| CASE NUMBER | I-200-24340-519204 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/4/2024 |
| DECISION DATE | 12/11/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | ASP.NET Web Develope |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/18/2025 |
| END DATE | 1/17/2028 |
| 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 | Premier Business Solutions, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3202 N Kenmore St |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | South Bend |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46628 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15742328840 |
| EMPLOYER PHONE EXT | 103 |
| NAICS CODE | 541613 |
| EMPLOYER POC LAST NAME | Manthay |
| EMPLOYER POC FIRST NAME | Joyce |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 3202 N Kenmore St |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | South Bend |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46628 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15742328840 |
| EMPLOYER POC PHONE EXT | 103 |
| EMPLOYER POC EMAIL | joyce@premierbus.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Senanayake |
| AGENT ATTORNEY FIRST NAME | Dakshini |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | P.O.Box 770278 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17132781677 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | dakshini@dakshinisen.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Dakshini R Sen P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | The Supreme Court of New York |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 9411 Lost Pond Dr |
| WORKSITE ADDRESS2 | Apt #B |
| WORKSITE CITY | Twinsburg |
| WORKSITE COUNTY | SUMMIT |
| WORKSITE STATE | OH |
| WORKSITE POSTAL CODE | 44087 |
| WAGE RATE OF PAY FROM | $135,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $125,819.00 |
| 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 Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-18 |
