| CASE NUMBER | I-200-24197-196421 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/15/2024 |
| DECISION DATE | 7/22/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | ETL Data Development Lead |
| SOC CODE | 15-1243.01 |
| SOC TITLE | Data Warehousing Specialists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| 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 | Community Care of North Carolina, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 110 Donmoor Ct. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Garner |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27529 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +19197452410 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 624190 |
| EMPLOYER POC LAST NAME | Felmet |
| EMPLOYER POC FIRST NAME | Colin |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP- Corporate Services/Controller |
| EMPLOYER POC ADDRESS1 | 110 Donmoor Ct. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Garner |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 27529 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +19197452410 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | cfelmet@communitycarenc.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Manna |
| AGENT ATTORNEY FIRST NAME | Miguel |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 389 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Raleigh |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +19198354048 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | miguelmanna@parkerpoe.com |
| LAWFIRM NAME BUSINESS NAME | Parker Poe Adams & Bernstein LLP |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 110 Donmoor Ct. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Garner |
| WORKSITE COUNTY | WAKE |
| WORKSITE STATE | NC |
| WORKSITE POSTAL CODE | 27529 |
| WAGE RATE OF PAY FROM | 118,502.88 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $117,874.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | Coughlin |
| PREPARER FIRST NAME | Kiersten |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Parker Poe Adams & Bernstein LLP |
| PREPARER EMAIL | kierstencoughlin@parkerpoe.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
