Form I-526 - Uscis Page 2
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1
2
3Part 3. Information About Your Investment
(Continued)
Kind of business
Date established
IRS Tax #
(e.g. furniture manufacturer)
(mm/dd/yyyy)
Amount of your
Date of your initial
initial investment
$
investment (mm/dd/yyyy)
Your total capital investment
Percentage of the
in the enterprise to date
$
enterprise you own
If you are not the sole investor in the new commercial enterprise, list on separate paper the names of all other parties (natural and non-
natural) who hold a percentage share of ownership of the new enterprise and indicate whether any of these parties is seeking classification
as an alien entrepreneur. Include the name, percentage of ownership, and whether or not the person is seeking classification under section
203(b)(5). NOTE: A "natural" party would be an individual person, and a "non-natural" party would be an entity such as a corporation,
consortium, investment group, partnership, etc.
If you indicated in Part 2 that the enterprise is in a targeted employment
County
State
area or in an upward adjustment area, name the county and State:
Part 4. Additional Information About the Enterprise
Type of Enterprise (check one):
New commercial enterprise resulting from the creation of a new business.
New commercial enterprise resulting from the purchase of an existing business.
New commercial enterprise resulting from a capital investment in an existing business.
Composition of the Petitioner's Investment:
$
Total amount in U.S. bank account ......................................................................................
$
Total value of all assets purchased for use in the enterprise.................................................
$
Total value of all property transferred from abroad to the new enterprise...........................
$
Total of all debt financing....................................................................................................
$
Total stock purchases...........................................................................................................
$
Other (explain on separate paper)........................................................................................
$
Total
Income:
$
$
Net
Gross
When you made the investment.........
$
$
Gross
Net
Now....................................................
:
Net worth
$
$
Gross
Now
When you made investment...............
Form I-526 (09/24/13) N Page 2
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