| CASE NUMBER | I-202-24183-165423 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/1/2024 |
| DECISION DATE | 7/9/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B1 Sing |
| JOB TITLE | OCCUPATIONAL THERAPIST |
| SOC CODE | 29-1122.00 |
| SOC TITLE | Occupational Therapists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/1/2024 |
| END DATE | 7/2/2027 |
| 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 | CLAYTON ROAD HEALTHCARE LLC |
| TRADE NAME DBA | Athene Nursing and Rehabilitation |
| EMPLOYER ADDRESS1 | 13995 CLAYTON RD. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | TOWN AND COUNTRY |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 63017 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +16362275050 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 623110 |
| EMPLOYER POC LAST NAME | MITCHELL |
| EMPLOYER POC FIRST NAME | RYAN |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 13995 CLAYTON RD |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | TOWN AND COUNTRY |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 63017 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +16362275050 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | admin@athenenrc.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | LEE |
| AGENT ATTORNEY FIRST NAME | ROBERT |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 8220 KATELLA AVE |
| AGENT ATTORNEY ADDRESS2 | SUITE 214 |
| AGENT ATTORNEY CITY | STANTON |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90680 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +17146577460 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | RLEE@GLOBALLAWCENTERS.COM |
| LAWFIRM NAME BUSINESS NAME | GLOBAL LAW CENTERS |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CALIFORNIA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 13995 CLAYTON RD. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | TOWN AND COUNTRY |
| WORKSITE COUNTY | ST LOUIS |
| WORKSITE STATE | MO |
| WORKSITE POSTAL CODE | 63017 |
| WAGE RATE OF PAY FROM | 45.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $42.30 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | N/A |
| WILLFUL VIOLATOR | N/A |
| 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 | 2024-01-07 |
