Home | USCIS - Form · 2020. 6. 22. · Jay Peak Penthouse Suites LP Ski Resort Address (Street Number and Name): City: State: Zip Code: 4850 VT Route 2 Jay VT 05859 Aggregate EB~5

OMB No. 1615-0061; Expires 01/31/2015 :?':'

Department of Homeland Security Form 1-924~ U.S. Citizenship and Immigration Services Supplement to Form 1-92~

Part 1. Information About Principal of the Regional Center

Name: Last

Miller II

First Lawrence

In Care Of: VT Agency of Commerce & Community Development

Street Address/P.O. Box: 1 National Life Drive I 6th floor

State: VT

Fax Number

City: Montpelier

(b)(6) Date ofBirth (mm!ddlyyyy): I (include area code): ( 8 0 2 l 8 2 8 - 3 2 58 Web site address: VermontEB5. gov

Middle Wesley

Zip Code: 05620-050

Telephone Number (include area code): ( 8 0 2 ) 8 2 8- 52 0 4

USCIS-assigned number for the Designated Regional Center (attach the Regional Center's most recently issued approval notice) RCW1031910255

Part 2. Application Type (check one)

B' a. Supplement for the Fiscal Year Ending September 30, :JO 13 (YYYJJ b. Supplement for a Series ofFiscal Years Beginning on October 1, __ (YYYY) and Ending on September 30, __ (YYYJ)

Part 3. Information About the Regional Center

(Use a continuation sheet, if needed, to provide information for additional management companies/agencies, regional center principals, agents, individuals, or entities who are or will be involved in the management, oversight, and administration of the regional center.)

A. Name ofRegional Center: Vermont Agency of Commerce & Community Development (VACCD) Regional

StreetAddress/P.O. Box: Attn: Brent Raymond I 1 National Life Drive I 6th floor

City: Montpelier

Web site VermontEB5. gov Address:

l State: VT jzip Code: 05620-0501 Fax Number ( 802) 828-3258 Telephone ( 802) 522-254C (include area code): (include area code):

B. Name ofManaging Company/Agency: NIA

Street Address/P.O. Box:

City:

Web site Address:

C. Name of Other Agent: N/A


City:

Web site

lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll R CW1400251588 egarcia2 1924A 12/30/2013

I State: Fax Number (include area code):

I State: Fax Number (include area code):

I zip Code: Telephone (include area code):

I zip Code: Telephone ·• (include area ~vde,l:

Fonn I-924A 01/03/13 Y Page 1

....

1

Part 3. Information About the Regional Center (Continued)

Answer the following questions for the time period identified in Part 2 of this form. Note: If extra space is needed to complete any item, attach a continuation sheet, indicate the item number, and provide the response.

1. Identify the aggregate EB-5 capital investment and job creation has been the focus ofEB-5 capital investments sponsored through the regional center. (Note: Separately identify jobs maintained through investments in "troubled businesses.")

(b)(4) Aggregate EB-5 Capital Investment l Aggregate Direct and Indirect Job Creation I Aggregate Jobs Maintained

(b)(4)

(b)(4)

I I

2. IdentifY each industry that has been the focus ofEB-5 capital investments sponsored through the Regional Center, and the resulting aggregate EB-5 capital investment and job creation. (Note: Separately identify jobs maintained through investments in "troubled businesses".)

a. Industry Category Title: NAICS Code for the Industry Category Ski Resort 7 2 1 1 1 0 .L

------Aggregate EB-5 Capital Investment: jAggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

I I r

b. Industry Category Title: NAICS Code for the Industry Category Commercial & Institutional Building Construction 2 3 6 2 2

------Aggregate EB~5 Capita! Investment jAggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

I I c. Industry Category Title: NAICS Code for the Industry Category

Hospitality & Brewery 7 2 1 1 1 1 ------

Aggregate EB-5 Capital Investment: !Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

I I

3. Provide the following information for each job creating commercial enterprise located within the geographic scope of your regional center that has received EB-5 investor capital:

a. Name ofCommerc.ial Enterprise: Industry Category Title:

Jay Peak Penthouse Suites LP Ski Resort

Address (Street Number and Name): City: State: Zip Code:

4850 VT Route 2 Jay VT 05859

Aggregate EB~5 Capital Investment: Aggregate Direct and Indirect Job Creation: I Aggregate Jobs Maintained: I I Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that [J'No 0 Yes have or will create or maintain jobs for EB~5 purposes?

Form l·924A 01103113 Y Page 2

2


If yes, then identify the name and address of each job creating business, as well as the amount ofEB-5 capital investment and job creation/maintenance associated with each job creating business.

(1) Business Name: Industry Category Title:


EB-5 Capital Investment: Direct and Indirect Job Creation: Jobs Maintained:

(2) Business Name Industry Category Title:



b. Name of Commercial Enterprise: Industry Category Title:

Jay Peak Lodge & Townhouses LP Ski Resort


4850 VT Route 242 Jay VT 05859 (b)(4)

Aggregate EB-5 Capital Investment: Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

L I Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that

fiNo 0 Yes have or will create or maintain jobs for EB-5 purposes? If yes, then identify the name and address of each job creating business, as well as the amount ofEB-5 capital investment and job creation/maintenance associated with each job creating business.


Address (Street Number and Name): City: State: Zip Code

EB-5 Capital Investment Direct and Indirect Job Creation Jobs Maintained

Form l-924A 01/03/13 Y Page 3

3





c. Name of Commercial Enterprise: Industry Category Title:

Jay Peak Hotel Suites Stateside LP Ski Resort




(b)(4) I I

Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities fiNo DYes that have or will create or maintain jobs for EB-5 purposes?

