| CASE NUMBER | I-200-24197-196218 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/15/2024 |
| DECISION DATE | 7/22/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Prevention Study Coordinator |
| SOC CODE | 19-4021.00 |
| SOC TITLE | Biological Technicians |
| 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 | Fenway Community Health Center, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1340 Boylston Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Boston |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02215 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +16172670900 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Godek |
| EMPLOYER POC FIRST NAME | Tony |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 1340 Boylston Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Boston |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02215 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +16179276296 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | tgodek@fenwayhealth.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Desai |
| AGENT ATTORNEY FIRST NAME | Prasant |
| AGENT ATTORNEY MIDDLE NAME | Dhirajlal |
| AGENT ATTORNEY ADDRESS1 | 38 Third Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02129 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +16174821010 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | desai@iandoli.com |
| LAWFIRM NAME BUSINESS NAME | Iandoli Desai & Cronin P.C. |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1340 Boylston Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 02215 |
| WAGE RATE OF PAY FROM | 27.31 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $26.83 |
| PW UNIT OF PAY | Hour |
| 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 | 2024-01-09 |
