Form I-821 Application for Temporary Protected Status

USCIS
Form I-821

Application for Temporary Protected Status
Department of Homeland Security
U.S. Citizenship and Immigration Services

OMB No. 1615-0043
Expires 02/28/2017

For USCIS Use Only
Receipt

Action Block

Case ID:
A-Number:
Returned:
Resubmitted:
Relocated:

Remarks

Received:
Sent:

► START HERE - Type or print in black ink.

Part 1. Type of Application (check one)

U.S. Mailing Address

1.a.

This is my initial (first time) application for
Temporary Protected Status (TPS). I was not
previously granted TPS.

2.a. In Care Of Name

1.b.

This is my re-registration application for TPS. I was
previously granted TPS.

Are you also filing a request for employment authorization?
2.a.

2.b.

Yes, I am requesting an Employment Authorization
Document (EAD), and I am filing Form I-765,
Application for Employment Authorization, together
with my Form I-821.
No, I am not currently requesting employment
authorization, but I am filing Form I-765 (as required
for administrative purposes) together with my Form
I-821.

Part 2. Information About You
1.a. Family Name
(Last Name)
1.b. Given Name
(First Name)
1.c. Middle Name

2.b. Street Number
and Name
2.c. Apt.

Ste.

Flr.

2.d. City or Town
2.e. State

2.f.

ZIP Code

2.g. Is your current mailing address the same as your physical
address?
Yes
No
If you answered "No" to Item Number 2.g., please provide
your physical address below.

U.S. Physical Address
3.a. Street Number
and Name
3.b. Apt.

Ste.

Flr.

3.c. City or Town
3.d. State

3.e. ZIP Code

For USCIS Use Only

Form I-821 02/20/14 N

Page 1 of 11

Part 2. Information About You (continued)

16.

Hispanic or Latino

Other Information
4.

Ethnicity (Select only one box)
Not Hispanic or Latino

Alien Registration Number (A-Number) (if any)

17.

► A-

Race (Select all applicable boxes)
White

5.

USCIS ELIS Account Number (if any)
►

Asian
Black or African American

6.

U.S. Social Security Number (if any)

American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander

►
(mm/dd/yyyy) ►

7.

Date of Birth

8.

Gender

9.

City/Town/Village of Birth

Male

Female

10.

Country of Birth

11.

Country of Residence

12.

Country of Citizenship/Nationality (if any)

13.

Marital Status
Married

18.

Height

19.

Weight

20.

Eye Color (Select only one box)

21.

Feet

Inches
Pounds

Black
Gray

Blue
Green

Brown
Hazel

Maroon

Pink

Unknown/Other

Hair Color (Select only one box)
Bald (No hair)
Brown
Sandy

Black
Gray
White

Blond
Red
Unknown/
Other

U.S. Entry Information
Widowed

Single

Divorced

22.

Date of last entry into the United States
(mm/dd/yyyy) ►

23.

Immigration status when you last entered the United States
(e.g., visitor, student, entered without inspection (EWI))

Other Names Used (if any, including maiden name)
14.a. Family Name
(Last Name)
14.b. Given Name
(First Name)
14.c. Middle Name

Place of last entry into the United States

Other Dates of Birth Used (if any)
15.a. Date of Birth

(mm/dd/yyyy) ►

15.b. Date of Birth

(mm/dd/yyyy) ►

24.a. U.S. Port of Entry (if any)

24.b. City or Town
24.c. State

For USCIS Use Only

Form I-821 02/20/14 N

Page 2 of 11

30.

Part 2. Information About You (continued)

Dates for your proceedings (If your proceedings are
ongoing, leave the "To" date blank)

25.a. Arrival-Departure Record (Form I-94) (if any)
►

From: (mm/dd/yyyy) ►

(mm/dd/yyyy) ►

(mm/dd/yyyy) ►

To:

25.b. Date authorized period of stay in the United States
expired or will expire (as shown on Form I-94 or I-95)

25.c. Passport Number (if any)

Part 3. Information About Your Spouse and
Children (if any)

25.d. Travel Document Number (if any)

Provide the following information about your spouse
(if married).
1.

