| CASE NUMBER | I-200-24180-156742 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/27/2024 |
| DECISION DATE | 7/5/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Accountant |
| SOC CODE | 13-2011.00 |
| SOC TITLE | Accountants and Auditors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| 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 | Green Community Development |
| TRADE NAME DBA | Surface Solutions |
| EMPLOYER ADDRESS1 | 928 N. Marine Corps Drive |
| EMPLOYER ADDRESS2 | Suite 101 |
| EMPLOYER CITY | Tamuning |
| EMPLOYER STATE | GU |
| EMPLOYER POSTAL CODE | 96913 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +16716480800 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 236220 |
| EMPLOYER POC LAST NAME | Leung |
| EMPLOYER POC FIRST NAME | Krystal |
| EMPLOYER POC MIDDLE NAME | Unangst |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 928 N. Marine Corps Drive |
| EMPLOYER POC ADDRESS2 | Suite 101 |
| EMPLOYER POC CITY | Tamuning |
| EMPLOYER POC STATE | GU |
| EMPLOYER POC POSTAL CODE | 96913 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +16714827233 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | manager.surfacesolutions@gmail.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | SWAVELY |
| AGENT ATTORNEY FIRST NAME | MELINDA |
| AGENT ATTORNEY MIDDLE NAME | SUE |
| AGENT ATTORNEY ADDRESS1 | 865 SOUTH MARINE CORPS DRIVE |
| AGENT ATTORNEY ADDRESS2 | SUITE 201 |
| AGENT ATTORNEY CITY | TAMUNING |
| AGENT ATTORNEY STATE | GU |
| AGENT ATTORNEY POSTAL CODE | 96913 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +16716461222 |
| AGENT ATTORNEY PHONE EXT | 111 |
| AGENT ATTORNEY EMAIL ADDRESS | swavely@guamlawoffice.com |
| LAWFIRM NAME BUSINESS NAME | ROBERTS FOWLER & VISOSKY LLP |
| STATE OF HIGHEST COURT | GU |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 323 Raymond Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Maite |
| WORKSITE COUNTY | UNKOWN NAME |
| WORKSITE STATE | GU |
| WORKSITE POSTAL CODE | 96910 |
| WAGE RATE OF PAY FROM | 33,259.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $33,259.01 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $33,259.00 |
| PW UNIT OF PAY | Year |
| 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 | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Swavely |
| PREPARER FIRST NAME | Melinda |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Roberts Fowler & Visosky LLP |
| PREPARER EMAIL | swavely@guamlawoffice.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
