| CASE NUMBER | I-200-23362-597235 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/28/2023 |
| DECISION DATE | 1/5/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Guidewire Developer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/2/2024 |
| END DATE | 1/1/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | USG, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 6000 Venture Dr. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Dublin |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43017 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16144959222 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Raju |
| EMPLOYER POC FIRST NAME | Vatsala |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of HR & Immigration |
| EMPLOYER POC ADDRESS1 | 6000 Venture Dr. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Dublin |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43017 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16144959222 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | vatsala@usgrpinc.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Shihab |
| AGENT ATTORNEY FIRST NAME | Sam |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 565 Metro Place South |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Dublin |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | N/A |
| AGENT ATTORNEY PHONE | 16147910500 |
| AGENT ATTORNEY PHONE EXT | 225 |
| AGENT ATTORNEY EMAIL ADDRESS | govnotice@shihablawoffice.com |
| LAWFIRM NAME BUSINESS NAME | Shihab Burke, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Brotherhood Mutual Insurance |
| WORKSITE ADDRESS1 | 6400 Brotherhood Way |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Fort Wayne |
| WORKSITE COUNTY | ALLEN |
| WORKSITE STATE | IN |
| WORKSITE POSTAL CODE | 46825 |
| WAGE RATE OF PAY FROM | 184320 |
| 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 | IV |
| 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 | Shihab |
| PREPARER FIRST NAME | Sam |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Shihab Burke, LLC |
| PREPARER EMAIL | govnotice@shihablawoffice.com |
| BEGIN DATE CONVERTED | 2024-02-01 |
