| CASE NUMBER | I-200-25006-598323 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/6/2025 |
| DECISION DATE | 1/14/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | IT Project Manager |
| SOC CODE | 15-1299.09 |
| SOC TITLE | Information Technology Project Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/13/2025 |
| END DATE | 1/12/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | C&S Wholesale Grocers LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 7 Corporate Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Keene |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 3431 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16033547000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 424410 |
| EMPLOYER POC LAST NAME | Comstock |
| EMPLOYER POC FIRST NAME | Elana |
| EMPLOYER POC MIDDLE NAME | C. |
| EMPLOYER POC JOB TITLE | Program Manager, HR Operations |
| EMPLOYER POC ADDRESS1 | 7 Corporate Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Keene |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 3431 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16033547418 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ecomstoc@cswg.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Wilson |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Robert |
| AGENT ATTORNEY ADDRESS1 | PO Box 326 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Manchester |
| AGENT ATTORNEY STATE | NH |
| AGENT ATTORNEY POSTAL CODE | 03105-0326 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16036256464 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | john.wilson@mclane.com |
| LAWFIRM NAME BUSINESS NAME | McLane Middleton, PA |
| STATE OF HIGHEST COURT | NH |
| NAME OF HIGHEST STATE COURT | NH Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1834 Mahala Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Hermitage |
| WORKSITE COUNTY | DAVIDSON |
| WORKSITE STATE | TN |
| WORKSITE POSTAL CODE | 37076 |
| WAGE RATE OF PAY FROM | $121,645.31 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $90,168.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| 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 | 2025-01-13 |
