| CASE NUMBER | I-200-24114-918759 |
| CASE STATUS | Certified |
| RECEIVED DATE | 4/23/2024 |
| DECISION DATE | 4/30/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Financial Risk Specialists |
| SOC CODE | 13-2099.04 |
| SOC TITLE | Fraud Examiners, Investigators and Analysts |
| FULL TIME POSITION | Y |
| 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 | First State Bank Shallowater |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1 Commerce Park |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Shallowater |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 79363 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18068324525 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 522110 |
| EMPLOYER POC LAST NAME | Taylor |
| EMPLOYER POC FIRST NAME | Mark |
| EMPLOYER POC MIDDLE NAME | Edwin |
| EMPLOYER POC JOB TITLE | President & CEO |
| EMPLOYER POC ADDRESS1 | 1 Commerce Park Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Shallowater |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 79363 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18068324525 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | mark@fsbshallowater.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Chen |
| AGENT ATTORNEY FIRST NAME | Weiyu |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 801 E. Campbell Road, Suite 130 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Richardson |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75081 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19726657253 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | records@echenlaw.com |
| LAWFIRM NAME BUSINESS NAME | Eugene Chen Law, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1 Commerce Park Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Shallowater |
| WORKSITE COUNTY | LUBBOCK |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 76363 |
| WAGE RATE OF PAY FROM | 49358 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $49,358.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-10 |