USCIS ELIS Account Number (if any)
►

25.e. Country of Issuance for Passport or Travel Document
2.
25.f. Expiration Date for Passport or Travel Document
(mm/dd/yyyy) ►

Alien Registration Number (A-Number) (if any)
► A-

3.a. Family Name
(Last Name)
3.b. Given Name
(First Name)

Your Current Immigration Status
26.

Current immigration status (e.g., visitor, student, visa
overstay, EWI)

27.

Are you now or were you ever in immigration
proceedings?
Yes

3.c. Middle Name

Mailing Address of Spouse
No

If you answered "Yes" to Item Number 27., provide the
following information.

Exclusion

28.b.

Removal/Deportation

28.c.

Rescission

28.d.

29.

4.b. Apt.

Ste.

Flr.

4.c. City or Town

Type of proceedings (Select only one box):
28.a.

4.a. Street Number
and Name

4.d. State
4.f.

4.e. ZIP Code

Province (if any)

4.g. Postal Code (if any)

I am no longer in immigration proceedings, but I was
in Federal court proceedings regarding immigration
issues.
Location where your proceedings were held (or are
currently being held)

4.h. Country (if any)

For USCIS Use Only

Form I-821 02/20/14 N

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Part 3. Information About Your Spouse and
Children (continued)

Child 2
9.a. USCIS ELIS Account Number (if any)
►

Other Information About Spouse
5.

Your Spouse's (mm/dd/yyyy) ►
Date of Birth

6.

Date of Present (mm/dd/yyyy) ►
Marriage

7.

Place of Present Marriage

9.b. Alien Registration Number (A-Number) (if any)
► A9.c. Family Name
(Last Name)
9.d. Given Name
(First Name)
9.e. Middle Name
9.f.

Children (if any)
Provide the following information about each of your children
(if any).

Date of Birth

(mm/dd/yyyy) ►

9.g. Street Number
and Name
9.h. Apt.

Ste.

Flr.

Child 1
8.a. USCIS ELIS Account Number (if any)
►

9.i.

City or Town

9.j.

State

9.l.

Province (if any)

8.b. Alien Registration Number (A-Number) (if any)
► A-

9.k. ZIP Code

9.m. Postal Code (if any)

8.c. Family Name
(Last Name)
8.d. Given Name
(First Name)

9.n. Country (if any)

8.e. Middle Name
8.f.

Date of Birth

(mm/dd/yyyy) ►

►

8.g. Street Number
and Name
8.h. Apt.

Child 3
10.a. USCIS ELIS Account Number (if any)

Ste.

Flr.

8.i.

City or Town

8.j.

State

8.l.

Province (if any)

8.k. ZIP Code

8.m. Postal Code (if any)

10.b. Alien Registration Number (A-Number) (if any)
► A10.c. Family Name
(Last Name)
10.d. Given Name
(First Name)
10.e. Middle Name
10.f. Date of Birth

(mm/dd/yyyy) ►

8.n. Country (if any)

For USCIS Use Only

Form I-821 02/20/14 N

Page 4 of 11

Part 3. Information About Your Spouse and
Children (continued)
Child 3 (continued)

Ste.

11.j. State

Ste.

Flr.

Flr.

11.k. ZIP Code

11.l. Province (if any)

10.i. City or Town
10.j. State

11.h. Apt.

11.i. City or Town

10.g. Street Number
and Name
10.h. Apt.

11.g. Street Number
and Name

11.m. Postal Code (if any)
10.k. ZIP Code

11.n. Country (if any)

10.l. Province (if any)
10.m. Postal Code (if any)

Child 5
12.a. USCIS ELIS Account Number (if any)

10.n. Country (if any)

►
12.b. Alien Registration Number (A-Number) (if any)
► A-

Child 4
11.a. USCIS ELIS Account Number (if any)
►
11.b. Alien Registration Number (A-Number) (if any)
► A11.c. Family Name
(Last Name)
11.d. Given Name
(First Name)

12.e. Middle Name
12.f. Date of Birth

(mm/dd/yyyy) ►

12.g. Street Number
and Name

11.e. Middle Name
11.f. Date of Birth

12.c. Family Name
(Last Name)
12.d. Given Name
(First Name)

12.h. Apt.
(mm/dd/yyyy) ►

Ste.

Flr.

