QUESTIONNAIRE FOR DS-160 FORM

PERSONAL ADDRESS, PHONE AND PASSPORT INFORMATION

Name Provided: VLADIMIR PLAHOTNIUC
Full Name in Native Language: VLADIMIR PLAHOTNIUC
Other Names Used: NO
Sex: Male
Marital Status: Married
Date of Birth: 01.01.1966
Place of Birth: Pitusca, Calarasi District
Nationality: Republic of Moldova
Other Nationalities: YES. Romania, Russia
Are you a permanent resident of a country/region other than your country/region of origin
(nationality) above? NO
National Identification Number: - Pitusca, Calarasi District
U.S. Social Security Number: N/A
U.S. Taxpayer ID Number: N/A
Home Address: 41 Bulgara Str., Pitusca, Calarasi District
City: Chisinau
State/Province: N/A
Postal Zone/ZIP Code: MD - 2001
Country: Republic of Moldova
Same Mailing Address? YES
Home Phone Number: Pitusca, Calarasi District
Work Phone Number: Pitusca, Calarasi District
Work Fax Number: Pitusca, Calarasi District

201 Alhambra Circle, Suite 1200 1175 NE 125th Street, Suite 618
Coral Gables, FL 33134 North Miami, FL 33161
(305)722-7005 (305)405-7386
Mobile/Cell Phone Number: Pitusca, Calarasi District (U.S. mobile phone number)
Pitusca, Calarasi District (R.M mobile phone number)
Email Address: Pitusca, Calarasi District
Passport Number: Pitusca, Calarasi District
Passport Book Number: - NA
Country/Authority that Issued Passport: IS CRIS REGISTRU
City Where Issued: Chisinau
State/Province Where Issued: N/A
Country Where Issued: Republic of Moldova
Issuance Date: Pitusca, Calarasi District
Expiration Date: Pitusca, Calarasi District
Have you ever lost a passport or had one stolen? NO

TRAVEL INFORMATION
Principal Applicant? VLADIMIR PLAHOTNIUC
Purpose of Your Trip to U.S. – E-2 Investment
Purpose (1): Select Visa Category – VISA E2
Intended Date of Arrival: Pitusca, Calarasi District
Intended Length of Stay in U.S.: Pitusca, Calarasi District
Complete Address where you will stay in the U.S:
300 South Pointe Drive, Apart. 2103,
Pitusca, Calarasi District
Person/Entity Paying for Your Trip: Myself
Name of Person Paying for Your Trip: N/A
Telephone: N/A

201 Alhambra Circle, Suite 1200 1175 NE 125th Street, Suite 618
Coral Gables, FL 33134 North Miami, FL 33161
(305)722-7005 (305)405-7386
Email Address: N/A
Relationship to You: N/A
Is the address of the party paying for your trip the same as your Home or Mailing Address? YES

IF NO:

Paying Address: N/A

City: N/A

State/Province: N/A

Postal Zone/ZIP Code: N/A

Country: N/A

Other Persons Traveling with You: YES

Are you traveling as part of a group or organization? NO

Persons Traveling with You:

Name (1): OXANA CHILDESCU
Name (2): TIMOFEI PLAHOTNIUC
Name (3): INOCENTIU PLAHOTNIUC
Relationship to You: Spouse and Children
Have you ever been in the U.S.? YES
If yes please list the last 5 entries to the US (month/day/year) and length of stay (days, weeks,
months etc.) Starting with your most recent entry
1. Pitusca, Calarasi District – 5 days
2. Pitusca, Calarasi District – 5 days
3. Pitusca, Calarasi District – 5 days
4. Pitusca, Calarasi District – 5 days
5. Pitusca, Calarasi District – 6 days

Do you hold a U.S. Driver’s License? NO

201 Alhambra Circle, Suite 1200 1175 NE 125th Street, Suite 618
Coral Gables, FL 33134 North Miami, FL 33161
(305)722-7005 (305)405-7386
Have you ever been issued a U.S. visa? YES
If yes, what visa classification? B1/B2 VISA
Date of Issuance: Pitusca, Calarasi District
Have you ever been refused a U.S. Visa, been refused admission to the United States, or
withdrawn your application for admission at the point of entry? NO

U.S. CONTACT INFORMATION – Who is the contact person in the USA?

