| CASE NUMBER | I-200-24005-620346 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/5/2024 |
| DECISION DATE | 1/12/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Manager (Accounting) |
| SOC CODE | 13-2011.00 |
| SOC TITLE | Accountants and Auditors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/22/2024 |
| END DATE | 9/30/2026 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Kelly Partners Burbank Services LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 100 N. 1st St. |
| EMPLOYER ADDRESS2 | Ste. 402 |
| EMPLOYER CITY | Burbank |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91502 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18184783052 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 5412 |
| EMPLOYER POC LAST NAME | Neumeister |
| EMPLOYER POC FIRST NAME | Jeffrey |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | Managing Partner |
| EMPLOYER POC ADDRESS1 | 100 N. 1st St. |
| EMPLOYER POC ADDRESS2 | Ste. 402 |
| EMPLOYER POC CITY | Burbank |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91502 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18184783052 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jeff@neumeistercpa.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Medina |
| AGENT ATTORNEY FIRST NAME | Lindsey |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 500 Woodward Avenue |
| AGENT ATTORNEY ADDRESS2 | Ste. 3500 |
| AGENT ATTORNEY CITY | Detroit |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48226 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13139658672 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | lmedina@clarkhill.com |
| LAWFIRM NAME BUSINESS NAME | Clark Hill PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 100 N. 1st St. |
| WORKSITE ADDRESS2 | Ste. 402 |
| WORKSITE CITY | Burbank |
| WORKSITE COUNTY | LOS ANGELES |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 91502 |
| WAGE RATE OF PAY FROM | 120000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $92,206.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | Medina |
| PREPARER FIRST NAME | Lindsey |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Clark Hill PLC |
| PREPARER EMAIL | lmedina@clarkhill.com |
| BEGIN DATE CONVERTED | 2025-10-01 |