If yes, then identify the name and address of each job creating business, as well as the amount of EB-5 capital investment and job creation/maintenance associated with each job creating business.







Form I-924A 01/03113 Y Page 4

4


' d. Name of Commercial Enterprise: Industry Category Title:

Jay Peak Biomedical Research Park LP 541711



Aggregate EB-5 Capital Investment: Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained: (b)(4) L I

I

Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities ~No 0 Yes that have or will create or maintain jobs for EB-5 purposes? If yes, then identify the name and address of each job creating business, as well as the amount ofEB-5 capital investment and job creation/maintenance associated with each job creating business.




I


Address (Street Number and Name): City: I State: 'Zip Code: '

f EB-5 Capital Investment: Direct and Indirect Job Creation: Jobs Maintained:

e. Name of Commercial Enterprise: Industry Category Title·

von Trapp Hospitality & Brewery

Address Street Number and Name: City: State: Zip Code:

700 Trapp Hill Road Stowe VT 05672

Aggregate EB-5 Capital Investment Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

(b)(4) I I I

Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities ~No 0 Yes that have or will create or maintain jobs for EB-5 purposes?

Form I-924A 01/03113 Y Page 5

5






li




4. Pro\iide the rotal number of~~ denied md lf!'lfcked Form [-526 petition'!. filed~ EB-,5 in'i~ ~1\g, ~t~ investments sponsored by the regional center. (Note: If an adverse action was ultimately reversed and the petition was approved, then note the case as approved.)

Form 1-526 Petition Final Case Actions

Approved Denied Revoked

67 4 0

5. Provide the total number of approved, denied and revoked Form 1-829 petitions filed by EB-5 investors making capital investments sponsored by the regional center. (Note: If an adverse action was ultimately reversed and the petition was approved, then note the case as approved )



40 0 0

NOTE: USCIS may require case-specific data relating to individual EB-5 petitions and the job creation determination and further information regarding the allocation methodologies utilized by a regional center in certain instances in order to verify the aggregate data provided above.

Form I-924A 01/03/13 Y Page 6

6

Part 4. Applicant Signature Read the information on penalties in the instructions before completing this section. If someone helped you prepare this petition. he or she must compete Ptut 5

I certify, under penalty of perjury under the laws of the United States of America, that this supplemental form and the evidence submitted with it are all true and correct I authorize the release of any information from my records that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought. I also certify that I have authority to act on behalf of the Regional Center.

1--·~ ~ Priuial NaJBe of Appliamt Batt: (JfiJ1l ild J~l):J;J

c~\.\ Brent J . Raymond 12/27/2013 . Daytime Phone Number E-Mail Address (Area/Country Codes) 802-522-2540 [email protected]

Relationship to the Regional Center Entity (Managing Member, President, CEO, etc.) Executive Director

Part 5. Signature of Person Preparing This Form, If Other Than Abo·n! (Sign Below)

I declare that I prepared this form using information provided by someone with authority to act on behalf of the Regional Center, and the answers and information are those provided by the Regional Center.

Attorney or Representative: In the event of a Request for Evidence (RFE), may the USCIS contact you by fax oc E~t?

Signature of Preparer Printed Name of Preparer

Finn NaJBe and Addnt:l

Daytime Phone Number Fax Number (Area/ E-Mail Address (Area C{)llnlry Codes) CuunJry C~"'S)

0No 0 Yes

Date (mmldd!yyyy)

Form I-924A 01103113 Y Page 7

7

1-924-A: SUPPLEMENT

Part 3, Question #3 Name ofEnterprise Management Contact Industry Category Title

Address

Aggregate EB-5 Capital Investment Aggregate Direct and Indirect Job Creation Aggregate Jobs Maintained

Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that have or will create or maintain jobs for EB-5 purposes?

EB5 America- Sugarbush Fund LP David M. Morris NAICS Code: 525

1806 11th Street NW Washington DC 20001

(b)(4)

Yes

If yes, then identifY the name and address of each job creating business, as well as the amount of EB-5 capital investment and job creation/maintenance associated with each job creating business

Business Name

Industry Category Title

Address


Summit Ventures NE, LLC d/b/a "Sugarbush Resort" NAICS Code: 721110 1840 Sugarbush Access Road, Warren, VT 05674

(b)(4)

8

(b)(4)

Brief Summary:

The Regional Center authorized the new commercial enterprise (NCE), EB5 America -"· -~ ush Fund LP as an affiliate under the USCIS regional center pilot program in 2007. The

USCIS Application Statistics:

Nine (9) Form I-829 Petitions affiliated with EB5 America- Sugarbush Fund, LP were approved during the time-period identified in Part 2 of this form.


Address



Jay Peak Hotel Suites Phase II LP Bill Stenger Ski Resort 4850 VT Route 202 Jay, vr 05859

No

(b)(4)

9

If yes, then identity the name and address of each job creating business, as well as the amount of EB-5 capital investment and job creation/maintenance associated with each job creating business

Business Name Industry Category Title Address EB-5 Capital Investment Aggregate Direct and Indirect Job Creation Aggregate Jobs Maintained


Thirty-one (31) Form 1-829 Petitions affiliated with Jay Peak Hotel Suites Phase II LP were approved during the time-period identified in Part 2 of this form.


Address



Jay Peak Golf & Mountain Suites LP Bill Stenger Ski Resort 4850 VT Route 202 Jav. VT 05859

No

(b)(4)



USCIS Application Statistics: N/A

Name ofEnterprise Jay Peak Lodge & Townhouses LP

10

Management Contact Industry Category Title

Address



Bill Stenger Ski Resort 4850 VT Route 202 Jay, VT 05859 N/A N/A N/A

No

If yes, then identifY tl1e name and address of each job creating business, as well as the amount of EB-5 capital investment and job creation/maintenance associated with each job creating business


USCIS Application Statistics: Three (3) Form I-526s were approved during the time-period identified in Part 2 of this form.

