| CASE NUMBER | I-200-24134-987511 |
| CASE STATUS | Certified |
| RECEIVED DATE | 5/13/2024 |
| DECISION DATE | 5/20/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Budget Analyst |
| SOC CODE | 13-2031.00 |
| SOC TITLE | Budget Analysts |
| FULL TIME POSITION | N |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | 519 Third Ave LLC |
| TRADE NAME DBA | Tangy Noodles Murray Hill |
| EMPLOYER ADDRESS1 | 519 3rd Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10016 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19173882679 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 722513 |
| EMPLOYER POC LAST NAME | LIU |
| EMPLOYER POC FIRST NAME | Leon |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Manager |
| EMPLOYER POC ADDRESS1 | 519 3rd Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10016 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16464272799 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | leon@tangynoodle.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | JENSEN |
| AGENT ATTORNEY FIRST NAME | Peter |
| AGENT ATTORNEY MIDDLE NAME | Torben |
| AGENT ATTORNEY ADDRESS1 | 110 East 59th Street, 23rd Floor |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10022 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12127375900 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | contact@thejensenlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | The Jensen Law Group PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court, Appellate Division |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 519 3rd Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 10016 |
| WAGE RATE OF PAY FROM | 34.25 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $34.25 |
| PW UNIT OF PAY | Hour |
| 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 | JENSEN |
| PREPARER FIRST NAME | Peter |
| PREPARER MIDDLE INITIAL | T. |
| PREPARER BUSINESS NAME | The Jensen Law Group PLLC |
| PREPARER EMAIL | contact@thejensenlawgroup.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
