EB-5 Petition Checklist - Regional Center

• Family name
• Given name
• Middle name
• Full U.S.address
• Foreign address
• Date of birth
• Country of birth
• Social security number (if any)
• A# (if any)

• If you are in the U.S.
• Date of arrival
• I-94 card #
• Current nonimmigrant status
• Date status expires
• Daytime Phone # with area code
• Highest level of education completed

(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)
• Cash on hand in bank account
• Cash on hand in brokerage Account
• Sale of an asset
• Distribution
• Inheritance
• Gift
• Other

• Income when you made the investment into the Regional Center
• Gross
• Net
• Net worth when you made the investment into the Regional Center
• Upon approval of EB-5 petition
• 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?

• Have you ever been placed in removal proceedings?
• Have you ever worked in the U.S. without permission?
• Have you ever been arrested and/or convicted of a crime?

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:
• I-94 card
• Visa
• Social security card, U.S. driver’s license