Name ofEnterprise Management Contact Industry Category Title

Address



Jay Peak Hotel Suites Stateside LP Bill Stenger Ski Resort 4850 VT Route 202 Jay, VT 05859 N/A N/A N/A

No


Business Name Industry Category Title Address

11

EB-5 Capital Investment Aggregate Direct and Indirect Job Creation Aggregate Jobs Maintained

USCIS Application Statistics: Sixty-two (62) Form I-526s were approved during the time-period identified in Part 2 ofthis form.

Name ofEnterprise Management Contact Industry Category Title

Address



CHP Opportunity Partners I, LP Joseph Perrotto Agriculture Implement Manufacturer 75 Meigs Road Vergennes, VT 05491

(b)(4)

Yes


Business Name Industry Category Title

Address



Country Home Products, Inc. Agriculture Implement Manufacturer 75 Meigs Road Vergennes, VT 05491

(b)(4)

One (1) Form l-526 was approved during the time-period identified in Part 2 of this form.

12

(b)(6)

Department of Homeland Security U.S. Citizenship and Immigration Services


Name: Last

Candido

In Care Of:

First

James

OMB No. 1615·0061; Expires 09/30120!2

Form I-924A, Supplement to :Form 1-924

Middle

Willard

Street Address/P.O. Box: One National Life Building I 6th floor ACCD

City: Montpelier I State: VT \zip Code: 05620 Date of Birth ,... ____ ...,

(mmlddlyyyy) I J (include area code): Fax Number Telephone Number

(include area code) : ( 8 0 2 ) 8 2 8 · 3 6 3 7

Web site address: www. Thinkvermont. com

USCIS·assigned number for the Designated Regional Center (attach the Regional Center's most recently issued approval notice) RCWl 0319102 55

Part 2. Application Type (Check one)

[8] a. Supplement for the Fiscal Year Ending September 30, 2 1 (YYYY)

0 b. Supplement for a Series of Fiscal Years Beginning on October I, __ (YYYY) and Ending on September 30, ___ (YYYY,l



A. Name of Regional Center: Vermont Agency Of Commerce and Community Development Regional Center

Street Address/P.O. Box: One National Life Building 1 6th floor ACCD

City: Montpelier

Web site thinkvermont. com Address:

State: VT

Fax Number (include area code):

Zip Code: 05620

Telephone (includeareacode): (802 ) 828 - 3637

B. Name of Managing Company/Agency: Vermont Agency Of Commerce and Community Development RC

Street Address/P.O. Box: One National Life Building, 6th floor ACCD

City: Montpelier I State: VT IZip Code: 06520

Web site Address:

C. Name of Other Agent: NA


City:

Web site Address:


I State:


Telephone (802) 828-3637 (include area code) :

jzip Code:

Telephone (include area code):

1111111~1111111111111111~11111 lllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll ' RCW1136450475 ' Fo~ I-924A (11/23/1 0)

maginger 1924A 12/30/2011

( ~

' (. ('I t.

13

(b)(4)

(b)(4)

(b)(4)



1. Jdentizy the aggregate EB-5 capital investment and job creation has been the focus of EB-5 capital investments sponsored through the regional center. (Note: Separately identify jobs maintained through investments in "troubled businesses."}

Aggregate EB-5 Capital Investment I Aggregate Direct and Indirect Job Creation ! Aggregate Jobs Maintained ~~--~~--~~~----------~~~

2. Identify each industry that has been the focus of EB-5 capital investments sponsored through the Regional Center, and the resulting aggregate EB-5 capital investment and job creation. (Note: Separately identifY jobs maintained through investments in "troubled businesses".)

a. Industry Category Title: NAICS Code for the Industry Category

Ski Area Related Tourism 7 2 ------

Aggregate EB-5 Capital Investment Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

II I b. Industry Category Title: NAICS Code for the Industry Category

Nanufacturing 3 3 ------


! I I c. Industry Category Title: NAlCS Code for the Industry Category

-------Aggregate EB-5 Capital Investment: Aggregate Direct and Indirect Job Creation: Aggregate Job5 Maintained:

3. Provide the fo!!owing infonnation for each job creating commercial enterprise located within the geographic scope of your regional center that has received EB-5 investor capital:

a. Name of Commercial Enterprise: Industry Category Title:

Jay Peak Resort Ski area related tourism

Address (Street Number and Name): City: l State: Zip Code: 4850 VT Route 242 Jay J1JT 05859

Aggregate EB-5 Capital Investment: Aggregate Direct and Indirect Job Creation: j Aggregate Jobs Maintained:

I I

Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entitles that QNo !g] Yes have or will create or maintain jobs for EB-5 purposes?

Form I-924A (11/23,110) P~ge 2

14






Country Home Products Manufacturing


75 Meigs Road Vergennes VT 05491


I I Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities

No [8] Yes that have or will create or maintain jobs for EB-5 purposes?

If yes, then identifY the name and address of each job creating business, as well as the amount of EB-5 capital investment and job

(b)(4) creation/maintenance associated with each job creating business.


CHP Opportunity Partners Manufacturing


75 Meigs Road Vergennes VT 05491


I I (2) Business Name: Industry Category Title:



1111111111111111111 ~~~IIIII Fonn I-924A (11/23/10) Page 4

15

ADDENDUM

Part 3.

a. Jay Peak

Golf and Mountain Suites LP

Jay Peak GP Services Golf Inc.

