| CASE NUMBER | I-200-25016-623993 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/16/2025 |
| DECISION DATE | 1/24/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Operations Associate |
| SOC CODE | 13-2099.00 |
| SOC TITLE | Financial Specialists, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/17/2025 |
| END DATE | 9/30/2026 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Xenon Health of New Jersey LLC |
| TRADE NAME DBA | Administrative services |
| EMPLOYER ADDRESS1 | 111 Town Square Place, Suite 420 |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Jersey City |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7310 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12018082229 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 561110 |
| EMPLOYER POC LAST NAME | Chaudhry |
| EMPLOYER POC FIRST NAME | Haroon |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 111 Town Square Place, Suite 420 |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Jersey City |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7310 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12018082229 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | haroon.chaudhry@xenonhealth.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Chea |
| AGENT ATTORNEY FIRST NAME | Socheat |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 3500 Duluth Park Lane, Suite 300 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Duluth |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30096 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17706238880 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | socheat@socheatchea.com |
| LAWFIRM NAME BUSINESS NAME | Socheat Chea, PC |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | GA Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 111 Town Square Place, Suite 420 |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Jersey City |
| WORKSITE COUNTY | HUDSON |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 7310 |
| WAGE RATE OF PAY FROM | $68,744.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $68,744.01 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $68,744.00 |
| 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 | Chea |
| PREPARER FIRST NAME | Socheat |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Socheat Chea, PC |
| PREPARER EMAIL | socheat@socheatchea.com |
| BEGIN DATE CONVERTED | 2025-02-17 |
