I-924 Intake

Name of Regional Center*

Names of all principal owners and non-owners of the Regional Center*

If the given principal is itself a business entity, please provide the name of the entity. One name per field. If you need additional fields, click the plus icon at the end of the row.

Is there a New Commercial Enterprise (“NCE”) for which you will be filing a form I-924?*

Yes
No

Name of NCE:

Names of all principal owners and non-owners of the NCE, including*

If the given principal is itself a business entity, please provide the name of the entity. One name per field. If you need additional fields, click the plus icon at the end of the row.

Name of point of contact at the RC or NCE that Miller Mayer can be in touch with:

First Last

Email of point of contact at the RC or NCE that Miller Mayer can be in touch with:

Phone number of the point of contact person:

Address of the point of contact person:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Do you have another point of contact person?

Yes
No

Name of point of contact at the RC or NCE that Miller Mayer can be in touch with:

First Last

Email of point of contact at the RC or NCE that Miller Mayer can be in touch with:

Phone number of the point of contact person:

Address of the point of contact person:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Do you have another point of contact person?

Yes
No

Name of point of contact at the RC or NCE that Miller Mayer can be in touch with:

First Last

Email of point of contact at the RC or NCE that Miller Mayer can be in touch with:

Phone number of the point of contact person:

Address of the point of contact person:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is there a separate Job Creating Enterprise (“JCE”)?*

Yes
No

Name of JCE:

Names of all principal owners and non-owners of the JCE :

If the given principal is itself a business entity, please provide the name of the entity. One name per field. If you need additional fields, click the plus icon at the end of the row.

Name of the billing party contact:

First Last

Company (if applicable):

Email:

Phone:

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of the retainer party contact:

Same as billing
Add new contact

Name of the retainer party contact:

First Last

Company (if applicable):

Email:

Phone number:

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If the RC or NCE has a business plan available, please upload it on our file upload page here.

Any additional comments?

How did you hear about Miller Mayer?*

Personal referral (business associate, friend/family member, colleague)
Google Search
Media (Facebook, LinkedIn, Twitter, Newsletter)
Online Lawyer Directory (FindLaw, AVVO, Lawyers.com, similar)
Public talk (conference, organized event, webinar)
Advertisement
Other (please specify)

Other:

INITIAL EB-5 FORM I-924 INTAKE QUESTIONNAIRE