2025-462-E-DEAPR-Recreation Factory Partners-portsplex Management Agreement

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Supplement B, Reverification and Rehire (formerly Section 3) USCIS Form I-9 Supplement B OMB No. 1615-0047 Expires 07/31/2026 Department of Homeland Security U.S. Citizenship and Immigration Services Last Name (Family Name) from Section 1. First Name (Given Name) from Section 1. Middle initial (if any) from Section 1. Instructions: This supplement replaces Section 3 on the previous version of Form I-9. Only use this page if your employee requires reverification, is rehired within three years of the date the original Form I-9 was completed, or provides proof of a legal name change. Enter the employee's name in the fields above. Use a new section for each reverification or rehire. Review the Form I-9 instructions before completing this page. Keep this page as part of the employee's Form I-9 record. Additional guidance can be found in the Handbook for Employers: Guidance for Completing Form I-9 (M-274) New Name (if applicable)Date of Rehire (if applicable) Date (mm/dd/yyyy) Last Name (Family Name) First Name (Given Name) Middle Initial Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show continued employment authorization. Enter the document information in the spaces below. Document Title Document Number (if any) Expiration Date (if any) (mm/dd/yyyy) I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it. Name of Employer or Authorized Representative Signature of Employer or Authorized Representative Today's Date (mm/dd/yyyy) Additional Information (Initial and date each notation.) Check here if you used an alternative procedure authorized by DHS to examine documents. Date of Rehire (if applicable) New Name (if applicable) Date (mm/dd/yyyy) Last Name (Family Name) First Name (Given Name) Middle Initial Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show continued employment authorization. Enter the document information in the spaces below. Document Title Document Number (if any) Expiration Date (if any) (mm/dd/yyyy) I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it. Name of Employer or Authorized Representative Signature of Employer or Authorized Representative Today's Date (mm/dd/yyyy) Additional Information (Initial and date each notation.) Check here if you used an alternative procedure authorized by DHS to examine documents. Date of Rehire (if applicable) New Name (if applicable) Date (mm/dd/yyyy) Last Name (Family Name) First Name (Given Name) Middle Initial Reverification: If the employee requires reverification, your employee can choose to present any acceptable List A or List C documentation to show continued employment authorization. Enter the document information in the spaces below. Document Title Document Number (if any) Expiration Date (if any) (mm/dd/yyyy) I attest, under penalty of perjury, that to the best of my knowledge, this employee is authorized to work in the United States, and if the employee presented documentation, the documentation I examined appears to be genuine and to relate to the individual who presented it. Name of Employer or Authorized Representative Signature of Employer or Authorized Representative Today's Date (mm/dd/yyyy) Additional Information (Initial and date each notation.) Check here if you used an alternative procedure authorized by DHS to examine documents. Form I-9 Edition 08/01/23 Page 4 of 4 Docusign Envelope ID: 177AA06A-30B4-42FF-A85A-78B5A7C51DBE