| CASE NUMBER | I-200-24208-226392 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/26/2024 |
| DECISION DATE | 8/2/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Behavioral Health Counselor I |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/1/2024 |
| END DATE | 7/31/2027 |
| 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 | SPECIAL SERVICE FOR GROUPS, INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 905 E. 8TH STREET |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | LOS ANGELES |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90021 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +12135531800 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 624190 |
| EMPLOYER POC LAST NAME | Hatanaka |
| EMPLOYER POC FIRST NAME | Herbert |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | EXECUTIVE DIRECTOR |
| EMPLOYER POC ADDRESS1 | 905 E. 8TH STREET |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | LOS ANGELES |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90021 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12135531800 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ADIAZ@SSG.ORG |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Chun-Fruto |
| AGENT ATTORNEY FIRST NAME | Eileen |
| AGENT ATTORNEY MIDDLE NAME | SHAOMUN |
| AGENT ATTORNEY ADDRESS1 | 1055 W. 7th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1780 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12136740599 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | eileen@chunfrutolaw.com |
| LAWFIRM NAME BUSINESS NAME | Chun Fruto Law Corporation |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF CALIFORNIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3055 Wilshire Blvd |
| WORKSITE ADDRESS2 | Suite 300 |
| WORKSITE CITY | Los Angeles |
| WORKSITE COUNTY | LOS ANGELES |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 90010 |
| WAGE RATE OF PAY FROM | 35.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $33.70 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Chun-Fruto |
| PREPARER FIRST NAME | Eileen |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Chun Fruto Law Corp. |
| PREPARER EMAIL | eileen@chunfrutolaw.com |
| BEGIN DATE CONVERTED | 2024-01-08 |
