Employer Questionnaire for H-1B Visa Petition Joseph Kallabat & Associates, P.C. 7031 Orchard Lake Road, Suite 302 West Bloomfield, MI 48322 Tel (248) 865-3331 - Fax (248) 865-3323 Name of Employer (Full Name of Organization) Company Address (Number, Street, City, and Town, State ZIP code) Telephone # Fax # IRS Tax ID # Name of the employer's representative who will sign the papers Email Title Date of establishment Total Number of Employees Total # of H-1B Employees Gross Annual Income Net Annual Income Is your organization a Non-Profit organization as defined by the Internal Revenue Service? yesno Name, Title, and Email Address of the person completing this Questionnaire if different from the Signatory listed above: First Name Last Name Email Title What is the result of below calculation?