| CASE NUMBER | I-200-24179-155762 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/27/2024 |
| DECISION DATE | 7/5/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Project Engineer - Civil |
| 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 | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Nan, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 636 Laumaka Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Honolulu |
| EMPLOYER STATE | HI |
| EMPLOYER POSTAL CODE | 96819 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18088424929 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 236220 |
| EMPLOYER POC LAST NAME | Freestone |
| EMPLOYER POC FIRST NAME | Fooney |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 636 Laumaka Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Honolulu |
| EMPLOYER POC STATE | HI |
| EMPLOYER POC POSTAL CODE | 96819 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +18088424929 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ffreestone@nanhawaii.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Chang |
| AGENT ATTORNEY FIRST NAME | Amanda |
| AGENT ATTORNEY MIDDLE NAME | SOYOUNG |
| AGENT ATTORNEY ADDRESS1 | 700 Bishop St. #2100 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | HONOLULU |
| AGENT ATTORNEY STATE | HI |
| AGENT ATTORNEY POSTAL CODE | 96813 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +18085482500 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | asc@amandachang.com |
| LAWFIRM NAME BUSINESS NAME | Clay Iwamura Pulice & Nervell |
| STATE OF HIGHEST COURT | HI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 636 Laumaka Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Honolulu |
| WORKSITE COUNTY | HONOLULU |
| WORKSITE STATE | HI |
| WORKSITE POSTAL CODE | 96819 |
| WAGE RATE OF PAY FROM | 95,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $62,296.00 |
| 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 | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Chang |
| PREPARER FIRST NAME | Amanda |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Clay Iwamura Pulice and Nervell |
| PREPARER EMAIL | asc@amandachang.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
