| CASE NUMBER | I-200-24249-315332 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/4/2024 |
| DECISION DATE | 9/11/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | QA Tester |
| SOC CODE | 15-1253.00 |
| SOC TITLE | Software Quality Assurance Analysts and Testers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/8/2024 |
| END DATE | 10/8/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | 4-Serv Solutions Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 28345 beck road |
| EMPLOYER ADDRESS2 | ste. 108 |
| EMPLOYER CITY | wixom |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48393 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +12488963250 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 54151 |
| EMPLOYER POC LAST NAME | Albright |
| EMPLOYER POC FIRST NAME | Olivia |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of Operations |
| EMPLOYER POC ADDRESS1 | 28345 Beck Road |
| EMPLOYER POC ADDRESS2 | ste. 108 |
| EMPLOYER POC CITY | wixom |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48393 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12488963250 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | OLIVIA.ALBRIGHT@4-SERVEINC.COM |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Duan |
| AGENT ATTORNEY FIRST NAME | Dan |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 24 Frank Lloyd Wright Drive |
| AGENT ATTORNEY ADDRESS2 | Ste A3250 |
| AGENT ATTORNEY CITY | ann arbor |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +17349307300 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | dan@dehaitao.com |
| LAWFIRM NAME BUSINESS NAME | dehai tao immigration pllc |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | CVS Health |
| WORKSITE ADDRESS1 | 2100 E Lake Cook Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Buffalo Grove |
| WORKSITE COUNTY | LAKE |
| WORKSITE STATE | IL |
| WORKSITE POSTAL CODE | 60089 |
| WAGE RATE OF PAY FROM | 74,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $65,520.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | Yes |
| STATUTORY BASIS | $60,000 or higher annual wage |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-08-10 |
