| CASE NUMBER | I-200-24128-965571 |
| CASE STATUS | Certified |
| RECEIVED DATE | 5/7/2024 |
| DECISION DATE | 5/14/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Java Developer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/6/2024 |
| END DATE | 8/5/2027 |
| 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 | SUPPLYHOUSE, LLC |
| TRADE NAME DBA | SUPPLYHOUSE.COM |
| EMPLOYER ADDRESS1 | 130 SPAGNOLI ROAD |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | MELVILLE |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11747 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16313932855 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 423730 |
| EMPLOYER POC LAST NAME | Kaur |
| EMPLOYER POC FIRST NAME | Mehr |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES |
| EMPLOYER POC ADDRESS1 | 130 SPAGNOLI ROAD |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | MELVILLE |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11747 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16313932855 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | mehrk@supplyhouse.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Rosenberg |
| AGENT ATTORNEY FIRST NAME | Hyla |
| AGENT ATTORNEY MIDDLE NAME | Kaplan |
| AGENT ATTORNEY ADDRESS1 | 1400 Broadway |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12126888555 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | alau@Fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 130 Spagnoli Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Melville |
| WORKSITE COUNTY | SUFFOLK |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 11747 |
| WAGE RATE OF PAY FROM | 136000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $127,054.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2023 |
| PW SURVEY PUBLISHER | Willis Towers Watson |
| PW SURVEY NAME | General Industry Information Technology Report |
| 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 | Lau |
| PREPARER FIRST NAME | Amy |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | ALAU@FRAGOMEN.COM |
| BEGIN DATE CONVERTED | 2024-06-08 |
