| CASE NUMBER | I-200-24088-836468 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/28/2024 |
| DECISION DATE | 4/4/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Operations Coordinator |
| SOC CODE | 11-1021.00 |
| SOC TITLE | General and Operations Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 4/1/2024 |
| END DATE | 3/31/2027 |
| 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 | Woodhull Prescription Center |
| TRADE NAME DBA | Woodhull RX Center |
| EMPLOYER ADDRESS1 | 755 Flushing Avenue |
| EMPLOYER ADDRESS2 | N/A |
| EMPLOYER CITY | Brooklyn |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11206 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17185991309 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 456110 |
| EMPLOYER POC LAST NAME | PATEL |
| EMPLOYER POC FIRST NAME | Tushar |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 755 Flushing Avenue |
| EMPLOYER POC ADDRESS2 | N/A |
| EMPLOYER POC CITY | Brooklyn |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11206 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17185991309 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | woodhullpharmacy@gmail.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | YASKHI |
| AGENT ATTORNEY FIRST NAME | Komali |
| AGENT ATTORNEY MIDDLE NAME | N/A |
| AGENT ATTORNEY ADDRESS1 | 15 Corporate Place South |
| AGENT ATTORNEY ADDRESS2 | SUITE 150 |
| AGENT ATTORNEY CITY | Piscataway |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 8854 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12126299400 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | lcas@sysslaw.com |
| LAWFIRM NAME BUSINESS NAME | SHARMA YASKHI & ASSOCIATES, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division of the Supreme Court of New York |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 755 Flushing Avenue |
| WORKSITE ADDRESS2 | N/A |
| WORKSITE CITY | Brooklyn |
| WORKSITE COUNTY | KINGS |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 11206 |
| WAGE RATE OF PAY FROM | 72779 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $72,779.00 |
| PW UNIT OF PAY | Year |
| 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 | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | Yes |
| STATUTORY BASIS | $60,000 or higher annual wage |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | TABETI |
| PREPARER FIRST NAME | SHRAVAN |
| PREPARER MIDDLE INITIAL | K |
| PREPARER BUSINESS NAME | SHARMA YASKHI & ASSOCIATES, LLP |
| PREPARER EMAIL | lcas@sysslaw.com |
| BEGIN DATE CONVERTED | 2024-01-04 |