12.i. City or Town
12.j. State

12.k. ZIP Code

12.l. Province (if any)
12.m. Postal Code (if any)
12.n. Country (if any)

For USCIS Use Only

Form I-821 02/20/14 N

Page 5 of 11

Part 4. Eligibility Standards
Provide the following information:
1.a. I am a national of (or an alien having no nationality who
last habitually resided in the country of):

If you were EVER arrested, provide the disposition (outcome)
for all arrests. (For example, "case dismissed" from the
appropriate authority.) For information about waivers concerning
the grounds of inadmissibility, see the NOTE at the end of Part 4.
Have you EVER been convicted of:
2.a. Any felony committed in the United States?

1.b. I entered the United States on the following date, and
have resided in the United States since that time.

Yes

No

2.b. Any misdemeanor(s) committed in the United States?

(mm/dd/yyyy) ►
1.c. Have you EVER resided in any country(s) other than the
one listed in Item Number 1.a.?
Yes
No
If you answered "Yes" to Item Number 1.c., and you resided in
more than one country prior to entering the United States,
provide information about the last country in which you resided
in the spaces below. For any additional countries, attach a
separate sheet(s) of paper. Write your full name and A-Number
(if any) at the top of each sheet; indicate the Page Number,
Part Number, and Item Number to which your answer refers
(e.g., Page 6, Part 4., Item Number 1.d.); and date and sign
each sheet.

Yes

No

2.c. Any particularly serious crime committed either in or
outside the United States?
Yes
No
3.a. Have you EVER ordered, incited, assisted, or otherwise
participated in the persecution of any person on account
of race, religion, nationality, membership in a particular
social group, or political opinion?
Yes
No
3.b. Have you EVER committed serious nonpolitical crimes
outside of the United States prior to your arrival in the
United States?
Yes
No

1.d. Name of another country in which you resided (if any)

1.e. Dates that you resided in the other country

3.c. Have you EVER or are you NOW engaged in activities
that could be reasonable grounds for concluding that you
are a danger to the security of the United States?

From: (mm/dd/yyyy) ►
To:
1.f.

Yes

No

Have you EVER been convicted of or have you EVER
committed acts which constitute the essential elements of:

(mm/dd/yyyy) ►

Your immigration status in the other country (e.g., citizen,
permanent resident, refugee, asylee, visitor, temporary
resident)

To be eligible for TPS, you must be admissible as an
immigrant to the United States, with certain exceptions.
If any of the questions beginning below and continuing through
the end of Part 4. apply to you, describe the circumstances and
include a full explanation on a separate sheet(s) of paper. Write
your full name and A-Number (if any) at the top of each sheet;
indicate the Page Number, Part Number, and Item Number to
which your answer refers, (e.g., Page 6, Part 4., Item Number
2.b.); and date and sign each sheet.

4.a. A crime (other than a purely political offense)?
Yes

No

4.b. A violation of any law relating to a controlled substance
as defined in section 102 of the Controlled Substances
Act?
Yes
No
4.c. A conspiracy to violate any law relating to a controlled
substance as defined in section 102 of the Controlled
Substances Act?
Yes
No
5.a. Have you EVER been convicted of two or more criminal
offenses (other than purely political offenses) for which
you received sentences to confinement that, when
combined, total 5 years or more?
Yes
No

For USCIS Use Only

Form I-821 02/20/14 N

Page 6 of 11

Part 4. Eligibility Standards (continued)
5.b. Have you EVER trafficked in or are you NOW trafficking
in any controlled substance?
Yes
No
5.c. Are you NOW or have you EVER knowingly assisted,
abetted, conspired, or colluded with others in the unlawful
trafficking of any controlled substance?
Yes

No

5.d. Are you the spouse or child of an alien who unlawfully
trafficked in any controlled substance?
Yes

No

5.e. Are you the spouse or child of an alien who assisted,
abetted, conspired, or colluded with others in the unlawful
trafficking of any controlled substance?
Yes
5.f.

