| CASE NUMBER | I-201-24103-882988 |
| CASE STATUS | Certified |
| RECEIVED DATE | 4/12/2024 |
| DECISION DATE | 4/19/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B1 Chil |
| JOB TITLE | Instructor |
| SOC CODE | 25-3099.00 |
| SOC TITLE | Teachers and Instructors, All Other |
| FULL TIME POSITION | N |
| BEGIN DATE | 4/24/2024 |
| END DATE | 6/17/2024 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | NYC Outward Bound Center, Inc. |
| TRADE NAME DBA | New York City Outward Bound Center, Inc. |
| EMPLOYER ADDRESS1 | 2946 Northern BLVD |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Long Island City |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11101 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17187069900 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611710 |
| EMPLOYER POC LAST NAME | Soto |
| EMPLOYER POC FIRST NAME | Aileen |
| EMPLOYER POC MIDDLE NAME | Marie |
| EMPLOYER POC JOB TITLE | Human Resource Staffing Manager |
| EMPLOYER POC ADDRESS1 | 2946 Northern BLVD |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Long Island City |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17187069900 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | asoto@nycoutwardbound.org |
| AGENT REPRESENTING EMPLOYER | No |
| AGENT ATTORNEY LAST NAME | |
| AGENT ATTORNEY FIRST NAME | |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | |
| AGENT ATTORNEY STATE | |
| AGENT ATTORNEY POSTAL CODE | |
| AGENT ATTORNEY COUNTRY | |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | |
| LAWFIRM NAME BUSINESS NAME | |
| STATE OF HIGHEST COURT | |
| NAME OF HIGHEST STATE COURT | |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 29 46 northern boulevard |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Long Island City |
| WORKSITE COUNTY | QUEENS |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 11101 |
| WAGE RATE OF PAY FROM | 25 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $26.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $25.00 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2024 |
| PW SURVEY PUBLISHER | pnp staffing groups |
| PW SURVEY NAME | 2024 NONPROFIT SALARIES and STAFFING TRENDS |
| 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 Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-12-04 |
