| CASE NUMBER | I-201-23338-541428 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/4/2023 |
| DECISION DATE | 12/11/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B1 Chil |
| JOB TITLE | Lodging Manager |
| SOC CODE | 11-9081.00 |
| SOC TITLE | Lodging Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/8/2024 |
| END DATE | 1/7/2027 |
| 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 | Beach Realty of NC INC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 4826 N Croatan Highway |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Kitty Hawk |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27949 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12524417166 |
| EMPLOYER PHONE EXT | 4326 |
| NAICS CODE | 53131 |
| EMPLOYER POC LAST NAME | Moldovan |
| EMPLOYER POC FIRST NAME | Tiffany |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of Property Management |
| EMPLOYER POC ADDRESS1 | 4820 N Croatan Highway |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Kitty Hawk |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 27949 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12524417166 |
| EMPLOYER POC PHONE EXT | 4326 |
| EMPLOYER POC EMAIL | tiffany@beachrealtync.com |
| AGENT REPRESENTING EMPLOYER | No |
| AGENT ATTORNEY LAST NAME | |
| AGENT ATTORNEY FIRST NAME | |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | |
| AGENT ATTORNEY STATE | |
| AGENT ATTORNEY POSTAL CODE | |
| AGENT ATTORNEY COUNTRY | |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | |
| LAWFIRM NAME BUSINESS NAME | |
| STATE OF HIGHEST COURT | |
| NAME OF HIGHEST STATE COURT | |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4820 N Croatan Highway |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Kitty Hawk |
| WORKSITE COUNTY | DARE |
| WORKSITE STATE | NC |
| WORKSITE POSTAL CODE | 27948 |
| WAGE RATE OF PAY FROM | 16.35 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $16.35 |
| 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 | N/A |
| WILLFUL VIOLATOR | N/A |
| 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 | 2024-08-01 |
