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EFTA00309029

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OMB No. '6'5.0009; Expires litWAN Department of Homeland Security U.S. Citizenship and Iminigrmion Services I-129, Petition for a Nonimmigrant Worker START HERE - Type or print in black ink. Part I. Information about the employer filing this petition (lithe employe is an individual, complete Number 1. Organizations should complete Number 2.) I. Family Name (Last Name) Full Middle Name Given Name OW Name) 2. Company or Organization Maine Mailing Address: (Street Number and Name) Telephone No. w/Area Code r Telephone No. w/Area Code Suite it CIO: (in Care Of) City State/Province S Country Zip/Postal Code E-Mail Address (ff,4ny) Federal Employer Identification II U.S. Social Security II Individual Tax II Part 2. Information about this petition (See instructions for fee information.) I. Requested Nonimmigrant Classification. (Write classification symbol):10.1 2. Basis for Classification (Check one): a, New employment (including new employer filing II-I B extension) b. Continuation of previously approved employment without change with the El same employer. c. Change in previously approved employment. d. New concurrent employment. E e. El Change of employer. I'. O Amended petition. 3. If you checked Box 2b, 2c, 2d, 2e, or 2f, give the petition receipt number. IEAC-06-092-5065 I 4. Prior Petition. If the beneficiary is in the U.S. as a nonimmigrant and is applying to change and/or extend his or her status, give the prior petition or application receipt II: BAC-06-092-50651 5. Requested Action (Check one): a. ❑Notify the office in Part 4 so the person(s) can obtain a visa or be admitted. (NOTE: a petition is not required for an E.I or E-2 visa). b. Change the person(s)' status and extend their stay since the person(s) are all now in the U.S. in another status (see instructions for limitations). This is available only where you check "New Employment" in Item 2, above. c. Extend the stay of the person(s) since they now hold

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