| CASE NUMBER | I-200-24338-515178 |
| CASE STATUS | Withdrawn |
| RECEIVED DATE | 12/3/2024 |
| DECISION DATE | 12/4/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Safety Officer |
| SOC CODE | 19-5012.00 |
| SOC TITLE | Occupational Health and Safety Technicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/15/2025 |
| END DATE | 1/14/2028 |
| 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 | AIC INTERNATIONAL, INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | POST OFFICE BOX DR |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | HAGATNA |
| EMPLOYER STATE | GU |
| EMPLOYER POSTAL CODE | 96932 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16715659142 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 236220 |
| EMPLOYER POC LAST NAME | STEWART |
| EMPLOYER POC FIRST NAME | ANTHONY |
| EMPLOYER POC MIDDLE NAME | JAMES |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | POST OFFICE BOX DR |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | HAGATNA |
| EMPLOYER POC STATE | GU |
| EMPLOYER POC POSTAL CODE | 96932 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16715659142 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | anthony@aicconstruction.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | SWAVELY |
| AGENT ATTORNEY FIRST NAME | MELINDA |
| AGENT ATTORNEY MIDDLE NAME | SUE |
| AGENT ATTORNEY ADDRESS1 | 865 SOUTH MARINE CORPS DRIVE |
| AGENT ATTORNEY ADDRESS2 | SUITE 201 |
| AGENT ATTORNEY CITY | TAMUNING |
| AGENT ATTORNEY STATE | GU |
| AGENT ATTORNEY POSTAL CODE | 96913 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16716461222 |
| AGENT ATTORNEY PHONE EXT | 111 |
| AGENT ATTORNEY EMAIL ADDRESS | swavely@guamlawoffice.com |
| LAWFIRM NAME BUSINESS NAME | ROBERTS FOWLER & VISOSKY LLP |
| STATE OF HIGHEST COURT | GU |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | LOT 439-1-2, Route 2A |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | AGAT |
| WORKSITE COUNTY | UNKOWN NAME |
| WORKSITE STATE | GU |
| WORKSITE POSTAL CODE | 96928 |
| WAGE RATE OF PAY FROM | $60,278.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $60,278.01 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $53,622.00 |
| 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 Employment |
| PREPARER LAST NAME | SWAVELY |
| PREPARER FIRST NAME | MELINDA |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | ROBERTS FOWLER & VISOSKY LLP |
| PREPARER EMAIL | swavely@guamlawoffice.com |
| BEGIN DATE CONVERTED | 2025-01-15 |