4850 VT Route 242

Jay, Vermont 05859

Industry Category: Ski Area Related Tourism

EB-5 Capitallnvestment: .. l ___ ...... Job CreationO (b)(4)

Lodge and Townhouses LP

Jay Peak GP Services Lodge Inc.

4850 VT Route 242

Jay, Vermont 05859

Industry Category: Ski Area Related Tourism

EB-5 Capital Investment: .. 1 ___ _.

Job Creationl._ _ _. (b)(4)

16


If yes, then identifY the name and address of each job creating business, as well as the amount of EB-5 capital investment and job creation/maintenance associated with each job creating business.


Hotel Suites Phase I and II LP Ski area related tourism




I I (2) Business Name Industry Category Title:

Penthouse Suites LP Ski area related tourism




(b)(4) I I


Seldon Clean Water Products LP Manufacturing


31 Depot Street Extension Windsor VT 05089


I I Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that

[8] No DYes have or will create or maintain jobs for EB-5 purposes?

fyes, then identifY the name and address of each job creating business, as well as the amount ofEB-5 capital investment and job preation/maintenance associated with each job creating business.




IIIII Fonn I-924A (11/23/10) Page 3

17

(b)(4)


d. Name of Commercial Enterprise:

EB-5 America - Sugarbush Fund LP

Address (Street Number and Name):

1806 11th street NW

City:

Washington

Industry Category Title:

ski area related Tourism

State:

DC

Zip Code:

20001


I I Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that have or will create or maintain jobs for EB-5 purposes? D No [8] Yes If yes, then identifY the name and address of each job creating business, as well as the amount ofEB-5 capital investment and job creation/maintenance associated with each job creating business.


Summit Ventures ski area related Tourism


1840 Sugarbush Access Road Warren VT 05674


I I (2) Business Name: Industry Category Title:



e. Name of Commercial Enterprise: Industry Category Title:

Address Street Number and Name: City: State: Zip Code:


Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that have or will create or maintain jobs for EB-5 purposes? D No DYes

IIIII Fonn I-924A (ll/23/10) Page 5

18









4. Provide the total number of approved, denied and revoked Form I-526 petitions filed by EB-5 investors making capital investments sponsored by the regional center. (Note: If an adverse action was ultimately reversed and the petition was approved, then note the case as approved.)



109

5. Provide the total number of approved, denied and revoked Form I-829 petitions filed by EB-5 investors making capital investments sponsored by the regional center. (Note: !fan adverse action was ultimately reversed and the petition was approved, then note the case as approved.)



29

NOTE: USCIS may require case-specific data relating to individual EB-5 petitions and the job creation determination and further information regarding the allocation methodologies utilized by a regional center in certain instances in order to verify the aggregate data provided above.

Ill Form I-924A (11123/1 0) Page 6

19

Part 4. Applicant Signature Read the information on penalties in the instructions before completing this section. If someone helped you prepare this petition, he or she must compete Part 5.

I certifY, under penalty of perjury under the laws of the United States of America, that this supplemental form and the evidence submitted with it are all true and eorreet. I authorize the release of any information from my records that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought. I also certify that I have authority to act on behalf of the Regional Center.

Printed Name of Applicant Date (mm/dd/yyyy)

James Candido 12/23/2011

E-Mail Address

8028283637 james®thinkvermont.com

Relationship to the Regional Center Entity (Managing Member, President, CEO, etc.)

Director of the Vermont ACCD Regional Center

Part 5. Signature of Person Preparing This Form, If Other Than Above (Sign Below)


Attorney or Representative: In the event of a Request for Evidence (RFE), may the US CIS contact you by Fax or E-mail?

Signature of Preparer Printed Name of Preparer

Firm Name and Address

Daytime Phone Number Fax Number (Areal E-Mail Address (Area/Country Codes) Country Codes)

0 No 0 Yes

Date (mmlddlyyyy)

Fonn I-924A (11123110) Page 7

20

(b)(4)

1-924-A: SUPPLEMENT

EB5 America- Sugarbush Fund LP

Part 3, Question #3

Name of Enterprise EBS America- Sugarbush Fund LP Management Contact David M. Morris Industry Category Title NAICS Code: 525990 Address (b)(4) 1806 11th Street NW

Washington DC 20001 Aggregate EB-5 Capital Investment Aggregate Direct and Indirect Job Creation Aggregate Jobs Maintained

Does this EB-5 commercial enterprise serve as a vehicle for Yes investment into other business entities that have or will create or maintain jobs for EB-5 purposes?

If yes, then identify the name and address of each job crating business, as well as the amount of EB-5 capital investment and job creation/maintenance associated with each job creating business

Business Name Summit Ventures NE, LLC d/b/a "Sugarbush Resort"

Industrv Category Title NAICS Code: 72111 0 Address

(b)(4) 1840 Sugarbush Access Road, Warren, VT 05674


Brief Summary:

The Regional Center authorized the new commercial enterprise (NCE), EB5 America - Sugarbush Fund LP as an affiliate under the USCUS regional center pilot program in 2007. The NCE then raised\

j Each foreign national then applied for Immigrant visa bene tits pursuant to tneir mvestment m me NCE.

TheNCE then investedl las equity into Summit Ventures NE, LLC (d/b/a ''Sugarbush Resort") a fotir season resort located at 1840 Sugarbush Access Road, Warren, VT 05674. This company is located in a "rural area" pursuant to EB-5 regulations allowing for the reduced investment. As certified by the AAO in a decision made regarding one of the 0 participating investors, Sugarbush is a company that qualified as a

·"troubled business" pursuant to EB-5 regulations.