No

Within the previous 5 years, have you EVER obtained
any financial or other benefit from the unlawful activity
of your spouse (including former spouses) or parents, and
you knew, or reasonably should have known, that the
financial or other benefit was the product of such illicit
activity?
Yes
No

Have you EVER engaged, or do you plan to engage, solely,
principally, or incidentally, in any of the following:

7.a. Have you EVER or are you NOW engaged in terrorist
activities?
Yes
No
7.b. Have you EVER or are you NOW engaged in or plan to
engage in activities in the United States that would have
potentially serious adverse foreign policy consequences
for the United States?
Yes
No
7.c. Have you EVER been or are you NOW a member of the
Communist or other totalitarian party, except when
membership was involuntary?
Yes
No
7.d. Have you EVER participated in Nazi persecution or
genocide?
Yes
No
8.a. Have you EVER been arrested, cited, charged, indicted,
fined, or imprisoned for breaking or violating any law or
ordinance, excluding minor traffic violations?
Yes

No

8.b. Have you EVER been the beneficiary of a pardon,
amnesty, rehabilitation decree, other act of clemency, or
similar action?
Yes
No
9.

Have you EVER committed a serious criminal offense in
the United States and asserted immunity from
prosecution?
Yes
No

6.a. Any activity to violate any law of the United States
relating to espionage or sabotage?
Yes
No

10.a. Have you EVER, within the past 10 years, or are you
NOW engaged in prostitution or procurement of
prostitution?
Yes
No

6.b. Any activity to violate or evade any law prohibiting the
export from the United States of goods, technology, or
sensitive information?
Yes
No

10.b. Have you EVER, within the past 10 years (either directly
or indirectly) procured or attempted to procure or import,
prostitutes or persons for the purpose of prostitution?
Yes

6.c. Any other unlawful activity in the United States?
Yes

No

6.d. Any activity in which a purpose is the opposition to, or the
control or overthrow of, the Government of the United
States by force, violence, or other unlawful means,
including but not limited to, participating in such activities,
giving support to others involved in such activities, or being
a member or representative of a terrorist organization?
Yes

No

No

10.c. Have you EVER, within the past 10 years, received, in
whole or in part, the proceeds of prostitution?
Yes
11.

No

Have you EVER been or do you intend to be involved in
any other commercial vice?
Yes
No

12.a. Have you EVER been ordered removed, and been
deported from the United States?
Yes

No

For USCIS Use Only

Form I-821 02/20/14 N

Page 7 of 11

Part 4. Eligibility Standards (continued)

17.

Are you NOW subject to a final order for violation of
section 274C (producing and/or using false
documentation to unlawfully satisfy a requirement of the
Immigration and Nationality Act)?
Yes
No

18.

Do you NOW practice polygamy?

19.

Are you NOW the guardian of, and are you
accompanying, another alien who has been found to be
inadmissible and who has been certified by a medical
examiner to be helpless due to sickness, physical or
mental disability, or infancy?
Yes
No

20.

Have you EVER detained, retained, or withheld the
custody of a child having a lawful claim to U.S.
citizenship, outside the United States, from a U.S. citizen
granted custody?
Yes
No

12.b. Have you EVER voluntarily departed the United States
under an order of removal?
Yes
No
12.c. If you answered "Yes" to either Item Number 12.a. or
12.b. above, have you re-entered the United States
unlawfully at any time after you were deported or you
voluntarily departed?
Yes
No
12.d. If you answered "Yes" to Item Number 12.c. above, has
your prior order of removal been reinstated by DHS?
Yes

No

Do not know

12.e. Have you EVER failed to attend or remain in attendance
at any immigration proceedings to determine your
admissibility or deportability?
Yes
No
12.f. Have you EVER, by fraud or willfully misrepresenting
a material fact, sought to obtain a visa or other
documentation, admission to the United States, or any
other immigration benefit?
Yes
No

Yes

No

Have you EVER ordered, incited, called for, committed,
assisted, helped with, or otherwise participated in any of the
following:
21.a. Acts involving torture or genocide?

Yes

No

21.b. Killing any person?

Yes

No

14.a. Do you NOW have a communicable disease of public
health significance?
Yes
No

21.c. Intentionally and severely injuring any person?
Yes

No

14.b. Do you NOW have or have you EVER had a physical or
mental disorder and behavior (or a history of behavior
that is likely to recur) associated with the disorder which
has posed or may pose a threat to the property, safety, or
welfare of yourself or others?
Yes
No

21.d. Engaging in any kind of sexual contact or relations with
any person who was being forced or threatened?

13.

Have you EVER assisted any other person to enter the
United States in violation of the law?
Yes
No

14.c. Are you NOW or have you EVER been a drug abuser or
drug addict?
Yes
No
15.

