| CASE NUMBER | I-200-25045-694454 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/14/2025 |
| DECISION DATE | 2/24/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Back-End Developer |
| SOC CODE | 15-1251.00 |
| SOC TITLE | Computer Programmers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/15/2025 |
| END DATE | 8/14/2028 |
| 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 | Hsu's Ginseng Enterprises, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 237895 County Road W |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Wausau |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54403 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17156752325 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 42499 |
| EMPLOYER POC LAST NAME | Hsu |
| EMPLOYER POC FIRST NAME | Will |
| EMPLOYER POC MIDDLE NAME | P |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 237895 County Road W. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Wausau |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54403 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17156752325 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | will@hsuginseng.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Lin |
| AGENT ATTORNEY FIRST NAME | Shiauh-Wei |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 214-26 41st Ave., Suite 205 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Bayside |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11361 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17183529800 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | help@lawofficelin.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Shiauh Wei Lin |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 237895 County Rd W |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Wausau |
| WORKSITE COUNTY | MARATHON |
| WORKSITE STATE | WI |
| WORKSITE POSTAL CODE | 54403 |
| WAGE RATE OF PAY FROM | $28.03 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $28.03 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-08-15 |
