Nonimmigrant Petition Based on Blanket L Petition

• Legal Form Number: I-129S
• Section: Citizenship and Immigration Services (United States of America)
• Issuer: Citizenship and Immigration Services (United States of America)

Form I-129S Edition 09/03/21 Page 1 of 8

To be completed by an

attorney or BIA-

accredited

representative (if any).

Validity Dates

START HERE - Type or print in black ink.►

Relocated Received

For Government Use Only

Action Block

Relocated Sent

Fee Receipt

ResubmittedReceived

Denial Reason

Manager/Executive

Specialized Knowledge

Professional

Beneficiary Interviewed on:

Part 1. Information About The Employer

(Petitioner)

Nonimmigrant Petition Based on Blanket L Petition

Department of Homeland Security

U.S. Citizenship and Immigration Services

USCIS

Form I-129S

OMB No. 1615-0010

Expires 09/30/2023

Approval Date:

Name of the Petitioning Organization

Petitioner's Mailing Address

If you answered "No" to Item Number 3., provide the

sponsoring company's or organization's physical address

in Item Numbers 4.a. - 4.e.

3. Is this mailing address the same as the physical location

of the sponsoring company or organization?

Yes No

7.

Website Address (if any)8.

Email Address (if any)

6. Fax Number

5. Daytime Telephone Number

Petitioner's Contact Information

1.

Attorney State Bar Number

(if applicable) Attorney or Accredited Representative

USCIS Online Account Number (if any)

Select this box if

Form G-28 or Form

G-28I is attached.

Approved as:

From:

To:

9.

Are more than 50 percent of the petitioner's employees in

H-1B, L-1A, or L-1B nonimmigrant status?

10.

Does the petitioner employ 50 or more individuals in the

United States?

Petitioner's Employees in the United States

If you answered "Yes" to Item Number 9., complete

Item Number 10.

Petitioner's Physical Address

NoYes

Yes No

Street Number

and Name

2.a. In Care Of Name (if any)

2.b.

2.c. Ste. Flr.Apt.

2.d. City or Town

2.e. State 2.f. ZIP Code

4.b. Ste. Flr.Apt.

4.c. City or Town

4.d. State 4.e. ZIP Code

4.a. Street Number

and Name