| CASE NUMBER | I-200-24291-415539 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/17/2024 |
| DECISION DATE | 10/24/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Programmer |
| SOC CODE | 17-2071.00 |
| SOC TITLE | Electrical Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 11/11/2024 |
| END DATE | 11/10/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Black Label Services, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 629 Gyrfalcon Ct. |
| EMPLOYER ADDRESS2 | Unit A |
| EMPLOYER CITY | Windsor |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80550 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19708335089 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 811310 |
| EMPLOYER POC LAST NAME | Fisher |
| EMPLOYER POC FIRST NAME | Tammy |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | HR Generalist |
| EMPLOYER POC ADDRESS1 | 629 Gyrfalcon CT. |
| EMPLOYER POC ADDRESS2 | Suite A |
| EMPLOYER POC CITY | Windsor |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80550 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19707329002 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | tfisher@blsoil.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Tsai |
| AGENT ATTORNEY FIRST NAME | Roger |
| AGENT ATTORNEY MIDDLE NAME | Y. |
| AGENT ATTORNEY ADDRESS1 | 1144 15th Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 3400 |
| AGENT ATTORNEY CITY | Denver |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13036073554 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | roger.tsai@faegredrinker.com |
| LAWFIRM NAME BUSINESS NAME | Faegre Drinker Biddle & Reath LLP |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | Colorado Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 11420 W Hwy 80 E |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Odessa |
| WORKSITE COUNTY | ECTOR |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 79765 |
| WAGE RATE OF PAY FROM | $88,005.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $135,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $88,005.00 |
| PW UNIT OF PAY | Year |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-11-11 |