The NCE has sustained the I $nvestment as of aember 30, 2011. Thel I eouity investment by the NCE has created 57 new jobs and preserved for a total aggregate jobs impact oL...J


Below find a list of all 1-526/829 Petitions filed with USCIS that are affiliated with EB5 America- Sugarbush Fund, LP

EB5 America- Sugarbush Fund LP Fonn I-924A Supplement

(b)(4)

21

(b)(4)

(b)(6)

1-924-A: SuPPLEMENT: EB5 America- Sugarbush Ji'und LP

Prinicipal

Last Name I-526 Status

EB5 America- Sugarbush Fund LP Form I-924A Supplement

Job Basis 1-829 Job Basis

2

22

(b)(6)

Department of Homeland Security U.S. Citizenship and Immigration Services

OMI3 No. 1615-0061: Expires 09/30/2012

Form I-924A, Supplement to Form 1-924


Name: Last

Miller II

In Care Of: VT Agency of Commerce &

First

Lawrence

Street Address/P.O. Box: 1 National Life Drive I 6th floor

Web site address: :llaccd.vermont.govlbusinesslrelocate expandleb5

USCJS-assigned number for the Designated Regional Center (attach the Regional Center's most recently issued approval notice)

Part 2. Application Type (Check one)

RCW1031910255

[g] a. Supplement for the Fiscal Year Ending September 30, 2 012 (YYYY)

Middle

Wes

b. Supplement for a Series of Fiscal Years Beginning on October I, __ (YYYY) and Ending on September 30,



A. Name of Regional Center: Vermont Agency of Commerce & Community Development (VACCD)

Street Address/P.O. Box: Attn: Brent Raymond I 1 National Life Drivel 6th floor

City: Montpelier

Website http:llaccd.vermont. Address: govlbusiness/relocate

B. Name of Managing Company/Agency: NIA


C. Name of Other Agent: N I A


City:

Web site Address:

lllllll~llllll~lrllll

State: VT Zip Code: 05620

Fax Number Telephone (includeareacode): (802 ) 828 - 3258 (includeareacode): (802) 82 8- 1 681

I State: /zip Code:

Telephone Fax Number (include area code): (include area code):

11111:1111111 Ill 111111 IIIII IIIII 1111111111111111111111111111111111111111111 RCW1236350972 egarcia2 1924A 12/28/2012

Form I-924A ( 111p11 0)

23

(b)(4)

(b)(4)

(b)(4)



1. Identify the aggregate EB-5 capital investment and job creation has been the focus of EB-5 capital investments sponsored through the regional center. (Note: Separately identify jobs maintained through investments in "troubled businesses.")

Aggregate EB-5 Capital Investment J Aggregate Direct and Indirect Job Creation I Aggregate Jobs Maintained

r-----------~--------------~~1

2. Identify each industry that has been the focus ofEB-5 capital investments sponsored through the Regional Center, and the resulting aggregate EB-5 capital investment and job creation. (Note: Separately identify jobs maintained through investments in "troubled businesses".)


Ski Resort 7 2 1 1 1 0

Aggregate EB-5 Capital Investment: 'Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

I I b. Industry Category Title: NAICS Code for the Industry Category

Carbon Manufacturing 3 3 5 9 9 1 ------

Aggregate EB-5 Capital Investment: 'Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

II I c. Industry Category Title: NAICS Code for the Industry Category

Real Estate 5 2 5 9 0 0 -

Aggregate EB-5 Capital Investment: !Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

I I



Peak Hotel Suites LP Ski Resort



Aggregate EB-5 Capital Investment: Aggregate Direct and Indirect Job Creation: I Aggregate Jobs Maintained:

I I Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that [8] No 0 Yes have or will create or maintain jobs for EB-5 purposes?

11111!11111111 II~~~~~~ II~~~~~ ~IIIII II~ 1111 ~ ~111~111111111 ~I~~ Ill Fonn I-924A ( 11/23/1 0) Page 2

24



1. IdentifY the aggregate EB-5 capital investment and job creation has been the focus of EB-5 capital investments sponsored through the regional center. (Note: Separately identifY jobs maintained through investments in "troubled businesses.")


2. IdentifY each industry that has been the focus of EB-5 capital investments sponsored through the Regional Center, and the resulting Cour- ,.., ' aggregate EB-5 capital investment and job creation. (Note: Separately identifY jobs maintained through investments in "troubled

businesses".)

(b)(4)

J. .,a.cwlndustry Category Title: NAICS Code for the Industry Category Agriculture Implement Manufacture 3 3 3 1 1

- -Aggregate EB-5 Capital Investment: Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

~I J b. Industry Category Title: NAICS Code for the Industry Category

------Aggregate EB-5 Capital Investment: Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

c. Industry Category Title: NAICS Code for the Industry Category

---




eP1P rt Address (Street Number and Name): City: ~te: Zip Code:

Agg



(J) Business Name: Industry Category Title:

·-·-·--·-Address (Street Number and Name): City: State: Zip Code:

VT


(2) Business Name Industry Category Title:


VT



Jay Peak Hotel Suites Phase II LP Ski Resort



(b)(4) Aggregate EB-5 Capital Investment: Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

I I Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that

~No Yes have or will create or maintain jobs for EB-5 purposes?

f yes, then identifY the name and address of each job creating business, as well as the amount of EB-5 capital investment and job reation/maintenance associated with each job creating business.




Form l-924A (11!23!10) Pagerl""

L/ 1111~111~111~111~1111 26






Jay Peak Penthouse Suites LP Ski Resort



Aggregate EB-5 Capital Investment: Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained: (b)(4) II I

Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities [8] No DYes that have or will create or maintain jobs for EB-5 purposes?

