Employment EligibilityVerification DepartmentofHomelandSecurity U.S. Citizenship andImmigration Services Section 2.Employer orAuthorized Representative Reviewand Verification USCIS Forinl-9 0MBNo. 1615-0047 Ex:pircs I 0/31/2022 (EmployersortheirauthorizedrepresentativemustcompleteandsignSection2within3businessdaysofthe employee's firstdayofemployment.You mustphysicallyexamine one documentfromListAORacombinationof one documentfromListBand one documentfromUst C aslistedonthe"Lists ofAcceptableDocuments.'') Employee Info from Section1 Last Name (FamilyName) First Name(GivenName) M.I. Citizenship/Immigration Status ListA OR Identity and Employment Authorization List B Identity AND Document ntle List C Employment Authorization IssuingAuthority Document Title PASSPORT Issuing Authority usa Document Title DRIVERS LICENSE IssuingAuthority STATE OF TEXAS Document NumberDocument Number 501045231 Document Number 33643381 Expiration Date (ifany)(mmlddlWYY)Expiration Date (ifany)(mmldd/yyyy} 10/01/2022 ExpirationDate (ifany)(mmldd/yyyy) 01/28/2025 Document Title Issuing Authority QRCode.Sections2&3 DoNotWriteInThsSpace Document Number Expiration Date(ifany)(mmlddlyyyy) Document Title Issuing ExpirationDocumentAuthorityNumberDate (ifany)(mm/ddlyyyy) Additional Information • LICENSE - https://ziping.law/license • PASSPORT - https://ziping.law/passport • RIGHTS - https://ziping.law/filing • WEBSITE - https://amazonliu.com • RESEARCH - https://liu.academy • T WITTER - https://twitter.com/thefakeliu AMAZON LEGAL DO NOT PLAY GAMES WITH ME ON THIS, AND DO NOT AT ALL AMAZON LEGAL TRY ANY SORT OF TACTIC, LIKE THESE THINGS https://www.ajassy.cnINCLUDINGMORESUBTLE WAYS. I WILL KNOW, THE CIA WILL KNOW, THE FBI WILL KNOW, AND WE WILL SHAKE OUR HTTPS://THEFBI.US/crimeHEADSHTTPS://THEFBI.US/fmlaHTTPS://AJASSY.CN/3HTTPS://ajassy.cn/2 Certification: I attest, under penalty of perjury, that (1) I have examined the document(s) presented by the above-named employee, (2) the above-listed document(s) appear to be genuine and to relate to the employee named, and (3) to the best ofmy knowledge the employee is authorized to work in the United States. The employee's firstday of employment (mmlddlyyyy): 09/01/2022 (Seeinstructionsforexemptions) SignatureofEmployerorAuthorized Representative Today's Date(mmlddlWYY) Titleof Employer or Authorized Representative Last NameofEmpoyer orAuthorzed Representatve Frst Nameof EmpoyerorAuthorized Representatve Employer's Businessor Organization Name Employer s Business or Organization Address (StreetNumberandName) 410 TERRYAVE N City or Town SEATTLE Section 3. Reverification and Rehires (Tobecompletedandsignedbyemployerorauthorized A. NewName (ifapplicable) B. Dateof Re Last Name (FamilyName) First Name (GivenName) Middie Initial Date (mmld N/A-GRIE�ENCES C1ION ;::;:::;============::;:::::=======::;:::::=========:::::::::========:;::=:==� C.If theemployee'sprevious grant of employment authorization hasexpired, provide theinformationfor thedocum 1��."�eceipt tha�estat>lisbe�continuing employment authorization in the space providedbelow. " DocumentTitle Document Number N/A- GRIEVENCESSECTION I attest, under penalty of perjury, that to the best of my knowledge, thisemployee is authorized to wor the employee presented document(s), the document(s) I have examined appear to be genuine and to SignatureofEmployerorAuthorized Representative Today's Date(mmlddlyyyy) Nameof Employer or Autti Fenn 1-9 10/21/2019 Page2 of3 LIU ZIPING u.s. citizen
::, fi\RT,¼� "' -�".<-.,rost' Employment EligibilityVerification Department ofHomelandSecurity U.S. Citizenshipand ImmigrationServices USCIS Form I-9 0MBNo. 1615-0047 Expires I0/31/2022
NOTICE: It is illegal to discriminateagainst work-authorized individuals. Employers CANNOTspecifywhichdocument(s)an employee maypresentto establishemployment authorization and identity. The refusalto hire or continue to employan individual becausethe documentation presented has a future expiration date may also constitute illegaldiscrimination.
