| CASE NUMBER | I-200-24283-395287 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/9/2024 |
| DECISION DATE | 10/17/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Software Engineer, Industrial |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/23/2025 |
| END DATE | 2/22/2028 |
| 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 | NATIONAL RUBBER CORPORATION |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 367 MORGANZA ROAD |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | CANONSBURG |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15317 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14128316100 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 325212 |
| EMPLOYER POC LAST NAME | MONPARA |
| EMPLOYER POC FIRST NAME | PERRY |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 367 MORGANZA ROAD |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | CANONSBURG |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15317 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14128316100 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | PERRY@NATIONALRUBBER.COM |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | PELTZ |
| AGENT ATTORNEY FIRST NAME | JASON |
| AGENT ATTORNEY MIDDLE NAME | ERIC |
| AGENT ATTORNEY ADDRESS1 | 30300 NORTHWESTERN HWY. |
| AGENT ATTORNEY ADDRESS2 | SUITE 306 |
| AGENT ATTORNEY CITY | FARMINGTON HILLS |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48334 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12483577833 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | PELTZLAW@GMAIL.COM |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF JASON E. PELTZ |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF MICHIGAN |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 367 MORGANZA ROAD |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | CANONSBURG |
| WORKSITE COUNTY | WASHINGTON |
| WORKSITE STATE | PA |
| WORKSITE POSTAL CODE | 15317 |
| WAGE RATE OF PAY FROM | $93,038.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $93,038.00 |
| 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 Business |
| PREPARER LAST NAME | PELTZ |
| PREPARER FIRST NAME | JASON |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | LAW OFFICES OF JASON E PELTZ |
| PREPARER EMAIL | PELTZLAW@GMAIL.COM |
| BEGIN DATE CONVERTED | 2025-02-23 |
