| CASE NUMBER | I-200-24064-768239 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/4/2024 |
| DECISION DATE | 3/11/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Youth Rehabilitation Coordinator II |
| SOC CODE | 21-1015.00 |
| SOC TITLE | Rehabilitation Counselors |
| FULL TIME POSITION | N |
| BEGIN DATE | 3/11/2024 |
| END DATE | 3/10/2027 |
| TOTAL WORKER POSITIONS | 4 |
| NEW EMPLOYMENT | 4 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Stetson School, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 81 Hope Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Worcester |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1603 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15088931326 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 623220 |
| EMPLOYER POC LAST NAME | Lopez- Haddad |
| EMPLOYER POC FIRST NAME | Marilyn |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources |
| EMPLOYER POC ADDRESS1 | 81 Hope Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Worcester |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1603 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15089831326 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | mlopezhaddad@sevenhills.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Carter |
| AGENT ATTORNEY FIRST NAME | Kirk |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 30 TURNPIKE RD |
| AGENT ATTORNEY ADDRESS2 | Suite 10 |
| AGENT ATTORNEY CITY | SOUTHBOROUGH |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 1772 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15085320795 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | kate@cartervisalaw.com |
| LAWFIRM NAME BUSINESS NAME | Carter Law Group, LLC |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 4 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 455 South Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Barre |
| WORKSITE COUNTY | WORCESTER CITY |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 1005 |
| WAGE RATE OF PAY FROM | 20.48 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $21.92 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $20.11 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-11-03 |
