| CASE NUMBER | I-200-24310-454047 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/5/2024 |
| DECISION DATE | 11/13/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Director of Residence Life |
| SOC CODE | 39-9041.00 |
| SOC TITLE | Residential Advisors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 11/5/2024 |
| END DATE | 11/4/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Palm Beach Atlantic University |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 901 S. Flagler Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | West Palm Beach |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15618032000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Wald |
| EMPLOYER POC FIRST NAME | Cara |
| EMPLOYER POC MIDDLE NAME | J. |
| EMPLOYER POC JOB TITLE | Vice President, Human Resources |
| EMPLOYER POC ADDRESS1 | 901 S. Flagler Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | West Palm Beach |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15618032177 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | CARA_WALD@PBA.EDU |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Jensen |
| AGENT ATTORNEY FIRST NAME | Thomas |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 1500 K Street NW |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20005 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12023127494 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | thomas.jensen@faegredrinker.com |
| LAWFIRM NAME BUSINESS NAME | Faegre Drinker Biddle & Reath LLP |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | DC Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 901 South Flagler Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | West Palm Beach |
| WORKSITE COUNTY | PALM BEACH |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 33401 |
| WAGE RATE OF PAY FROM | $51,189.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $60,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $51,189.00 |
| 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 Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-11-05 |
