| CASE NUMBER | I-200-24117-932176 |
| CASE STATUS | Certified |
| RECEIVED DATE | 4/26/2024 |
| DECISION DATE | 5/3/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Product Designer |
| SOC CODE | 15-1255.00 |
| SOC TITLE | Web and Digital Interface Designers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| 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 | Jetlenses Inc. |
| TRADE NAME DBA | Verse Medical |
| EMPLOYER ADDRESS1 | 37 West 20th Street |
| EMPLOYER ADDRESS2 | STE 801 |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10011 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19203780583 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Gregg |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | Strategy and Operations Associate |
| EMPLOYER POC ADDRESS1 | 37 West 20th Street |
| EMPLOYER POC ADDRESS2 | STE 801 |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10011 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19203780583 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | davidgregg@versemedical.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Smith |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | Harris |
| AGENT ATTORNEY ADDRESS1 | 548 Market Street |
| AGENT ATTORNEY ADDRESS2 | Suite 36741 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94104-5401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14152360586 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | gov@boundless.com |
| LAWFIRM NAME BUSINESS NAME | Boundless Immigration Inc. |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 37 West 20th Street |
| WORKSITE ADDRESS2 | STE 801 |
| WORKSITE CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 10011 |
| WAGE RATE OF PAY FROM | 80000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $200,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $63,606.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| 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 | Beronio |
| PREPARER FIRST NAME | Vince |
| PREPARER MIDDLE INITIAL | N/A |
| PREPARER BUSINESS NAME | Boundless Immigration Inc. |
| PREPARER EMAIL | vince.beronio@boundless.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