Jfyes, then identifY the name and address of each job creating business, as well as the amount ofEB-5 capital investment and job creation/maintenance associated with each job creating business. -

(l) Business Name: Industry Category Title:





EB-5 Capital Investment: Direct and Jndirect Job Creation: Jobs Maintained:

Fonn l-924A ( 11123/1 0) PageA""

5

27

(b)(4)

(b)(4)



1. Identity the aggregate EB-5 capital investment and job creation has been the focus of EB-5 capital investments sponsored through the regional center. (Note: Separately identifY jobs maintained through investments in "tr,oubled businesses.")

I Aggregate EB-5 Capital Investment I Aggregate Direct and Indirect Job Creation j Aggregate Jobs Maintained I I

2. Identify each industry that has been the focus of EB-5 capital investments sponsored through the Regional Center, and the resulting aggregate EB-5 capital investment and job creation. (Note: Separately identifY jobs maintained through investments in "troubled businesses".)


Ski Resort 7 2 1 1 1 0 ------

Aggregate EB-5 Capital Investment: jAggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

I I b. Industry Category Title: NAICS Code for the Industry Category

Carbon Manufacturing 3 3 5 9 9 1 ------

Aggregate EB-5 Capital Investment: jAggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

I c. Industry Category Title: NAICS Code for the Industry Category

Real =.:state 5 2 5 9 0 0 ---

Aggregate EB-5 Capital Investment: ]Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

II I 3. Provide the following information for each job creating commercial enterprise located within the geographic scope of your

regional center that has received EB-5 investor capital:

J. ~ame of Commercial Enterprise: Industry Category Title: Jay Peak Hotel Suites Stateside LP Ski Resort



Aggregate EB-5 Capital Investment: Aggregate Direct and Indirect Job Creation: I Aggregate Jobs Maintained:

(b)(4) I I Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that ~No Yes have or will create or maintain jobs for EB-5 purposes?

Form I-924A (11/23/101 J~

" 28


If yes, then identity the name and address of each job creating business, as well as the amount of EB-5 capital investment and job creation/maintenance associated with each job creating business.



VT


(2} Business Name Industry Category Title:


VT


e. )f. Name of Commercial Enterprise: Industry Category Title: Seldon Clean Water Products (Asia) L. p. Carbon Manufacturing


31 Depot F.venue Windsor VT 05089


II I poes this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that

0 No ~Yes ~ave or will create or maintain jobs for EB-5 purposes? f yes, then identify the name and address of each job creating business, as well as the amount of EB-5 capital investment and job

1-'reation/maintenance associated with each job creating business.

(b)(4) (1) Business Name: Industry Category Title:

Seldon Technologies, Inc Carbon Manufacturing


31 Aver.ue Windsor VT 05089

EB-5 Capital Investment Direct and Indirect Job Creation I Jobs Maintained

I I

Form 1-924A (I 1/23/10) Pag~

t-

29


(2) Business Name: lndustry Category Title:

-·---··· Address (Street Number and Name): City: State: Zip Code:


4ame of Commercial Enterprise: Industry Category Title:

EB5 America - Sugarbush Fund LP Real Estate


1806 11th Street NW 1.-Jashington DC 20001


I Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities

0 No [g] Yes that have or will create or maintain jobs for EB-5 purposes? (b)(4)



Summit Ventures NE, LLC. Ski Resort


1840 Sugarbush Access Road Warren VT 05674

EB-5 Capita! Investment: Direct and Indirect Job Creation: Jobs Maintained:

I (2) Business Name: Industry Category Title:



Form I-924A ( \1123/10) Page/

8

30

(b)(4)


¥Name of Commercial Enterprise:

CHP Opportunity Partners I, LP


75 Road

Aggregate EB-5 Capital Investment:

City:

lt;;L


Agriculture Implement Manufacture

State:

VT

Zip Code:

05491

Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

I Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that have or will create or maintain jobs for EB-5 purposes? 0 No [8] Yes


I

(1) Business Name:

Country Home Products, Inc.

Address (Street Number

75 Meigs Road

EB-5 Capital Investment:

(2) Business Name:


EB-5 Capital Investment:

e. Name of Commercial Enterprise:

Address Street Number and Name:

Aggregate EB-5 Capital Investment:


:::ure TmnlPmf'>nt- Manufacture .,.

!City: State: Zip Code:

Vergennes 05491

Direct and Indirect Job Creation: Jobs Maintained:

I Industry Category Title:

City: State: Zip Code:

Direct and Indirect Job Creation: Jobs Maintained:


City: State: Zip Code:

VT

Aggregate Direct and Indirect Job Creation: Aggregate Jobs Maintained:

Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that have or will create or maintain jobs for EB-5 purposes? [8] No Yes

110111~11111111111~11~111~1~111111~~~~ Fonn I-924A (11123110) ~

q

31


h. ~ame of Commercial Enterprise: Industry Category Title:

(b)(4)

(b)(4)

Jay Peak Golf & Mountain Suites LP


4850 VT Route 2

City:

Ski Resort

State:

VT

Zip Code:

05859


I Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that have or will create or maintain jobs for EB-5 purposes?

I

~No Yes

If yes, then identil)r the name and address of each job creating business, as well as the amount of EB-5 capital investment and job creation/maintenance associated with each job creating business.

