| CASE NUMBER | I-200-24340-520181 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/5/2024 |
| DECISION DATE | 12/12/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Functional Analyst, Principal |
| SOC CODE | 15-2031.00 |
| SOC TITLE | Operations Research Analysts |
| FULL TIME POSITION | Y |
| BEGIN DATE | 5/20/2025 |
| END DATE | 5/19/2028 |
| 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 | New Jersey Manufacturers Insurance Company |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 301 Sullivan Way |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | West Trenton |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 8628 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16098831300 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524126 |
| EMPLOYER POC LAST NAME | Hilke |
| EMPLOYER POC FIRST NAME | Theodore |
| EMPLOYER POC MIDDLE NAME | H |
| EMPLOYER POC JOB TITLE | Corporate Secretary & Attorney |
| EMPLOYER POC ADDRESS1 | 301 Sullivan Way |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | West Trenton |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 8628 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16098831300 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | thilke@NJM.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Germak |
| AGENT ATTORNEY FIRST NAME | Chelsea |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 90 Matawan Road |
| AGENT ATTORNEY ADDRESS2 | 4th Floor |
| AGENT ATTORNEY CITY | Matawan |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7747 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17328625194 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | kkotala@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Third Circuit Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 301 Sullivan Way |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | West Trenton |
| WORKSITE COUNTY | MERCER |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 8628 |
| WAGE RATE OF PAY FROM | $135,967.39 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $115,523.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-05-20 |
