| CASE NUMBER | I-200-23300-461326 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/27/2023 |
| DECISION DATE | 11/3/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Resident Assistant & Instructor |
| SOC CODE | 21-2021.00 |
| SOC TITLE | Directors, Religious Activities and Education |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2024 |
| END DATE | 12/31/2026 |
| 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 | The Holy Trinity Monastery Incorporated |
| TRADE NAME DBA | Holy Trinity Monastery |
| EMPLOYER ADDRESS1 | 1407 Robinson Rd |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Jordanville |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13361 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13158580940 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Murianka |
| EMPLOYER POC FIRST NAME | Bishop Luke |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Vicar Bishop of the Eastern American Diocese, ROCOR |
| EMPLOYER POC ADDRESS1 | 1407 Robinson Rd |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Jordanville |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13361 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13158580940 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | nunbarbara@gmail.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Hemrick |
| AGENT ATTORNEY FIRST NAME | Nicole |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 100 Church Street |
| AGENT ATTORNEY ADDRESS2 | 8th Floor, Room 865 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10007 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18338487838 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | nhemrick@hemrick.law |
| LAWFIRM NAME BUSINESS NAME | Hemrick O'Malley PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY 2ND APP. DIV |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1407 Robinson Rd |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Jordanville |
| WORKSITE COUNTY | HERKIMER |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 13361 |
| WAGE RATE OF PAY FROM | 26.4 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $27.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $26.40 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 and Employment |
| PREPARER LAST NAME | Hemrick |
| PREPARER FIRST NAME | Nicole |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Hemrick O'Malley PLLC |
| PREPARER EMAIL | nhemrick@hemrick.law |
| BEGIN DATE CONVERTED | 2024-01-01 |
