Fillable City Of Houston Eb-5 (Tea) Certification Request Form (Page 2 of 2) in pdf

City Of Houston Eb-5 (Tea) Certification Request Form Page 2

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Job Creation Data*:

Projected dates:

(ENTER expected number of jobs that would be? *Must create or preserve at least

(Provide estimate date for each category. If a category does not apply, leave blank.)

10 full-time jobs for qualifying US workers within two years; Direct or Indirect)

 DIRECT

INDIRECT

Begin Construction:

JOBS TYPE:

Construction Complete:

Jobs Retained:

Hire New Employees:

Estimated Payroll:

Begin Operations:

Jobs Created:

Full Operations:

Estimated Payroll:

Provide a brief project description below:

(

Provide a summary of the project. Example: Rooms, Parking, Sq.Ft., Capacity, etc.)

Capital Investment Amount:

Capital EB5 Investment Amount:

REQUESTER CONTACT INFORMATION

(The name and contact information of the person who submitted the formal request to the City of Houston Economic Development Division)

Business Name

Name of Representative

Title

Telephone

How will the project be submitted to USCIS?

(Please check appropriate box & provide name of center if applicable)



DIRECTLY

REGIONAL CENTER

Name of center:

________________________________________________________________________________________

DESIGNATION REQUESTS

(Petitioners should consider the following prior to and in submitting a request)

A specific address for the proposed investment will be needed to determine whether or not the new business is

STEP 1 -

situated in a qualifying area.

However, if a specific address is not yet available, a general description of the location or close area will suffice

to tie the request to a qualifying area within a MSA, county, CDP, or city.

STEP 2 - Verify that the designated census tracts combined qualifies as a High Unemployment Area (has an unemployment rate equal to or exceeding

150 percent of the national unemployment average) using the current statistical analysis. The City of Houston requires that you use the most up to date

labor data. At the current time, the most recent unemployment information available at the census tract level is the American Community Survey (ACS)

2009-2014- 5 Year estimate used in conjunction with the Bureau of Labor Statistics

(BLS) 2014 county employment.

OUR GUIDELINES

Effective January 2014, in order to qualify for TEA certification the following requirements need to be met: The Census tract(s) and/or block

group(s) used toward a contiguous or shared method designation cannot consist of more than 12 tracts within a 4 to 5 mile radius of the

proposed site.

PROCESSING TIME

Please be advised that the turnaround time for most requests is a minimum of 15 business days from the day we receive this request form

in our office.

After completion of the form:

Please email the form and all relevant information to: