| CASE NUMBER | I-200-24143-024139 |
| CASE STATUS | Certified |
| RECEIVED DATE | 5/22/2024 |
| DECISION DATE | 5/30/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Youth Trade Supervisor |
| SOC CODE | 11-9151.00 |
| SOC TITLE | Social and Community Service Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| 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 | La Colaborativa, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 63 Sixth Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Chelsea |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2150 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17745516541 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6242 |
| EMPLOYER POC LAST NAME | White |
| EMPLOYER POC FIRST NAME | Philip |
| EMPLOYER POC MIDDLE NAME | Warren |
| EMPLOYER POC JOB TITLE | Director of Impact |
| EMPLOYER POC ADDRESS1 | 63 Sixth Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Chelsea |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2150 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17745516541 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | philipw@la-colaborativa.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Nachman |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Howard |
| AGENT ATTORNEY ADDRESS1 | 487 Goffle Road |
| AGENT ATTORNEY ADDRESS2 | Visaserve Plaza |
| AGENT ATTORNEY CITY | Ridgewood |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7450 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12016700006 |
| AGENT ATTORNEY PHONE EXT | 100 |
| AGENT ATTORNEY EMAIL ADDRESS | david_nachman@visaserve.com |
| LAWFIRM NAME BUSINESS NAME | NPZ Law Group, P.C. |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 63 Sixth Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Chelsea |
| WORKSITE COUNTY | CHELSEA CITY |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 2150 |
| WAGE RATE OF PAY FROM | 65000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $57,533.00 |
| 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 | 3 |
| 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 and Employment |
| PREPARER LAST NAME | Lingenahalli |
| PREPARER FIRST NAME | Rajesh |
| PREPARER MIDDLE INITIAL | N |
| PREPARER BUSINESS NAME | NPZ Law Group, P.C. |
| PREPARER EMAIL | rajesh_lingenahalli@visaserve.com |
| BEGIN DATE CONVERTED | 2024-01-10 |