Have you EVER entered the United States as a stowaway?
Yes
No

16.

Did the former Immigration and Naturalization Service
(INS) EVER impose, or has DHS EVER imposed, civil
monetary penalties on you for producing or using false
documentation to obtain an immigration benefit?
Yes

No

Yes

No

21.e. Limiting or denying any person's ability to exercise
religious beliefs?
Yes
No
Have you EVER:
22.a. Served in, been a member of, assisted in, or participated
in any military unit, paramilitary unit, police unit, selfdefense unit, vigilante unit, rebel group, guerrilla group,
militia, or insurgent organization?
Yes
No
22.b. Served or worked in any prison, jail, prison camp,
detention facility, labor camp, or any other situation that
involved detaining persons?
Yes
No

For USCIS Use Only

Form I-821 02/20/14 N

Page 8 of 11

Part 4. Eligibility Standards (continued)
23.

Have you EVER been a member of, assisted in, or
participated in any group, unit, or organization of any
kind in which you or other persons used any type of
weapon against any person or threatened to do so?
Yes

24.

25.

No

Have you EVER assisted with or participated in selling or
providing weapons to any person who to your knowledge
used them against another person, or in transporting
weapons to any person who to your knowledge used them
against another person?
Yes
No
Have you EVER received any type of military,
paramilitary, or weapons training?
Yes

No

26.

Have you EVER unlawfully voted in a United States
Federal, state, or local election?
Yes
No

27.

Have you EVER claimed to be a United States citizen (in
writing or in any other way)?
Yes
No

28.a. Have you EVER recruited, enlisted, conscripted, or used
any person under age 15 to serve in or help an armed
force or group?
Yes
No
28.b. Have you EVER used any person under age 15 to take
part in hostilities or to help or provide services to people
in combat?
Yes
No
29.a. Have you EVER committed or conspired to commit
human trafficking offenses, as defined in the section 103
of the Victims of Trafficking and Violence Protection Act
of 2000, in the United States or outside the United States?
Yes

No

29.b. Have you EVER knowingly aided, abetted, assisted,
conspired, or colluded with a human trafficker?
Yes

No

29.c. Are you NOW the spouse or child of an alien who
committed or conspired to commit human trafficking
offenses?
Yes
No

29.d. Are you NOW the spouse or child of, or are you yourself,
an alien who knowingly aided, abetted, assisted,
conspired, or colluded with a human trafficker?
Yes

No

29.e. Within the previous 5 years, have you EVER obtained
any financial or other benefit from the human trafficking
activity of your spouse (including former spouses) or
parents, and knew, or reasonably should have known, that
the financial or other benefit was the product of such
illicit activity?
Yes
No
30.a. Are you NOW or have you EVER engaged in money
laundering as described in section 1956 or 1957 of Title
18, United States Code?
Yes
No
30.b. Are you NOW or have you EVER been a knowing aider,
abettor, assister, conspirator, or colluder with others in
money laundering?
Yes
No
31.

Have you EVER been responsible for or directly carried
out particularly severe violations of religious freedom, as
defined in section 3 of the International Religious Freedom
Act of 1998 (22 U.S.C. section 6402) while serving as a
foreign government official?
Yes
No

32.

Has an immigration judge or the Board of Immigration
Appeals EVER determined that you filed a frivolous
asylum application in the past?
Yes
No

NOTE ABOUT WAIVERS: A TPS applicant must be
admissible under the applicable grounds in section 212 of the
Immigration and Nationality Act (INA). USCIS may grant a
discretionary waiver for some, but not all, of the applicable
inadmissibility grounds based on humanitarian, family unity, or
public interest reasons.
If you answered “Yes” to certain Item Numbers in Part 4., you
may be eligible for a waiver of some of the grounds of
inadmissibility. Please see the General Requirements section
of Form I-821 instructions for further information.
Form I-601, Application for Waiver of Grounds of
Inadmissibility, is the application used to request a waiver.
Please read the special instructions related to TPS applicants
on Form I-601. The form is available at local USCIS offices,
on our Web site at www.uscis.gov/I-601, or by calling the
USCIS toll-free forms line at 1-800-870-3676. For TDD (deaf
or hard of hearing) call: 1-800-767-1833.

For USCIS Use Only

Form I-821 02/20/14 N

Page 9 of 11

5.

