| CASE NUMBER | I-200-23270-385255 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/27/2023 |
| DECISION DATE | 10/4/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Principal Engineer |
| SOC CODE | 15-1242.00 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/13/2024 |
| END DATE | 2/12/2027 |
| 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 | TORY BURCH, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 11 WEST 19TH STREET |
| EMPLOYER ADDRESS2 | 7TH FLOOR |
| EMPLOYER CITY | NEW YORK |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10011 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16467233118 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 44812 |
| EMPLOYER POC LAST NAME | Lopez |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP, Global Head of Talent, Products & Delivery |
| EMPLOYER POC ADDRESS1 | 11 West 19th Street |
| EMPLOYER POC ADDRESS2 | 7th Floor |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10011 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16467236691 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | marilopez@toryburch.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Fortino-Brown |
| AGENT ATTORNEY FIRST NAME | Susan |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 53 West Jackson Blvd |
| AGENT ATTORNEY ADDRESS2 | Ste. 1215 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13123419009 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | aadams@sfortinolaw.net |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Susan Fortino-Brown, LLC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | ILLINOIS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 499 Washington Blvd. |
| WORKSITE ADDRESS2 | 12th and 14th Floors |
| WORKSITE CITY | Jersey City |
| WORKSITE COUNTY | HUDSON |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 7310 |
| WAGE RATE OF PAY FROM | 183000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $143,686.00 |
| 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 | 2 |
| 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 | 2025-01-02 |
