| CASE NUMBER | I-200-24179-152192 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/26/2024 |
| DECISION DATE | 7/3/2024 |
| 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 | 7/3/2024 |
| END DATE | 7/3/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Community CPA & Associates Inc |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3816 Ingersoll Ave |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Des Moines |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 50312 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +15152883188 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541211 |
| EMPLOYER POC LAST NAME | Hou |
| EMPLOYER POC FIRST NAME | Steven |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | Vice President |
| EMPLOYER POC ADDRESS1 | 3816 Ingersoll Ave |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Des Moines |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 50312 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +15154912928 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | steve@communitycpa.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Hou |
| AGENT ATTORNEY FIRST NAME | Stephanie |
| AGENT ATTORNEY MIDDLE NAME | H |
| AGENT ATTORNEY ADDRESS1 | 2979 S Foxridge Ct |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Ann Arbor |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +15154918210 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | houstephanieh@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Docuserv Co |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3816 Ingersoll Ave |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Des Moines |
| WORKSITE COUNTY | POLK |
| WORKSITE STATE | IA |
| WORKSITE POSTAL CODE | 50312 |
| WAGE RATE OF PAY FROM | 52,200.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $52,166.00 |
| 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 Business |
| PREPARER LAST NAME | Hou |
| PREPARER FIRST NAME | Stephanie |
| PREPARER MIDDLE INITIAL | H |
| PREPARER BUSINESS NAME | Docuserv Co |
| PREPARER EMAIL | houstephanieh@gmail.com |
| BEGIN DATE CONVERTED | 2024-03-07 |
