EFTA00533589.pdf

Section 1. Complete This Section if Filing for O or P Classification 0-1 Extraordinary achievement in motion pictures or television: Name of Labor Organization Da9iitts Telephone A (AreaeutUry Code) Complete Address Date Sent (mm/c/d/yyyy) Name of Management Organization Cleynne Telephone # (Area/Country Cade) Complete Address Date stat (nvniddlyyyy) 0-2 or P alien: Name of Labor Organization Daytime Telephone ti (Area/Country• Code) Complete Address DM Seed (mmititilmy) Section 2. Statement by the Petitioner I certify that I, the petitioner, and the employer whose offer of employment formed the basis of status (if different from the petitioner) will be jointly and severally liable for the reasonable costs of return transportation of the beneficiary abroad if the beneficiary is dismissed from employment by the employer before the end of the period of authorized slay. Si attire ofP brio er Date (ntrerld4m 9401 -6 Print or Type Name V0liMI-129SUPP-0-P-REVI0-07-11YPA7,E2?, Form I-I29 Supplement O/P (101071Ili Y Page 25 EFTA00533589 Part 7. Signature Read the information on penalties in the inSintaiOlLY before completing this section. - I certify, under penalty of perjury that this petition and the evidence submitted with it are true and correct to the best ofmy knowledge. I authorize the release of any information from my records, or from the petitioning organizat'ion's records that U.S. Citizenship and Immigration Services needs to determine eligibility for the benefit being sought. I recognize the authority of USC1S to conduct audits of this petition using publicly available open source information. I also recognize that supporting evidence submitted may be verified by USCIS through any means determined appropriate by IJSCIS, including but not limited to, on-site compliance reviews. If filing this petition on behalf of an organization, I certify that!am authorized to do so by the organization. Daytime Plume Number (Area/C ountry Code) (917 ) 855-3363 Print Name Date Onmidd/my) S3r9h NOTE: If you do not completely fill out this form and the required supplement, or fail to submit required documents listed in the instructions, the person(s) filed for may not be found eligible for the requested benefit and this petition may be denied. Part S. Signature of Person Preparing Form, If Other Than Above 1declare that I prepared this petition at the request of the above person and] certify that it is true and correct to the best ofmy knowledge. Signature Daytime Phone Number Mrea/Country Code) Print Name Date (mmiddi'yyykt Davis Woo Firm Name and Address Formi-l29 00.97:11)YPage6 rcrw —: ro':e.-:v: 0-0/-1:YeASE 6 EFTA00533590 Part 9. Explanation Page ature Date (mmkktyyyy) Print Name Form I -I29 (101070 I) Y Pagc 7 !.ORM; -! 29RKV1 o-n7-1 1 Y?A(4.7 EFTA00533591  OMB Nu. I615.0105; Expires 0$501201.2 G-28, Notice of Entry of Appearance Department of Homeland Security as Attorney or Accredited Representative Part 1. Notice of Appearance as Attorney or Accredited Representative A. This appearance is in regard to immigration matters before: ❑ LISCIS - List the form numher(s): 1-129 DCBP - List the specific matter in which appearance is entered: -1.ist the specific matter in which appearance is entered: B. I hereby enter my appearance as attorney or accredited representative at the request of: List Petitioner. Applicant, or Respondent. NOTE: Provide the mailing address ofPetitioner, Applicata, or Respondent being represented, and not the address of the attorney tor accredited representative. except when filed under VAWA. Principal Petitioner, Applicant, or Respondent A Number or Receipt ❑ Petitioner Number, if any Name: Last First Middle ❑ Applicant D Respondent Address: Street Number and Street Name Apt. No. City State Zip Code 301 TS 66th Street 14C New York NY 10065 Dates Pursuant to the Privacy Act of 1974 and DHS policy, I hereby consent to the disclosure to the named Attorney of Accredited Representative of any record penaining to me that appears in any system of records of liSCISMSCBP., or USICE. Signature AfPetition App 'ca Part 2. information I d Representative (Check applicable hems/) below) A. ❑ I am an attorney and a member in good standing oldie but orthe highest court(s) of the following State(s), poraession(s), territoryliexl• eommonwealth(s), or the District of Columbia: New York/D.C. / Virginia [ am not 0 or D am subject to any order of any court or administrative ageaey disbarring, suspending, enjolniag, restraining, or OtbtrwiSt restricting me in the practice of law (If you are arbject to say order(s), explain fully an reverse side). B. ❑ l am an accredited representative of the billowing qualified non-profit religious, charitable, social service, or similar organization established in the United States, so recognized by the Department of Justice, Board ofImmigration Appeals pursuant to 8 CFR 1292.2. Provide name of organization and expiration date of accreditation: C. ❑ I am associated with the attorney or accredited representative of record previously filed Form 6-28 in this ease, and my appearance as an attorney or accredited representative is at his or her request (thou check this item, also complete item A or d above inPan 2. whichever is Oppropreutei. • Part 3. Name and Signature of Attorney or Accredited Representative 1 have read and understand the regulations and conditions contained io 8 CFR 1032 and 292 serreenIng appearances and representation before the Department ofHomeland Security. I declare under penalty of perjury under the laws of the United States that the information I have provided on this form is true and correct. Name of Attorney or Accredited Representative Attorney Rar Number(s). ilany Edward J. Cuccia/Michael J. Campiae Signature of Attorney or Accredited Representative complete Address of Auomev or Or warm of Accredited Re resentalive Street e No., city, State. Zip Code) Nitro 6 Cuccia Phone Number (htclude area e el any r ne u. C area co el A„ - ss,t any lisl am • Silty). 04122:09)N EFTA00533592