| CASE NUMBER | I-200-24294-419071 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/20/2024 |
| DECISION DATE | 10/25/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | INDEPENDENT CONTRACTOR |
| SOC CODE | 11-9179.00 |
| SOC TITLE | Personal Service Managers, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2025 |
| END DATE | 12/31/2027 |
| TOTAL WORKER POSITIONS | 30 |
| NEW EMPLOYMENT | 20 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 5 |
| CHANGE EMPLOYER | 5 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | ERNA LDP |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3901 W BROWARD BLVD |
| EMPLOYER ADDRESS2 | 120504 |
| EMPLOYER CITY | fort lauderdale |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33312 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17548026837 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541613 |
| EMPLOYER POC LAST NAME | JULIEN |
| EMPLOYER POC FIRST NAME | ERNA |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | DIRECTOR |
| EMPLOYER POC ADDRESS1 | 4848 NW 24TH COURT |
| EMPLOYER POC ADDRESS2 | 428 |
| EMPLOYER POC CITY | LAUDERDALE LAKES |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33313 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15615710989 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | SUPPORT@NCGOD1.ORG |
| AGENT REPRESENTING EMPLOYER | No |
| AGENT ATTORNEY LAST NAME | |
| AGENT ATTORNEY FIRST NAME | |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | |
| AGENT ATTORNEY STATE | |
| AGENT ATTORNEY POSTAL CODE | |
| AGENT ATTORNEY COUNTRY | |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | |
| LAWFIRM NAME BUSINESS NAME | |
| STATE OF HIGHEST COURT | |
| NAME OF HIGHEST STATE COURT | |
| WORKSITE WORKERS | 30 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3901 W BROWARD BLVD |
| WORKSITE ADDRESS2 | 120504 |
| WORKSITE CITY | FORT LAUDERDALE |
| WORKSITE COUNTY | BROWARD |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 33313 |
| WAGE RATE OF PAY FROM | $13.60 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $14.50 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $13.57 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | No |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | JULIEN |
| PREPARER FIRST NAME | ERNA |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | ERNA LDP |
| PREPARER EMAIL | SUPPORT@ncgod1.org |
| BEGIN DATE CONVERTED | 2025-01-01 |
