| CASE NUMBER | I-200-24177-146715 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/25/2024 |
| DECISION DATE | 7/2/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Project Engineer |
| SOC CODE | 17-2051.00 |
| SOC TITLE | Civil Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Forgen, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 6025 South Quebec Street |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Centennial |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80111 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17202211119 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541620 |
| EMPLOYER POC LAST NAME | Miles |
| EMPLOYER POC FIRST NAME | Julie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP of Human Resources |
| EMPLOYER POC ADDRESS1 | 6025 South Quebec Street |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Centennial |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80111 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17202211119 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | julie.miles@forgen.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Dinnen |
| AGENT ATTORNEY FIRST NAME | Elizabeth |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 4770 Baseline Road |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Boulder |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80303 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +17203296129 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | info@dinnenlaw.com |
| LAWFIRM NAME BUSINESS NAME | Dinnen Law PC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Florida |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 6020 West Oaks Blvd |
| WORKSITE ADDRESS2 | Suite 220 |
| WORKSITE CITY | Rocklin |
| WORKSITE COUNTY | PLACER |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 95765 |
| WAGE RATE OF PAY FROM | 86,861.92 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $78,291.00 |
| 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 | 2 |
| 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 | Taylor |
| PREPARER FIRST NAME | Tosha |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Dinnen Law PC |
| PREPARER EMAIL | tosha@dinnenlaw.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
