| CASE NUMBER | I-200-24152-057659 |
| CASE STATUS | Certified |
| RECEIVED DATE | 5/31/2024 |
| DECISION DATE | 6/7/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Civil Engineer |
| SOC CODE | 17-2051.00 |
| SOC TITLE | Civil Engineers |
| FULL TIME POSITION | Y |
| 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 | 4HD, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 330 E. Roosevelt Road |
| EMPLOYER ADDRESS2 | Suite 2G |
| EMPLOYER CITY | Lombard |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60148-4644 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16302027891 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541330 |
| EMPLOYER POC LAST NAME | ALROUSAN |
| EMPLOYER POC FIRST NAME | Ahmad |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Manager |
| EMPLOYER POC ADDRESS1 | 330 E. Roosevelt Road |
| EMPLOYER POC ADDRESS2 | Suite 2G |
| EMPLOYER POC CITY | Lombard |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60148-4644 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16302027891 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ralrousan@4hdconsultants.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Khosla |
| AGENT ATTORNEY FIRST NAME | P. Michael |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 3116-C West MONTGOMERY Road |
| AGENT ATTORNEY ADDRESS2 | SUITE 316 |
| AGENT ATTORNEY CITY | Maineville |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45039 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15133107471 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | PMICHAELKHOSLA@YAHOO.COM |
| LAWFIRM NAME BUSINESS NAME | The Khosla Immigration Law Group, P. C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | ILLINOIS STATE SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Illinois Department of Transportation |
| WORKSITE ADDRESS1 | 201 W Center Court |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Schaumburg |
| WORKSITE COUNTY | COOK |
| WORKSITE STATE | IL |
| WORKSITE POSTAL CODE | 60196 |
| WAGE RATE OF PAY FROM | 33.15 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $33.14 |
| 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 | 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 | Khosla |
| PREPARER FIRST NAME | P. Michael |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | The Khosla Immigration Law Group, P. C. |
| PREPARER EMAIL | PMICHAELKHOSLA@YAHOO.COM |
| BEGIN DATE CONVERTED | 2024-01-10 |
