| CASE NUMBER | I-200-24162-093265 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/10/2024 |
| DECISION DATE | 6/17/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Taekwondo Teacher (Physical Education) |
| SOC CODE | 25-2021.00 |
| SOC TITLE | Elementary School Teachers, Except Special Education |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/22/2024 |
| END DATE | 7/21/2027 |
| 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 | Zeta Charter Schools - New York City |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 401 West 218th Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | New York |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10034 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16468830430 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 61111 |
| EMPLOYER POC LAST NAME | Ferguson |
| EMPLOYER POC FIRST NAME | Jessie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Legal Officer |
| EMPLOYER POC ADDRESS1 | 401 West 218th Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | New York |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10034 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16468830430 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jessie.ferguson@zetaschools.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | GORSKI |
| AGENT ATTORNEY FIRST NAME | SCOTT |
| AGENT ATTORNEY MIDDLE NAME | ALEXANDER |
| AGENT ATTORNEY ADDRESS1 | 1177 AVENUE OF THE AMERICAS |
| AGENT ATTORNEY ADDRESS2 | 23RD FLOOR |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | NY |
| AGENT ATTORNEY PHONE | 12127159535 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | SGORSKI@KRAMERLEVIN.COM |
| LAWFIRM NAME BUSINESS NAME | Kramer Levin Naftalis & Frankel LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 401 West 218th Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 10034 |
| WAGE RATE OF PAY FROM | 62000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $82,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $56,890.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 |
| PREPARER LAST NAME | GORSKI |
| PREPARER FIRST NAME | SCOTT |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | Kramer Levin Naftalis & Frankel LLP |
| PREPARER EMAIL | SGORSKI@KRAMERLEVIN.COM |
| BEGIN DATE CONVERTED | 2025-10-07 |
