| CASE NUMBER | I-200-24157-076126 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/5/2024 |
| DECISION DATE | 6/12/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Music Composer |
| SOC CODE | 27-2041.00 |
| SOC TITLE | Music Directors and Composers |
| FULL TIME POSITION | N |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | 986 Degrees Corporation |
| TRADE NAME DBA | 986 Pharmacy |
| EMPLOYER ADDRESS1 | 2521 Huntington Dr. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | San Marino |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91108 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18007469889 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 45611 |
| EMPLOYER POC LAST NAME | Thai |
| EMPLOYER POC FIRST NAME | Khanh-Long |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 2521 Huntington Dr. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | San Marino |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91108 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16266746718 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ken.thai@986pharmacy.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Coates |
| AGENT ATTORNEY FIRST NAME | Edith |
| AGENT ATTORNEY MIDDLE NAME | G. |
| AGENT ATTORNEY ADDRESS1 | 2648 E. Workman Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 3001-236 |
| AGENT ATTORNEY CITY | West Covina |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91791 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15102242280 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | LCA@accelvisa.com |
| LAWFIRM NAME BUSINESS NAME | Accel Visa Attorneys PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3330 E Foothill Blvd |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Pasadena |
| WORKSITE COUNTY | LOS ANGELES |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 91107 |
| WAGE RATE OF PAY FROM | 23.93 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $23.93 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | 2024-01-10 |
