| CASE NUMBER | I-200-23349-568564 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/14/2023 |
| DECISION DATE | 12/21/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | CHEMIST |
| SOC CODE | 19-2031.00 |
| SOC TITLE | Chemists |
| FULL TIME POSITION | N |
| BEGIN DATE | 1/13/2024 |
| END DATE | 1/12/2027 |
| 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 | SAIPAN ICE & WATER COMPANY, INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | P.O. BOX 501808 |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | SAIPAN |
| EMPLOYER STATE | MP |
| EMPLOYER POSTAL CODE | 96950 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +16703226130 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 312112 |
| EMPLOYER POC LAST NAME | BORJA |
| EMPLOYER POC FIRST NAME | XAVIER |
| EMPLOYER POC MIDDLE NAME | O. |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT |
| EMPLOYER POC ADDRESS1 | P.O. BOX 501808 |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | SAIPAN |
| EMPLOYER POC STATE | MP |
| EMPLOYER POC POSTAL CODE | 96950 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +16702870789 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | XAVIERBORJA@SAIPANICE.NET |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | KING |
| AGENT ATTORNEY FIRST NAME | JANET |
| AGENT ATTORNEY MIDDLE NAME | HAN |
| AGENT ATTORNEY ADDRESS1 | PMB 763, P.O. BOX 10001, SAIPAN, MP 96950 |
| AGENT ATTORNEY ADDRESS2 | 2ND FLOOR, D' TORRES BUILDING, MIDDLE ROAD |
| AGENT ATTORNEY CITY | SAIPAN |
| AGENT ATTORNEY STATE | MP |
| AGENT ATTORNEY POSTAL CODE | 96950 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +16702331209 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | JANETHANKING@GMAIL.COM |
| LAWFIRM NAME BUSINESS NAME | KING LAW OFFICE, LLC |
| STATE OF HIGHEST COURT | MP |
| NAME OF HIGHEST STATE COURT | CNMI SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | LOWER BASE DRIVE CORNER |
| WORKSITE ADDRESS2 | CHALAN PALE ARNOLD RD., LOWER BASE |
| WORKSITE CITY | SAIPAN |
| WORKSITE COUNTY | SAIPAN |
| WORKSITE STATE | MP |
| WORKSITE POSTAL CODE | 96950 |
| WAGE RATE OF PAY FROM | 12.08 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $25.30 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $12.08 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2023 |
| PW SURVEY PUBLISHER | CNMI DEPARTMENT OF COMMERCE |
| PW SURVEY NAME | 2023 PREVAILING WAGE STUDY, CNMI |
| 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 | KING |
| PREPARER FIRST NAME | JANET |
| PREPARER MIDDLE INITIAL | H. |
| PREPARER BUSINESS NAME | KING LAW OFFICE, LLC |
| PREPARER EMAIL | janethanking@gmail.com |
| BEGIN DATE CONVERTED | 2025-01-01 |