Contact Person Name in the U.S. Atara Eig, Esquire
Organization Name in the U.S. Candela + Eig + Jurgens LLC
Relationship to You: Immigration Legal Counsel
U.S. Contact Address: 201 Alhambra Circle, Suite 1200, Coral Gables, FL 33134
Phone Number: +1 305 722 7005
Email Address: atara@CEJimmigration.com

FAMILY INFORMATION
Father's Surnames: PLAHOTNIUC
Father's Given Names: GHEORGHII
Father's Date of Birth: Pitusca, Calarasi District
Is your father in the U.S.? NO
Mother's Surnames: PLAHOTNIUC
Mother's Given Names: ZINOVIA
Mother's Date of Birth: Pitusca, Calarasi District
Is your mother in the U.S.? NO
Do you have any immediate relatives, not including parents in the U.S.? NO

Do you have any other relatives in the US? NO

Relative Name (1): N/A

201 Alhambra Circle, Suite 1200 1175 NE 125th Street, Suite 618
Coral Gables, FL 33134 North Miami, FL 33161
(305)722-7005 (305)405-7386
Relationship to you: N/A
Immigration Status: N/A
Spouse's Full Name: Oxana Childescu
Spouse's Date of Birth: Pitusca, Calarasi District
Spouse's Nationality: Republic of Moldova
Spouse's City of Birth: Chisinau
Spouse's Country of Birth: Republic of Moldova
Spouse’s Address: Chemin des Mareches Pitusca, Calarasi District Geneva, Switzerland
WORK / EDUCATION / TRAINING INFORMATION
Primary Occupation: Deputy in the Parliament of R. of Moldova
Present Employer or School Name: Parliament of Republic of Moldova
Address: 105 Stefan cel Mare si Sfant Blvd.
City: Chisinau
State/Province: N/A
Postal Zone/Zip Code: MD 2073
Country: Republic of Moldova
Month Salary in Local Currency: 30 000 MDL
Briefly Describe your Duties: Being present at all Parliament sessions, participating at
debates concerning new legislative projects, being a part of one of Parliament Commission,
initiating law projects, meeting people in the territory and solving their problems.

201 Alhambra Circle, Suite 1200 1175 NE 125th Street, Suite 618
Coral Gables, FL 33134 North Miami, FL 33161
(305)722-7005 (305)405-7386
Were you previously employed? Please list all employment during the last 5 years. (use extra
sheets of paper to complete this section if necessary)
Employer Name: Socialist International
Address: PO Box 6797
City: London
State/Province: N/A
Postal Zone/Zip Code: SW4 4DU
Country: United Kingdom
Telephone Number: N/A
Job Title: Vice-President of the Socialist International
Supervisor’s First and Last Name: - N/A
Employment Date from: March 2017
Employment Date to: present

Employer Name: Democratic Party of Moldova

Address: 44/3 Armeneasca str.
City: Chisinau
State/Province: N/A
Postal Zone/Zip Code: MD - 2001
Country: Republic of Moldova
Telephone Number: +373 22 541 722
Job Title: Chairman of the Democratic Party of Moldova
Supervisor’s First and Last Name: - N/A
Employment Date from: December 2016
Employment Date to: Present

201 Alhambra Circle, Suite 1200 1175 NE 125th Street, Suite 618
Coral Gables, FL 33134 North Miami, FL 33161
(305)722-7005 (305)405-7386
Employer Name: Democratic Party of Moldova
Address: 44/3 Armeneasca str.
City: Chisinau
State/Province: N/A
Postal Zone/Zip Code: MD - 2001
Country: Republic of Moldova
Telephone Number: +373 22 541 722
Job Title: First Deputy Chairman of the Democratic Party from Moldova
Supervisor’s First and Last Name: - N/A
Employment Date from: June 2012
Employment Date to: December 2016

Employer Name: Parliament of Republic of Moldova

Address: 105 Stefan cel Mare si Sfant Blvd.
City: Chisinau
State/Province: N/A
Postal Zone/Zip Code: MD - 2073
Country: Republic of Moldova
Telephone Number: +373 22 233 012
Job Title: Deputy in the Parliament of Republic of Moldova
Supervisor’s First and Last Name: - N/A
Employment Date from: 30 November 2014
Employment Date to: 31 July 2015
Have you ever attended any educational institutions at a secondary level or above? YES
If yes, please list all schools (use separate sheet of paper if necessary)

201 Alhambra Circle, Suite 1200 1175 NE 125th Street, Suite 618
Coral Gables, FL 33134 North Miami, FL 33161
(305)722-7005 (305)405-7386
Name of Institution (1): USEM - European Studies University of Moldova
Address of Institution: 2/1 Ghenadie Iablocikin Street
City: Chisinau
Postal Zone/Zip Code: MD - 2069
Country: Republic of Moldova
Course of Study: Licentiate in Law, Specialization: Criminal Law
Date of attendance from: Pitusca, Calarasi District
Date of attendance to: Pitusca, Calarasi District

Name of Institution (2): Technical University of Moldova

Address of Institution: 168 Stefan cel Mare si Sfant Blvd.
City: Chisinau
Postal Zone/Zip Code: MD - 2004
Country: Republic of Moldova
Course of Study: Master Degree in Business Administration
Date of attendance from: Pitusca, Calarasi District
Date of attendance to: Pitusca, Calarasi District

