| CASE NUMBER | I-200-25071-770521 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/12/2025 |
| DECISION DATE | 3/19/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior New Product Development / Design to Value Engineer - |
| SOC CODE | 17-2141.00 |
| SOC TITLE | Mechanical Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/4/2025 |
| END DATE | 9/3/2028 |
| 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 | Hill Phoenix, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2016 Gees Mill Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Conyers |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30013 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16782375621 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 33341 |
| EMPLOYER POC LAST NAME | Watts |
| EMPLOYER POC FIRST NAME | Kathryn |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 2016 Gees Mill Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Conyers |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30013 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16782375621 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | kwatts@doverfoodretail.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Newman |
| AGENT ATTORNEY FIRST NAME | Braeden |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 100 Adelaide Street West |
| AGENT ATTORNEY ADDRESS2 | Floor 31 |
| AGENT ATTORNEY CITY | Toronto |
| AGENT ATTORNEY STATE | |
| AGENT ATTORNEY POSTAL CODE | M5H0B3 |
| AGENT ATTORNEY COUNTRY | CANADA |
| AGENT ATTORNEY PROVINCE | Ontario |
| AGENT ATTORNEY PHONE | 14169412959 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | certified.lca@ca.ey.com |
| LAWFIRM NAME BUSINESS NAME | EY Law LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 703 Franklin Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Keosauqua |
| WORKSITE COUNTY | VAN BUREN |
| WORKSITE STATE | IA |
| WORKSITE POSTAL CODE | 52565 |
| WAGE RATE OF PAY FROM | $104,897.52 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $73,632.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | Jafri |
| PREPARER FIRST NAME | Rameen |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | EY Law LLP |
| PREPARER EMAIL | Rameen.Jafri@ca.ey.com |
| BEGIN DATE CONVERTED | 2025-09-04 |