(t) Business Name: Industry Category Title:


EB-5 Capita! Investment: Direct and Indirect Job Creation: Jobs Maintained:




l :,l.Name of Commercial Enterprise: Industry Category Title:

Jay Peak Lodge & Townhouses Ski Resort 1---·----·-----·--·-·--·----,---------..L..-----·--·----,---· .. ------r----------l

Address Street Number and Name: City:

4850 VT Route 2 Jay

State:

\IT

Zip Code:

05859


J Does this EB-5 commercial enterprise serve as a vehicle for investment into other business entities that have or will create or maintain jobs for EB-5 purposes?

I No Yes

Form l-924A ( 11/23110)~

1'/J

32


If yes, then identity the name and address of each job creating business, as well as the amount of EB-5 capital investment and job creation/maintenance associated with each job creating business.







4. Provide the total number of approved, denied and revoked Form 1-526 petitions filed by EB-5 investors making capital investments sponsored by the regional center. (Note: If an adverse action was ultimately reversed and the petition was approved, then note the case as approved.)



247 4 0

5. Provide the total number of approved, denied and revoked Form 1-829 petitions filed by EB-5 investors making capital investments sponsored by the regional center. (Note: If an adverse action was ultimately reversed and the petition was approved, then note the case as approved.)



73 0 0

NOTE: USCIS may require case-specific data relating to individual EB-5 petitions and the job creation determination and further information regarding the allocation methodologies utilized by a regional center in certain instances in order to verity the aggregate data provided above.

Form I-924A ( 11/23/10) Pa~

/(

33

Part 4. Applicant Signature Read the information on penalties in the instructions before completing this section. If someone helped you prepare this petition, he or she must compete Part 5.

I certify, under penalty of perjury under the laws of the United States of America, that this supplemental form and the evidence submitted with it are all true and correct. I authorize the release of any information from my records that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought. I also certify that I have authority to act on behalf of the Regional Center.

e o1 Ap~Iicant

( Printed Name of Applicant Date (mm/ddlyyyy)

~Tir\ Brent Raymond for Lawrence Miller 12/26/2012 Daytime Phone Number E-Mail Address (Area/Country Codes)

802-828-5204 [email protected]

Relationship to the Regional Center Entity (Managing Member, President, CEO, etc.)

CEO

Part 5. Signature of Person Preparing This Form, If Other Than Above (Sign Below)


Attorney or Representative: In the event of a Request for Evidence (RFE), may the USCIS contact you by Fax or E-mail?

S~e o Preparer

I Printed Name of Preparer

),..;- -----"d Jn) ·( · \ Brent J. Raymond, Director

Firm Name and\ddress

Vermont Agency of Commerce & Community Development (VACCD) Regional Attn: Brent Raymond 1 National Life Building I 6th floor I Montpelier, VT 05620-0501

Daytime Phone Number Fax Number (Areal E-Mail Address (,4rea!Country Codes) Country Codes)

802-828-1681 802-828-3258 [email protected]

0No ~Yes

Date (mm!ddlyyyy)

12/26/2012

Center

Form I-924A (11/23/10) Page,.(

/J.,

34

!company info here) List of project names here Immigrant Investor Pilot Program Compliance Evaluation, 8 CFR 204.6lm)l6)

NIA

NIA

(b )(6)

Report Date: __

Date, Nature &Amount of Return on

Investment Investment Amount To·Date

Page1o14

'

(b )(6)

35

(company info here) List of project names here Immigrant Investor Pilot Program Compliance Evaluation, 3 CFR 204.6(ml(6)

(b )(6)

(b )(6)

#of visas represented

Dollars Invested

Return on investment to date

Totall-829 petitions filed

Report Date: __

(b)(4)

'

'

Page2of4

36

' ' JAY$PEAK

STATE OF VERMONT AGENCY OF COMMERCE AND DEVELOPMENT REGIONAL CENTER

JAY t't:AK MU It: SUI It:~ L.P. DWI\'IiO':I!; I I I ' ' II '

' ' USCIS INVESTOR ACTIVITY REPORT # First Last Countrv Investment Date Filed Date Status Date CIS Receiot #

1 Ireland 03/05/07 FILED 03/13/07 APPROVED 03/23/07 2 India 02/26/07 FILED 03/13/07 APPROVED 03/23/07 3 UK 03/05/07 FILED 03/13/08 APPROVED 03/23/07 4 UK 08/07/06 FILED 03/13/07 APPROVED 03/23/07 5 UK 03/21/07 FILED APPROVED 05/15/07 6 UK 02/20/07 FILED APPROVED 05/15/07 7 UK 04/20/07 FILED 04/30/07 APPROVED 05/31/07 8 UK 05/05/07 FILED 06/07/07 APPROVED 07120107 9 UK 05/08/07 FILED 07/12/07 APPROVED 09/04/07 10 UK 05/15/07 FILED 07/31/07 APPROVED 09/04/07 11 UK 05/31/07 FILED 07/02/07 APPROVED 09/13/07 12 UK 07/13/07 FILED 09/13/07 APPROVED 10/12/07 13 Iceland 08/16/07 FILED 11/09/07 APPROVED 01/07/08 14 Mexico 07/19/07 FILED 10/30/07 APPROVED 01/25/08 15 Pakistan 03/05/07 FILED 03/13/08 APPROVED 03/23/08 16 UK · 12/05/07 FILED 03/19/08 APPROVED 04/18/08 17 UK 12/10/07 FILED 03/26/08 APPROVED 04/23/08 18 UK 11/16/07 FILED 02/28/08 APPROVED 04/29/08 19 Japan 11/08/07 FILED 02/04/08 APPROVED 04/29/08 20 France 09/07/07 FILED 01/22/08 APPROVED 05/02/08 21 UK 12/31/07 FILED 03/20/08 APPROVED 05/06/08 22 Hong Kong 01/11/08 FILED 03/10/08 APPROVED 05/07/08 23 South Africa 10/16/07 FILED 04/01/08 APPROVED 05/21/08 24 India 03/19/08 FILED 04/15/08 APPROVED 05/29/08 25 UK 10/25/07 FILED 12/10/07 APPROVED 06/04/08 26 Singapore 03/04/08 FILED 02/04/08 APPROVED 06/17/08 27 Trinidad and 04/06/08 FILED 03/17/08 APPROVED 07/01/08 28 Canada 02/29/08 FILED 04/18/08 APPROVED 07/15/08 29 UK 05/16/08 FILED 05/15/08 APPROVED 07/16/08 30 Iran 01/08/08 FILED 04/11/08 APPROVED 08/22/08 31 Denmark 05/30/08 FILED 06/09/08 APPROVED 08/22/08 32 Canada 05/31/08 FILED 05/27/08 APPROVED 09/25/08 33 Denmark 06/02/08 FILED 05/15/08 APPROVED 09/25/08 34 UK 01/19/07 FILED 04/18/08 APPROVED 09/29/08 35 Venezuela 06/05/08 FILED 01/13/09 APPROVED 04/08/09