Part 5. Statement, Certification, Signature, and
Contact Information of the Applicant

(
6.

NOTE: Select the box for either Item Number 1.a. or 1.b.
If applicable, select the box for Item Number 2.
1.a.

1.b.

I can read and understand English, and have read and
understand each and every question and instruction
on this form, as well as my answer to each question.
The interpreter named below has read to me each and
every question and instruction on this form, as well
as my answer to each question, in
,

2.

Applicant's Mobile Telephone Number

Part 6. Contact Information, Certification, and
Signature of the Interpreter
Interpreter's Full Name
Provide the following information concerning the interpreter:

a language in which I am fluent. I understand each
and every question and instruction on this form as
translated to me by my interpreter, and have provided
true and correct responses in the language indicated
above.

1.a. Interpreter's Family Name (Last Name)

I have requested the services of and consented to

2.

who is
is not
an attorney or accredited
representative, preparing this form for me.

Interpreter's Mailing Address

1.b. Interpreter's Given Name (First Name)

Interpreter's Business or Organization Name (if any)

3.a. Street Number
and Name

I certify, under penalty of perjury under the laws of the United
States of America, that the foregoing is true and correct. Copies
of documents submitted are exact photocopies of unaltered
original documents, and I understand that I may be required to
submit original documents to U.S. Citizenship and Immigration
Services (USCIS) at a later date. Furthermore, I authorize the
release of any information from my records that USCIS may
need to determine my eligibility for the benefit that I seek.

3.b. Apt.

I furthermore authorize release of information contained in this
form, supporting documents, and my USCIS records to other
entities and persons where necessary for the administration of
U.S. immigration laws.
3.a. Applicant's Signature

-

Applicant's E-mail Address

Applicant Certification

Ste.

Flr.

3.c. City or Town
3.d. State
3.f.

3.e. ZIP Code

Province (if any)

3.g. Postal Code (if any)
3.h. Country (if any)

Interpreter's Contact Information
4.

3.b. Date of Signature (mm/dd/yyyy) ►
4.

)

(

Applicant's Daytime Telephone Number

(

)

Interpreter's Daytime Telephone Number

-

5.

)

-

Interpreter's E-mail Address

For USCIS Use Only

Form I-821 02/20/14 N

Page 10 of 11

Interpreter Certification

3.f.

I certify that:

3.g. Postal Code (if any)

I am fluent in English and
which
is the same language provided in Part 5., Item Number 1.b.;

3.h. Country (if any)

I have read to this applicant each and every question and
instruction on this form, as well as the answer to each question,
in the language provided in Part 5,. Item Number 1.b.; and

Preparer's Contact Information
4.

The applicant has informed me that he or she understands each
and every instruction and question on the form, as well as the
answer to each question.
6.a. Interpreter's Signature

6.b. Date of Signature (mm/dd/yyyy) ►

Part 7. Contact Information, Declaration, and
Signature of the Person Preparing this
Application, If Other than the Applicant

Province (if any)

Preparer's Daytime Telephone Number

(

)

-

(

)

-

5.

Preparer's Fax Number

6.

Preparer's E-mail Address

7.a.

I am not an attorney or accredited representative but
have prepared this form on behalf of the applicant
and with the applicant's consent.

7.b.

I am an attorney or accredited representative and my
representation of the applicant in this case
(choose one) extends
does not extend
beyond the preparation of this form.

Preparer's Full Name
Provide the following information concerning the preparer:
1.a. Preparer's Family Name (Last Name)

1.b. Preparer's Given Name (First Name)

2.

Preparer's Business or Organization Name

Preparer's Declaration
By my signature, I certify, swear, or affirm, under penalty of
perjury, that I prepared this form on behalf of, at the request of,
and with the express consent of the applicant. I completed the
form based only on responses the applicant provided to me.
After completing the form, I reviewed it and all of the
applicant's responses with the applicant, who agreed with each
and every answer provided for each question on the form and,
when required, supplied additional information to respond to a
question on the form.
8.a. Preparer's Signature

Preparer's Mailing Address
3.a. Street Number
and Name
3.b. Apt.

8.b. Date of Signature (mm/dd/yyyy) ►

Ste.

Flr.

3.c. City or Town
3.d. State

3.e. ZIP Code

For USCIS Use Only

Form I-821 02/20/14 N

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