Form I-129s - Nonimmigrant Petition Based On Blanket L Petition
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8Nonimmigrant Petition Based on Blanket L Petition
USCIS
Form I-129S
Department of Homeland Security
OMB No. 1615-0010
U.S. Citizenship and Immigration Services
Expires 06/30/2018
For Government Use Only
Received
Resubmitted
Action Block
Fee Receipt
Relocated Sent
Relocated Received
Validity Dates
Beneficiary Interviewed on:
From:
Approved as:
Manager/Executive
To:
Specialized Knowledge
Professional
Denial Reason
Approval Date:
Attorney State Bar Number
To be completed by an
Attorney or Accredited Representative
Select this box if
(if applicable)
USCIS Online Account Number (if any)
attorney or accredited
Form G-28 is
representative (if any).
attached.
START HERE - Type or print in black ink.
►
Part 1. Information About The Employer
Petitioner's Physical Address
(Petitioner)
4.a. Street Number
and Name
1.
Name of the Petitioner
4.b.
Apt.
Ste.
Flr.
4.c. City or Town
Petitioner's Mailing Address
4.d. State
4.e. ZIP Code
2.a. In Care Of Name (if any)
Petitioner's Contact Information
2.b.
Street Number
and Name
5.
Daytime Telephone Number
2.c.
Apt.
Ste.
Flr.
6.
Fax Number
2.d. City or Town
2.e. State
2.f.
ZIP Code
7.
Email Address (if any)
3.
Is this mailing address the same as the physical location
of the sponsoring company or organization?
8.
Web site Address (if any)
Yes
No
If you answered "No" to Item Number 3., provide the
sponsoring company's or organization's physical address
Petitioner's Employees in the United States
in Item Numbers 4.a. - 4.e.
9.
Does the petitioner employ 50 or more individuals in the
United States?
Yes
No
If you answered "Yes" to Item Number 9., complete
Item Number 10.
10.
Are more than 50 percent of the petitioner's employees in
H-1B, L-1A, or L-1B nonimmigrant status?
Yes
No
Form I-129S 06/02/16 N
Page 1 of 8
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