| CASE NUMBER | I-200-24124-953849 |
| CASE STATUS | Certified |
| RECEIVED DATE | 5/3/2024 |
| DECISION DATE | 5/10/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Assistant Director / Tennis Development Program |
| SOC CODE | 27-2022.00 |
| SOC TITLE | Coaches and Scouts |
| 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 | New Canaan Field Club, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 164 Smith Ridge Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | New Canaan |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6840 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12039457613 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 713910 |
| EMPLOYER POC LAST NAME | Heron |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC MIDDLE NAME | Edward |
| EMPLOYER POC JOB TITLE | Club President |
| EMPLOYER POC ADDRESS1 | 164 Smith Ridge Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | New Canaan |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6840 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12039457613 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | johneheron1@gmail.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Muszynski |
| AGENT ATTORNEY FIRST NAME | Marcin |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 112B Nassau Avenue |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Brooklyn |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17183897580 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | muszynski.esq@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Marcin Muszynski Esquire |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 164 Smith Ridge Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | New Canaan |
| WORKSITE COUNTY | NEW CANAAN |
| WORKSITE STATE | CT |
| WORKSITE POSTAL CODE | 6840 |
| WAGE RATE OF PAY FROM | 33 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $29.64 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-10 |
