| CASE NUMBER | I-200-25029-651590 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/29/2025 |
| DECISION DATE | 2/5/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | School Social Worker |
| SOC CODE | 21-1021.00 |
| SOC TITLE | Child, Family, and School Social Workers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/1/2025 |
| END DATE | 1/31/2028 |
| 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 | Julia Dyckman Andrus Memorial, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1156 North Broadway |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Yonkers |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19149653700 |
| EMPLOYER PHONE EXT | 1246 |
| NAICS CODE | 624110 |
| EMPLOYER POC LAST NAME | Garcia |
| EMPLOYER POC FIRST NAME | Lynette |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP & Chief Administrative Officer |
| EMPLOYER POC ADDRESS1 | 1156 North Broadway |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Yonkers |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19149653700 |
| EMPLOYER POC PHONE EXT | 1246 |
| EMPLOYER POC EMAIL | lgarcia@jdam.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Brown |
| AGENT ATTORNEY FIRST NAME | Valentine |
| AGENT ATTORNEY MIDDLE NAME | Anastasia |
| AGENT ATTORNEY ADDRESS1 | 30 South 17th Street |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12159791840 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | vbrown@duanemorris.com |
| LAWFIRM NAME BUSINESS NAME | Duane Morris LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1156 North Broadway |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | New York |
| WORKSITE COUNTY | WESTCHESTER |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 10701 |
| WAGE RATE OF PAY FROM | $56,161.44 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $51,626.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | 2025-02-01 |
