| CASE NUMBER | I-200-24228-269029 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/15/2024 |
| DECISION DATE | 8/22/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Orthopedic Medical Director |
| SOC CODE | 29-1242.00 |
| SOC TITLE | Orthopedic Surgeons, Except Pediatric |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/1/2024 |
| END DATE | 8/31/2027 |
| 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 | Northern Maine Medical Center |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 194 E Main St |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Fort Kent |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 04743 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | MAINE |
| EMPLOYER PHONE | +12078341643 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Bois |
| EMPLOYER POC FIRST NAME | Alain |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 194 E Main St |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Fort Kent |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 04743 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12078341643 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | alain.bois@nmmc.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Jaynes |
| AGENT ATTORNEY FIRST NAME | Marcus |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 90 Bridge Street |
| AGENT ATTORNEY ADDRESS2 | Ste 104 |
| AGENT ATTORNEY CITY | Westbrook |
| AGENT ATTORNEY STATE | ME |
| AGENT ATTORNEY POSTAL CODE | 04092 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MAINE |
| AGENT ATTORNEY PHONE | +12077756371 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mbj@landisarn.com |
| LAWFIRM NAME BUSINESS NAME | Landis Arn & Jaynes, P.A. |
| STATE OF HIGHEST COURT | ME |
| NAME OF HIGHEST STATE COURT | Maine Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 194 E Main St |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Fort Kent |
| WORKSITE COUNTY | FORT KENT TOWN |
| WORKSITE STATE | ME |
| WORKSITE POSTAL CODE | 04743 |
| WAGE RATE OF PAY FROM | 550,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $66,893.00 |
| PW UNIT OF PAY | Year |
| 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 | 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 | 2024-01-09 |
