| CASE NUMBER | I-200-25002-588470 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/2/2025 |
| DECISION DATE | 1/10/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | School-Based Therapist - Integrated Healthcare |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/6/2025 |
| END DATE | 1/5/2028 |
| 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 | Liberty Resources, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 6723 Towpath Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | East Syracuse |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13057 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13154251004 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62142 |
| EMPLOYER POC LAST NAME | Towsley |
| EMPLOYER POC FIRST NAME | Sarah |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 6723 Towpath Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | East Syracuse |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13057 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13154251004 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | stowsley@liberty-resources.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Putintseva |
| AGENT ATTORNEY FIRST NAME | Anna |
| AGENT ATTORNEY MIDDLE NAME | N/A |
| AGENT ATTORNEY ADDRESS1 | 110 W Fayette Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1000 |
| AGENT ATTORNEY CITY | Syracuse |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 13202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13157016372 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | aputintseva@bhlawpllc.com |
| LAWFIRM NAME BUSINESS NAME | Bousquet Holstein PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Edward Smith School |
| WORKSITE ADDRESS1 | 1106 Lancaster Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Syracuse |
| WORKSITE COUNTY | ONONDAGA |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 13210 |
| WAGE RATE OF PAY FROM | $63,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $49,691.00 |
| 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 | 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 | 2025-01-06 |
