| CASE NUMBER | I-200-23289-435193 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/16/2023 |
| DECISION DATE | 10/23/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Applications Developer - Order Management & Financial |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/24/2024 |
| END DATE | 3/23/2027 |
| 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 | Simmons Prepared Foods, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 601 N Hico Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Siloam Springs |
| EMPLOYER STATE | AR |
| EMPLOYER POSTAL CODE | 72761 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14795248151 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 311615 |
| EMPLOYER POC LAST NAME | Cain |
| EMPLOYER POC FIRST NAME | Trey |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Vice President, Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 601 N Hico Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Siloam Springs |
| EMPLOYER POC STATE | AR |
| EMPLOYER POC POSTAL CODE | 72761 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14795248151 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | trey.cain@simfoods.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | McDougal |
| AGENT ATTORNEY FIRST NAME | Craig |
| AGENT ATTORNEY MIDDLE NAME | David |
| AGENT ATTORNEY ADDRESS1 | 225 N Peters Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 1 |
| AGENT ATTORNEY CITY | Norman |
| AGENT ATTORNEY STATE | OK |
| AGENT ATTORNEY POSTAL CODE | 73069 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14053642525 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | contact@velie.us |
| LAWFIRM NAME BUSINESS NAME | William Velie, Attorney at Law PLLC |
| STATE OF HIGHEST COURT | OK |
| NAME OF HIGHEST STATE COURT | Oklahoma Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 429 E 64th Terrace |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Kansas City |
| WORKSITE COUNTY | JACKSON |
| WORKSITE STATE | MO |
| WORKSITE POSTAL CODE | 64131 |
| WAGE RATE OF PAY FROM | 129600 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $108,597.00 |
| 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 and Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-12-03 |
