Unknown/Other


[Page 5]


Information About the Regional Center


45. Date the Regional Center Entity Was Established (mm/dd/yyyy)


46. State or Territory Where the Regional Center Entity Was Formed


Geographic Area of the Regional Center


47. Have you provided a listing of the geographic components that comprise the limited and contiguous geographic area of the regional center? Y/N



48. Have you provided a map or other illustration that shows the geographic area of the regional center? Y/N



49. The regional center focuses on a limited, contiguous geographical area of the United States? Y/N


50. The boundaries are reasonable based on evidence that the proposed area is contributing significantly to the supply chain and labor pool of the proposed new commercial enterprises? Y/N



51. Regional Center Entity Federal Employer Identification Number


Administration, Oversight, and Management Functions


52. Have you submitted a plan that demonstrates that there are (or will be) sufficient management, oversight, and administrative functions in place to monitor all EB-5 capital investment activities? Y/N



53. Indicate the type of documentation you have submitted to establish the regional center's ownership, structure, control and administration, oversight, and management functions. This list is not exclusive and if you have documentation that is not reflected in the examples listed below, select “Other” and describe the nature of the documentation.



54. Have you submitted documentation, such as a budget, that details how the regional center has or will conduct promotional activities? Y/N



[Page 6]


Plan of Operation


55. Have you submitted a plan of operation that details how EB-5 investors will be recruited, the methods by which the capital investment opportunities will be offered, and how potential investors will subscribe or commit to the investment? Y/N



56. Has USCIS ever terminated this regional center's designation; or has the regional center entity, principal, managing company, or agent involved with this application ever been associated with a regional center whose designation was terminated; or has the regional center entity, principal, managing company, or agent involved with this application ever filed Form I-924, Application for Regional Center Designation Under the Immigrant Investor Program, or Form I-924 amendment that was denied? Y/N


If you answered “Yes” to Item Number 56., provide an explanation of the denial or termination and/or the association between the regional center principal, managing company, or owner and the denied or terminated regional center in Part 10. Additional Information and the following information associated with the denied or terminated regional center:


57. Regional Center Name


58. Regional Center Identification Number



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMulvihill, Timothy R
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File Created2021-01-13

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