SUMMARY:JAY PEAK HOTEL SUITES L.P PHASE I

INVESTORS APPROVED 35 (b)(6) TOTAL: 35

37

# !First [1 2 [3 4 :s 16 7 [8 9 10 11 12 13 14 15 16 17 18 19 20

12 [22 123 [24 25 [26 [27 [28 [29 30 31 32 33 34 35 136 [37 [38 [39 ;40 [4' [42 4: [44 45 [46 147 48 [49 50 [5 I 52 Is: 54

'AK _, .. I Last

., OF AND n-=uci II

JAY PEAK Hu 1 cL SUI'It:::s PHASE II L.P. USC IS INVESTOR ACTIVITY REPORT

~.,;oumry

[5UtCf1 : J •. ~\ ;, India

[UK UK UK [Russia Mexico

UK

I India sc:luih Atl'i9~ Brazil Italy Uf !India

IEqypt

[Croatia [UK

IUK UK UK

Eqypt

India Brazil

1a1wan

'Cll '""'

China

UK I Iran

UK [Egypt Brazil [UK UK UK [Iran

IUK I Cl lvv

'"'' ......... I India

(b)(6)

Date !Filed !Status !Date ICIS In 111'\olno FILED 111 ........... IU.:SIIotu::~

104/17/0B IFILED "" lnAn?tnR FILED ,, 1" ''""'/'\ FILED '11At')"t(lJ IFILED '\,

:os,,4to IFILED ... 1Ub/lot08 IFILED

;;;; [FILED 1 '\,

. • ......... I UL/'L f/Ul1

rt:u

'"

)LILt U::l

rJHl Ul:l I \.I

(}1;/??/nFl FILED I fl. PPRf lt:U ;;.,~,...._,lf..n !FILED 11., ;"'lED IUv/IUIV

JAY*PEAK ;:)I AI t: OF II ;yOf E AND De'feLOPU.eNT ,\ICI'fiCI't

JAY PEAK HOTEL SUITES PHASE II L.P. USCIS INVESTOR ACTIVITY REPORT .,

\

# First Last Country Investment Date Filed Status Date CIS Receipt # 55 UK 07/13/09 FILED PENDING 08/21/09 awaiting info 56 Brazil 07/21/09 FILED PENDING 12/23/09 57 Thailand 07/29/09 FILED APPROVED 11/17/09 58 Mexico 08/03/09 FILED PENDING 09/11/09 59 Canada 08/10/09 FILED PENDING 10/15/09

60 India 08/12/09 FILED APPROVED 12/30/09 61 UK 08/20/09 FILED APPROVED 12/10/09 62 Venezuela 08/21/09 FILED APPROVED 12/01/09 63 Romania 08/25/09 IN PREP

64 China 09/01/09 FILED APPROVED 12/30/09 65 Venezuela 09/03/09 FILED APPROVED 12/10/09 66 Germany 09/03/09 FILED APPROVED 12/30/09 67 Bolivia 09/08/09 FILED APPROVED 12/24/09 68 India 09/09/09 FILED PENDING

69 Georgia 09/15/09 FILED APPROVED 01/04/10 70 India 09/15/09 FILED PENDING 71 Argentina 09/15/09 FILED PENDING 72 Brazil 09/23/09 FILED PENDING

73 Mexico 09/25/09 FILED PENDING

74 Mexico 09/28/09 FILED PENDING

75 South Africa 10/02/09 FILED PENDING

76 China 10/05/09 IN PREP

77 UK 10/07/09 FILED PENDING 78 Mexico 10/09/09 FILED PENDING

79 China 10/19/09 IN PREP

80 Thailand 10/22/09 FILED PENDING

81 Brazil 10/30/09 FILED PENDING

82 Serbia 11/02/09 FILED PENDING

83 South Africa 11/13/09 FILED PENDING

84 China 11/17/09 FILED PENDING



87 Mexico 12/04/09 IN PREP

88 Mexico 12/07/09 IN PREP

89 Venezuela 12/07/09 FILED PENDING

90 UK 12/11/09 FILED PENDING

91 Korea 12/11/09 IN PREP

92 India 12/16/09 FILED PENDING

93 Canada 12/23/09 FILED PENDING ---SUMMARY:JAY PEAK HOTEL SUITES PHASE II L.P INVESTORS APPROVED 57 (b )(6)

INVESTORS FILED CIS PENDING 28 INVESTORS IN FILE PREP 6 INVESTORS ...... WITHDRAWN PETITION 2 TOTAL: 93

39

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