Company Information Please complete your company information below. All fields with an asterisk (*) are required. Legal Name of Organization*Address of Organization* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Federal Employer ID Number*(Required for Department of Labor)What year was the organization established?*If your organization is less than 2 years old, click here to view additional instructions.How many full-time employees in the US?*How many H-1B employees in the US?*What is the gross annual revenue?*What is the net annual income (profit)?*If less than the proposed salary for the alien(s), click here to view additional instructions.Tell us about your businessPlease describe your business in several sentences, including its products or services and principal markets. Website of OrganizationImportant Information about YouYour Full Name* First Middle Last Your Title*Your Phone Number*Your Email Address* How many visas do you anticipate processing each year (Oct 1—Sep 30)*Please Select01-1011-5050-100100+Questions or Comments
