I-941 Form Table of Changes

TABLE OF CHANGES – FORM

Form I-941, Application for Entrepreneur Parole

OMB Number: 1615-0136

08/03/2021

Reason for Revision:

Project Phase:

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Expires 04/30/2022

Edition Date 04/24/2019

Current Page Number and Section	Current Text	Proposed Text
Pages 4-8, Part 5. Basis of Eligibility – Qualifying Start-Up Entity and Owners	[Page 5] … 10.a. Did your start-up entity receive a qualified investment of at least $250,000 within 18 months immediately preceding the filing of this application? Y/ N … 11.a. Did your start-up entity receive a qualified government award or grant of at least $100,000 within 18 months immediately preceding the filing of this application? Y/ N … [Page 6] 18.a. Did your start-up entity receive at least $500,000 in qualifying investments, qualified government awards or grants, or a combination of such funding during the initial parole period? Y / N / N/A … 20.a. Did your start-up reach at least $500,000 in annual revenue in the United States during the initial parole period? Y / N / N/A …	[Page 5] … 10.a. Did your start-up entity receive a qualified investment of at least $264,147 within 18 months immediately preceding the filing of this application? Y/ N … 11.a. Did your start-up entity receive a qualified government award or grant of at least $105,659 within 18 months immediately preceding the filing of this application? Y/ N … [Page 6] 18.a. Did your start-up entity receive at least $528,293 in qualifying investments, qualified government awards or grants, or a combination of such funding during the initial parole period? Y / N / N/A … 20.a. Did your start-up reach at least $528,293 in annual revenue in the United States during the initial parole period? Y / N / N/A …
Pages 8-12, Part 6. Information on Qualified Investors or Government Entities Providing a Grant/Award	[Page 9] … List investments in other start-ups by this investor during the preceding five years totaling no less than $600,000. If you need extra space to complete this section, use the space provided in Part 10. Additional Information. … Identify at least 2 of the start-ups listed above that each created, subsequent to such investment, at least 5 qualified jobs or generated at least $500,000 in revenue with average annualized revenue growth of at least 20 percent. … [Page 11] List investments in other start-ups by this investor during the preceding five years totaling no less than $600,000. If you need extra space to complete this section, use the space provided in Part 10. Additional Information. … Identify at least 2 of the start-ups listed above that each created, subsequent to such investment, at least 5 qualified jobs or generated at least $500,000 in revenue with average annualized revenue growth of at least 20 percent. …	[Page 9] … List investments in other start-ups by this investor during the preceding five years totaling no less than $633,952. If you need extra space to complete this section, use the space provided in Part 10. Additional Information. … Identify at least 2 of the start-ups listed above that each created, subsequent to such investment, at least 5 qualified jobs or generated at least $528,293 in revenue with average annualized revenue growth of at least 20 percent. … [Page 11] List investments in other start-ups by this investor during the preceding five years totaling no less than $633,952. If you need extra space to complete this section, use the space provided in Part 10. Additional Information. … Identify at least 2 of the start-ups listed above that each created, subsequent to such investment, at least 5 qualified jobs or generated at least $528,293 in revenue with average annualized revenue growth of at least 20 percent. …

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