Instructions For Application For Regional Center Designation Under The Immigrant Investor Program ( Form I-924) (Page 4 of 14) in pdf

Part 3. Application Type

Item Numbers 1.a. - 1.b. Application Type. Select the appropriate box which indicates whether you are submitting

an initial application for designation as a regional center or an amendment to an approved regional center application.

If filing an amendment, select the appropriate box to indicate the type of amendment. If you are seeking to add a new

commercial enterprise as part of this filing, select the box and provide the name of the new commercial enterprise. If you

are seeking to add multiple new commercial enterprises, provide information regarding each new commercial enterprise in

Part 10. Additional Information.

Item Number 2. Project Type. Select the appropriate box to indicate the type of projects that are submitted in support of

your application.

Part 4. Information About the Organizational Structure, Ownership, and Control of the Regional Center Entity

Item Number 1. Organizational Structure of the Regional Center Entity. Indicate whether the regional center entity

is a government entity, a corporation, a partnership (including limited partnerships), a limited liability company, or some

other type of entity.

Information About the Principals of the Regional Center Entity

A “principal” is any person or legal entity or organization (for example, a corporation, limited liability company,

partnership, or governmental entity) that is an owner of the regional center entity, that is in a position of executive

managerial authority over the regional center entity, or that is otherwise in a position to control, influence, or direct the

management or policies of the regional center.

If you are listing multiple principals of the regional center, provide information regarding each additional principal in Part

10. Additional Information.

Information About the Principals of the Regional Center Entity - Owners

Item Numbers 2.a. - 2.c. Name. Provide the full legal name of all persons who hold an ownership interest in the

regional center entity.

Item Numbers 3. - 4. Date of Birth and Country of Birth (for persons). Provide the owner’s date of birth in mm/dd/

yyyy format and country of birth.

Item Number 5. U.S. Social Security Number (for persons). Provide the owner’s U.S. Social Security Number.

Item Number 6. Percentage of Ownership in the Regional Center Entity. Provide the percentage of ownership held

in the regional center entity for each owner of the regional center.

Item Number 7. Position Held Within the Regional Center Entity. Provide the current title or position held in the

regional center entity (if any).

Item Number 8. Entity Name (for an owner of the Regional Center Entity that is an entity or organization). Provide the

name of all entities that hold an ownership interest in the regional center entity.

Item Number 9. Federal Employer Identification Number (for an owner of the Regional Center Entity that is an entity

or organization). Provide the Federal Employer Identification Number for the entity listed in Part 4., Item Number 8.

Item Number 10.a. Persons Having Ownership, Control, or Beneficial Interest In the Entity Listed In Part 4., Item

Number 8. Provide the names of all persons having ownership, control, or beneficial interest in the entity listed in Part

4., Item Number 8.

Item Number 10.b. Date of Birth. Provide the dates of birth for all persons having ownership, control, or beneficial

interest in the entity listed in Part 4., Item Number 8.

Item Number 10.c. Country of Birth. Provide the countries of birth of all persons having ownership, control, or

beneficial interest in the entity listed in Part 4., Item Number 8.

Form I-924 Instructions 12/23/16 N

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Instructions For Application For Regional Center Designation Under The Immigrant Investor Program ( Form I-924) Page 4