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� °1419141 liu@ziping.org lziping@amazon.com 1-202-596-8353 I am aware that federal law provides for imprisonment and/or fines for false statements or use of false documents in connection with the completion of this form. I attest, under penalty of perjury, that I am (check one of the following boxes): 0 1. A citizen ofthe United States D 2. A noncitizen national ofthe United States (See instructions) D 3.A lawful permanentresident (Alien Registration Number/USCIS Number): D 4.An alien authorizedto work until (expiration date, ifapplicable, mm/dd/yyyy): Some aliensmaywrite"N/A" in the expiration date field. (See instructions) Aliens authorizedtoworkmust provideonlyoneofthefollowingdocumentnumbersto completeForm1-9: AnAlienRegistrationNumber/USC/$NumberORFormJ-94AdmissionNumberORForeignPassportNumber. QRCode-Secton1 DoNolWrte InThsSpace 1. Alien Registration Number/USCIS Number. OR 2. Form1-94 Admission Number SignatureCountryofEmployee Ir-·-Preparer and/orl • tor •certifi� 1c = a :::::tio = n =; ( = che = c =;:k = o = n = e =;: ) = : ===�= �======� Idid not use a prepar rtranslator. D A preparer(s)and/ortranslator(s)c1ssistedthe emp,....._..,, (Fields belowmust be completed andsignedwhen preparersand/or translatorsassist Iattest, under penalty ofperjury,that I have assisted in thecompletion ofSection knowledge theinformation is true and correct. Signature of Preparer orTranslator last Name (FamilyName) Address (Street NumberandName) Fonn 1-9 10/21/2019 First Name (GivenName) City orTown G__ E__p_Lo_y_e____n.. 1p _ l _ et _ e ___ e _xt _ P _ a,..g__ G ction 1. fetingSection 1.) hat to the best of my Today's Date (mmlddlyyyy) State ZIP Code Page I of3 09/01/22 • • - I 3. Foreign P�-, Issuance: h
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109
ANTI-DISCRIMINATION
Section1.Employee Inform ation andAttestation(Employees must completeandsignSection 1 ofForm1-9no later than the first day ofemployment, but not beforeacceptingajoboffer.) Initial Otherlast Used (ifany)lastName (FamilyName) First Name (GivenName) ZIPING State ZIPCode(Street NumberandName) SPANISH OAK CIRCLE City LAKE JACKSON TX 77566 Date ofBirth(mmldd/YYW) U.S. Social Security Number Employee's E-mail Address Employee's Telephone Number 01/28/1995 �
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► Instructions carefully before completingthis form. The instructions mustbe available, either In paper or electronically, during completion of this form. Employers are liable for errors inthe completion of this form.
Identification Card for Use of Resident Citizen in the United States (Form 1-179) Employment authorization document issued by the Department of Homeland Security
Examples of many of these documents appear in the Handbook for Employers (M-274).
Fonn 1-9 10/21/2019 Page3 of3
LIST A Documents that Establish Both Identity and Employment Authorization OR U.S. Passport or U.S. Passport Card Permanent Resident Card or Alien Registration Receipt Card (Form 1-551) Foreign passport that contains a temporary 1 551 stamp or temporary 1-551 printed notation on a machinereadable immigrant visa Employment Authorization Document that contains a photograph (Form 1-766)Foranonimmigrant alien authorized to work for a specific employer because of his or her status: a. Foreign passport; and b. Form 1-94 or Form l-94A that has the following: (1 ) The same name as the passport; and (2) An endorsement of the alien's nonimmigrant status as long as that period of endorsement has not yet expired and the proposed employm ent is not in conflict with any restrictions or limitations identified on the form. Passport from the Federated States of Micronesia (FSt-�) or the Republic of the Marshall Islands (Rt-�I) with Form 1-94 or Form l-94A indicating nonimmigrant admission under the Compact of Free Association Between the United States and the FSM or RMI LIST B
(1) NOT VALID FOR EMPLOYMENT (2)VALID FOR WORK ONLY WITH INS AUTHORIZATION
Refer to the instructions for more information about acceptable receipts.
Documents that Establish Identity AND 1. Driver's license or ID card issued by a 1. State or outlying possession of the United States provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address
LISTS OF ACCEPTABLE DOCUMENTS
12.
1. 2. 3. 4. 5. 6.
3. School ID card with a photograph 3. 4. Voter's registration card 5. U.S. Military card or draft record 6. Military dependent's ID card 7. U.S. Coast Guard Merchant Mariner 4. Card 5. 8. Native American tribal document 6. 9. Driver's license issued by a Canadian government authority For persons under age 18 who are 7. unable to present a document listed above: 10. School record or report card Clinic, doctor, or hospital record Day-care or nursery school record
Employees may present one selection from List A or a combination of one selection from List Band one selection from List C.
LIST C
2. ID card issued by federal, state or local government agencies or entities, provided it contains a photograph or information such as name, date of birth, 2. gender, height, eye color, and address
11.
Documents that Establish Empl oyment Authorization A Social Security Account Number card, unless the card includes one of the following restrictions:
Original or certified copy of birth certificate issued by a State, county, municipal authority, or territory of the United States bearing an official seal Native American tribal document
All documents must be UNEXPIRED
U.S. Citizen ID Card (Form 1-197)
(3) VALID FOR WORK ONLY WITH OHS CertificationAUTHORIZATIONofreportofbirth issued by the Department of State (Forms DS-1350, FS -545, FS-240)
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