| CASE NUMBER | I-200-24206-220099 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/24/2024 |
| DECISION DATE | 7/31/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/1/2024 |
| END DATE | 7/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | RAYNOR DENTAL PETERBOROUGH PLLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 650 Court Street |
| EMPLOYER ADDRESS2 | Suite 5 |
| EMPLOYER CITY | Keene |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 03431 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +16038033795 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Bradley-Walsh |
| EMPLOYER POC FIRST NAME | Valarie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | HR & Finance Manager |
| EMPLOYER POC ADDRESS1 | 650 Court Street |
| EMPLOYER POC ADDRESS2 | Suite 5 |
| EMPLOYER POC CITY | Keene |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 03431 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +16038033795 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | vwalsh@spoonwoodpartners.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Zeng |
| AGENT ATTORNEY FIRST NAME | Hui |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 100 Church Street |
| AGENT ATTORNEY ADDRESS2 | Suite 800 |
| 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 | +19178105388 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | hui@zenglawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Zeng Law Group, PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 60 Hancock Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Peterborough |
| WORKSITE COUNTY | PETERBOROUGH |
| WORKSITE STATE | NH |
| WORKSITE POSTAL CODE | 03458 |
| WAGE RATE OF PAY FROM | 142,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $141,627.00 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-08 |
