| CASE NUMBER | I-200-24310-453922 |
| CASE STATUS | Withdrawn |
| RECEIVED DATE | 11/5/2024 |
| DECISION DATE | 11/7/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Head of Programs |
| SOC CODE | 13-2051.00 |
| SOC TITLE | Financial and Investment Analysts |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/7/2025 |
| END DATE | 1/6/2028 |
| 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 | Orchid Underwriters Agency LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1201 19th Place |
| EMPLOYER ADDRESS2 | Suite A110 |
| EMPLOYER CITY | Vero Beach |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32960 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17722265546 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524210 |
| EMPLOYER POC LAST NAME | HAIRELSON |
| EMPLOYER POC FIRST NAME | CHRISTINE |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | HEAD OF TEAM RESOURCES |
| EMPLOYER POC ADDRESS1 | 4030 W Boy Scout Blvd |
| EMPLOYER POC ADDRESS2 | Ste. 200 |
| EMPLOYER POC CITY | Tampa |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33607 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17722265546 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | chairelson@orchidinsurance.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | WILKOWSKI |
| AGENT ATTORNEY FIRST NAME | MARY |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 500 W Cypress Creek Rd |
| AGENT ATTORNEY ADDRESS2 | STE 650 |
| AGENT ATTORNEY CITY | FT. LAUDERDALE |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19545660377 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mwilkowski@polatsek.law |
| LAWFIRM NAME BUSINESS NAME | HARRY D. POLATSEK PA |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Florida Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4030 W Boy Scout Blvd |
| WORKSITE ADDRESS2 | Ste. 200 |
| WORKSITE CITY | Tampa |
| WORKSITE COUNTY | HILLSBOROUGH |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 33607 |
| WAGE RATE OF PAY FROM | $205,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $107,120.00 |
| 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 | 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 Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-07 |