Name of Institution (3): Technical University of Moldova

Address of Institution: 168 Stefan cel Mare si Sfant Blvd.
Postal Zone/Zip Code: MD - 2004
Country: Republic of Moldova
Course of Study: Engineer in Food Industry Technology
Date of attendance from: September 1983
Date of attendance to: 05.07.2001

201 Alhambra Circle, Suite 1200 1175 NE 125th Street, Suite 618
Coral Gables, FL 33134 North Miami, FL 33161
(305)722-7005 (305)405-7386
Do you belong to a clan or tribe? NO
Provide a list of languages you speak: Romanian, English, Russian
Have you traveled to any countries/regions within the last five years? YES
If yes please list all countries visited Pitusca, Calarasi District Pitusca, Calarasi District
Have you belonged to, contributed to, or worked for any professional, social or charitable
organization? YES. I have my own Charity Organization „Edelweiss”
Do you have any specialized skills or training, such as firearms, explosives, nuclear, biological,
or chemical experience? NO
Have you ever served in the military? YES
Name of Country: Republic of Moldova
Branch of Service: Air Defense

Rank/Position: Senior Sergeant

Military Specialty: Driver Mechanic
Date of Service From: Pitusca, Calarasi District
Date of Service To: Pitusca, Calarasi District
Have you ever served in, been a member of, or been involved with a paramilitary unit, vigilante
unit, rebel group, guerrilla group, or insurgent organization? NO
SECURITY AND BACKGROUND INFORMATION
Do you have a communicable disease of public health significance such as tuberculosis (TB)?
NO

Do you have a mental or physical disorder that poses or is likely to pose a threat to the safety or
welfare of yourself or others? NO

Are you or have you ever been a drug abuser or addict? NO

Have you ever been arrested or convicted for any offense or crime, even though subject of a
pardon, amnesty, or other similar action? NO

Have you ever violated, or engaged in a conspiracy to violate, any law relating to controlled
substances? NO

201 Alhambra Circle, Suite 1200 1175 NE 125th Street, Suite 618
Coral Gables, FL 33134 North Miami, FL 33161
(305)722-7005 (305)405-7386
Are you coming to the United States to engage in prostitution or unlawful commercialized vice
or have you been engaged in prostitution or procuring prostitutes within the past 10 years? NO

Have you ever been involved in, or do you seek to engage in, money laundering? NO

Have you ever committed or conspired to commit a human trafficking offense in the United State
or outside the United States? NO
Are you the spouse, son, or daughter of an individual who has committed or conspired to commit
a human trafficking offense in the United States or outside the United States and have you within
the last 5 years, knowingly benefited from trafficking activities? NO
Have you knowingly aided, abetted, assisted or colluded with an individual who has committed
or conspired to commit a sever human trafficking offense in the United States or outside the
United States? NO
Do you seek to engage in espionage, sabotage, export control violations, or any other illegal
activity while in the United States? NO

Do you seek to engage in terrorist activities while in the United States or have you ever engaged
in terrorist activities? NO

Have you ever or do you intend to provide financial assistance or other support to terrorists
or terrorist organizations? NO
Are you a member or representative of a terrorist organization? NO
Have you ever ordered, incited, committed, assisted, or otherwise participated in genocide? NO

Have you ever committed, ordered, incited, assisted, or otherwise participated in torture? NO
Have you committed, ordered, incited, assisted, or otherwise participated in extrajudicial killings,
political killings, or other acts of violence? NO

Have you ever engaged in the recruitment or the use of the child soldiers? NO

Have you, while serving as a government official, been responsible for or directly carried out, at
any time, particularly severe violations of religious freedom? NO

Have you ever been directly involved in the establishment or enforcement of the population
controls forcing a woman to undergo an abortion against her free choice or a man or woman to
undergo sterilization against his or her free will? NO

201 Alhambra Circle, Suite 1200 1175 NE 125th Street, Suite 618
Coral Gables, FL 33134 North Miami, FL 33161
(305)722-7005 (305)405-7386
Have you ever been directly involved in the coercive transplantation of human organs or bodily
tissue? NO

Have you ever been the subject of a removal or deportation hearing? NO

Have you ever sought to obtain or assist others to obtain a visa, entry into the United States, or
any other United States immigration benefit by fraud or willful misrepresentation or other
unlawful means? NO

Have you failed to attend a hearing on removability within the last 5 years? NO
Have you ever been unlawfully present, overstayed the amount of time granted by an
immigration official or otherwise violated the terms of US Visa? NO
Have you ever withheld custody of a U.S. citizen child outside the United States from a person
granted legal custody by a U.S. court? NO
Have you voted in the United States in violation of any law or regulation? NO

201 Alhambra Circle, Suite 1200 1175 NE 125th Street, Suite 618
Coral Gables, FL 33134 North Miami, FL 33161
(305)722-7005 (305)405-7386