| CASE NUMBER | I-200-25051-710989 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/20/2025 |
| DECISION DATE | 2/27/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Assistant Professor of Gerontology |
| SOC CODE | 25-1067.00 |
| SOC TITLE | Sociology Teachers, Postsecondary |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/1/2025 |
| END DATE | 7/31/2028 |
| 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 | Winston-Salem State University |
| TRADE NAME DBA | Winston-Salem State University |
| EMPLOYER ADDRESS1 | 601 S. Martin Luther King Jr Drive |
| EMPLOYER ADDRESS2 | Office of the Provost WSSU |
| EMPLOYER CITY | Winston-Salem |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27110 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13367502200 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 61131 |
| EMPLOYER POC LAST NAME | Ingram |
| EMPLOYER POC FIRST NAME | Frank |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Associate Provost |
| EMPLOYER POC ADDRESS1 | 601 S. Martin Luther King Dr. Ofc of the Provost |
| EMPLOYER POC ADDRESS2 | Winston-Salem State University |
| EMPLOYER POC CITY | Winston-Salem |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 27110 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13367502200 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | ingramfr@wssu.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Bishop |
| AGENT ATTORNEY FIRST NAME | Bridget |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 223 S West Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1800 |
| AGENT ATTORNEY CITY | Raleigh |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27603 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19199620444 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | bsbishop@northcarolina.edu |
| LAWFIRM NAME BUSINESS NAME | UNC System Office |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court of North Carolina |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 841 Welcome Lane, Coltrane Hall |
| WORKSITE ADDRESS2 | WSSU |
| WORKSITE CITY | Winston-Salem |
| WORKSITE COUNTY | FORSYTH |
| WORKSITE STATE | NC |
| WORKSITE POSTAL CODE | 27110 |
| WAGE RATE OF PAY FROM | $68,557.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $58,597.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | 2025-08-01 |
