Regional Center EB-5 Petition Questionnaire

Biographical Information

(If investment funds are from a business owned by the investor)

Full legal name of business from which funds are to be derived
Street address
Phone # with area code
Business organized as (corporation, partnership, etc.)
Kind of business (ex: furniture manufacturer)
Date established (mm/dd/yy)
Number of employees
Date of initial investment
Amount of initial investment: in your enterprise
Total capital investment to date from the entity where the investment derives
Percentage of the enterprise you own
Brief description of your duties, activities, responsibilities and history of the enterprise ((Attach separate sheet if more space is needed)
Salary
Cost of your benefits
If you are not the sole investor, list the name of all other parties (individuals and corporations) who hold a percentage share of ownership and indicate whether any of these parties is seeking EB-5 classification. Include name, percentage ownership. Attach separate sheet if more space is needed)
Composition of investment: to be made into the Regional Center. Provide all as applicable in USD amounts. Investment must be made from individual account. (Attach separate sheet if more space is needed)

Will you adjust status to permanent residence in the U.S. or will you apply for an immigrant visa at a U.S. consular post?

Please return completed Questionnaire with:

Foreign business registration records (if your investment funds derives from income from a company you own)
Personal tax returns filed within the last 5 years in or outside the U.S.
Business tax returns filed within the last 5 years
Other sources of capital (ex: investment portfolio statements)
Certified copies of any judgment against the investor from any court within the past 15 years, if applicable
Full copy of passport for yourself and all non-U.S. dependents
Birth certificates for yourself and all non-U.S. dependents
If in the U.S. – for yourself and all non-U.S. dependents:

House narrowly OK's E-Verify...
New rules restrict H-2 labor...
No construction workers...