| CASE NUMBER | I-200-24176-141162 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/24/2024 |
| DECISION DATE | 7/1/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Process Engineer (Operations Analysis) |
| SOC CODE | 15-2031.00 |
| SOC TITLE | Operations Research Analysts |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| 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 | BeniComp Health Solutions |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 8310 Clinton Park Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Fort Wayne |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46825 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +12604827400 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524210 |
| EMPLOYER POC LAST NAME | Presser |
| EMPLOYER POC FIRST NAME | Stephen |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 8310 Clinton Park Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Fort Wayne |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46825 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12604827400 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | stevepresser@benicomp.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | CLARK |
| AGENT ATTORNEY FIRST NAME | AIMEE |
| AGENT ATTORNEY MIDDLE NAME | LYN |
| AGENT ATTORNEY ADDRESS1 | 691 JOHN WESLEY DOBBS AVENUE NE |
| AGENT ATTORNEY ADDRESS2 | ALKALOID V19 |
| AGENT ATTORNEY CITY | ATLANTA |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30312 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +14704854664 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | aimee@clarkimm.com |
| LAWFIRM NAME BUSINESS NAME | CLARK IMMIGRATION LLC |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 201 N. Franklin St. |
| WORKSITE ADDRESS2 | Ste 1375 |
| WORKSITE CITY | Tampa |
| WORKSITE COUNTY | HILLSBOROUGH |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 33602 |
| WAGE RATE OF PAY FROM | 69,306.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $105,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $69,306.00 |
| 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 | Endrenal |
| PREPARER FIRST NAME | Donna |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Clark Immigration LLC |
| PREPARER EMAIL | admin@clarkimm.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
