Form I-924 - Application For Regional Center Designation Under The Immigrant Investor Program

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Application for Regional Center Designation Under the
USCIS
Immigrant Investor Program
Form I-924
Department of Homeland Security
OMB No. 1615-0061
Expires 12/31/2018
U.S. Citizenship and Immigration Services
To be completed
Select box if G-28 is
Attorney State Bar Number
Attorney or Accredited Representative
by an attorney or
attached to represent
(if applicable)
USCIS Online Account Number (if any)
the regional center
BIA-accredited
representative (if any).
►
START HERE - Type or print in black ink.
Part 1. Information About the Regional Center
Part 2. Information About the Managing
Company or Agency (if different from the regional
1.
Name of Regional Center Entity
center entity)
1.
Name of the Managing Company or Agency
If filing an amendment to a previously approved Form I-924:
2.
Name of Regional Center (if different from regional
center entity)
Managing Company or Agency Mailing Address
2.a. In Care Of Name (if any)
3.
Regional Center Identification Number
2.b.
Street Number and
Name or PO Box
Regional Center Mailing Address
2.c.
Apt.
Ste.
Flr.
4.a. In Care Of Name (if any)
2.d.
City or Town
4.b.
Street Number and
2.e.
State
2.f.
ZIP Code
Name or PO Box
Contact Information for Managing Company or
4.c.
Apt.
Ste.
Flr.
Agency
4.d.
City or Town
3.
Daytime Telephone Number
4.e.
State
4.f.
ZIP Code
4.
Fax Number
Regional Center Contact Information
5.
Daytime Telephone Number
5.
Email Address (if any)
6.
Fax Number
6.
Website Address (if any)
7.
Email Address (if any)
NOTE for Multiple Managing Companies or Agencies: If
more than one managing company or agency is associated with
8.
Website Address (if any)
the regional center, provide the above information for all other
managing companies or agencies in the space provided in
Part 10. Additional Information.
Form I-924 12/23/16 N
Page 1 of 11

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