Instructions For Form I-941 - Application For Entrepreneur Parole Page 8
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13B. If the investor is an organization, such as a venture capital firm or other U.S. business investing in the start-up
entity, you should submit evidence that the organization operates through a legal entity organized under the laws
of the United States, such as its organizational documents (such as articles of incorporation, bylaws, articles of
organization, operating agreement, certificate of partnership, partnership agreement, etc.), along with evidence
showing that it is majority owned and controlled, directly and indirectly, by U.S. citizens or lawful permanent
residents of the United States, such as an ownership structure chart outlining the direct and indirect ownership of
the organization together with evidence that the individuals ultimately owning and controlling a majority of the
organization are U.S. citizens or lawful permanent residents of the United States.
C. Evidence that the investor has, during the 5 years prior to the date of filing your application for parole based
on an investment from such individual or organization, (i) made investments in other U.S. business entities in
exchange for equity or convertible debt in at least 3 separate calendar years comprising a total in such 5-year
period of no less than $1,000,000; and (ii) that subsequent to such investment by such individual or organization,
at least 2 such entities each created at least 5 qualified jobs or generated at least $500,000 in revenue with
average annualized revenue growth of at least 20 percent. To satisfy the investment requirement, such evidence
may include such records as: Bank records, wire transfers, debt agreements, equity purchase agreements, equity
certificates, equity ledgers, or capitalization table. To satisfy the job creation or revenue generation requirement,
such evidence may include such records as: tax and/or payroll records, I-9 records, or audited financial statements.
7. What documents do you need to provide to show that the award or grant you have received is a qualified government
award or grant?
To establish that the award or grant is for economic development, research and development, or job creation (or
other similar monetary award typically given to start-up entities) made by a federal, state, or local government entity
that regularly provides such awards or grants to start-up entities, you should submit such records as: copies of grant
or award letters, other documentation from the government entity confirming the issuance of the award or grant
including the amount of the award or grant as well as the recipient, and bank records confirming receipt of the award
or grant.
8. What documents do you need to provide to show that your start-up entity received sufficient minimum investment or
government funding?
Evidence that the start-up entity has received sufficient minimum investment to establish eligibility may include
copies of the start-up entity’s bank records, accounting documents, and corporate ownership records. These records
must clearly demonstrate the trail of lawfully derived capital from a qualified investor into your start-up entity. The
records must demonstrate that the invested capital was used to purchase equity in or convertible debt issued by your
start-up entity. Evidence may also include documents showing receipt by the start-up entity of a qualified award or
grant from a U.S. government entity.
NOTE: A qualified investment shall not include an investment from you (the entrepreneur), your parents, spouse,
brother, sister, son, or daughter; or from any corporation, limited liability company, partnership, or other entity in
which you or your parents, spouse, brother, sister, son, or daughter directly or indirectly has at least a 15 percent
ownership stake.
9. What documents do you need to provide to show that the investment in your start-up entity came from a lawful
source?
Evidence that the funds invested into the start-up entity came from a lawful source to establish eligibility may include
such records as: copies of the investor’s bank records, tax records, employment history, wage records, or evidence
of assets or property. These records must clearly demonstrate the trail of lawfully derived capital from a qualified
investor into your start-up entity.
Form I-941 Instructions 12/01/17 N
Page 8 of 13
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