Form I-526 - Immigrant Petition By Alien Entrepreneur Page 6
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13Part 2. Information About Your Investment
Address of NCE
(continued)
3.a. Street Number
and Name
Your Sources of Investment Capital
3.b.
Apt.
Ste.
Flr.
Please identify the sources of the capital you have invested or
are actively in the process of investing into the NCE. (Select all
3.c. City or Town
that apply.)
21.a.
Income
3.d.
County
21.b.
Indebtedness (Loan, Loan Proceeds, Promissory
3.e. State
3.f.
ZIP Code
Note, etc.)
Telephone Number of NCE
21.c.
Gift (including capital obtained through inheritance)
4.
21.d.
Tangible Assets (Equipment, Inventory, etc.)
5.
Type of Entity (for example, corporation, limited liability
21.e.
Other
company, partnership)
21.f.
In the space below, describe the documentation included
with this petition to demonstrate that the capital you have
invested or are actively in the process of investing was
6.
Nature of Activity (for example, furniture manufacturer)
obtained through lawful means.
7.
Included Industries (provide North American Industry
Classification System (NAICS) codes)
8.
Have you invested or are you actively in the process of
investing in a troubled business?
Yes
No
NOTE: If you answered "Yes" to Item Number 8., you must
provide an explanation in Part 11. Additional Information of
Part 3. Information About the New Commercial
how the NCE qualifies as a troubled business.
Enterprise (NCE)
9.
Date NCE Formed (mm/dd/yyyy)
Type of NCE (Select only one)
10.
Federal Employer Identification Number
►
1.a.
NCE formed after November 29, 1990
1.b.
NCE resulting from the purchase of a business
11.
Date of Your Initial Investment (mm/dd/yyyy)
formed on or before November 29, 1990 that is
restructured or reorganized
1.c.
NCE resulting from a capital investment in and
12.
Amount of Your Initial Investment in the NCE
substantial expansion of a business formed on or
$
before November 29, 1990.
13.
Your Total Capital Investment in the NCE To Date
Additional Information About the NCE
$
2.
Name of NCE (Required Field - Do Not Leave Blank)
14.
What percentage of the NCE do you own?
%
Form I-526 05/30/17 N
Page 6 of 13
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