| CASE NUMBER | I-200-23242-308905 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/30/2023 |
| DECISION DATE | 9/7/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Mine Coordinator |
| SOC CODE | 17-2151.00 |
| SOC TITLE | Mining and Geological Engineers, Including Mining Safety Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2024 |
| END DATE | 12/31/2026 |
| 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 | GMS Mine Repair & Maintenance Inc |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 32 enterprise dr |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Mt Lake Park |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21550 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +13013348186 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 2131 |
| EMPLOYER POC LAST NAME | Musgrove |
| EMPLOYER POC FIRST NAME | Joshua |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Recruiting & Personnel Manager |
| EMPLOYER POC ADDRESS1 | 111 Watkins Run Rd |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Mt Morris |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15349 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +13045384560 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jmusgrove@gmsminerepair.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 | 450 W Silver St |
| WORKSITE ADDRESS2 | Suite 105 |
| WORKSITE CITY | Elko |
| WORKSITE COUNTY | ELKO |
| WORKSITE STATE | NV |
| WORKSITE POSTAL CODE | 89801 |
| WAGE RATE OF PAY FROM | 84656 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $95,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $82,763.00 |
| 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 | 2024-01-01 |
