| CASE NUMBER | I-200-24099-866599 |
| CASE STATUS | Certified |
| RECEIVED DATE | 4/8/2024 |
| DECISION DATE | 4/15/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Industrial Engineer |
| SOC CODE | 17-2112.00 |
| SOC TITLE | Industrial Engineers |
| 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 | ORIGIN BRANDS, INC. |
| TRADE NAME DBA | CATALAN GOURMET |
| EMPLOYER ADDRESS1 | 1133 BROADWAY |
| EMPLOYER ADDRESS2 | SUITE 1614 |
| EMPLOYER CITY | NEW YORK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16467190061 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 424490 |
| EMPLOYER POC LAST NAME | CLARAMONTE |
| EMPLOYER POC FIRST NAME | LUIS |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 1133 Broadway |
| EMPLOYER POC ADDRESS2 | SUITE 1614 |
| EMPLOYER POC CITY | NEW YORK |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13474535551 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | luis@catalangourmet.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | ALGASE |
| AGENT ATTORNEY FIRST NAME | ROGER |
| AGENT ATTORNEY MIDDLE NAME | CARL |
| AGENT ATTORNEY ADDRESS1 | 241 CENTRAL PARK WEST |
| AGENT ATTORNEY ADDRESS2 | 19F |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10024 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12127245643 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | algaselex@gmail.com |
| LAWFIRM NAME BUSINESS NAME | ROGER ALGASE ATTORNEY AT LAW |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK SUPREME COURT APPELLATE DIVISION |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 600 East 132nd Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Bronx |
| WORKSITE COUNTY | BRONX |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 10454 |
| WAGE RATE OF PAY FROM | 42.98 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $44.37 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $42.98 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-10 |
