| CASE NUMBER | I-200-24355-563759 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/20/2024 |
| DECISION DATE | 12/31/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Advanced Clinician - CBHC |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/5/2025 |
| END DATE | 1/4/2028 |
| 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 | Eliot Community Human Services, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 125 Hartwell Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Lexington |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2421 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17818610890 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621420 |
| EMPLOYER POC LAST NAME | Dodd |
| EMPLOYER POC FIRST NAME | Joseph |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP Human Resources |
| EMPLOYER POC ADDRESS1 | 125 Hartwell Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Lexington |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2421 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17818610890 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jdodd@eliotchs.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Araujo |
| AGENT ATTORNEY FIRST NAME | Annelise |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 75 Federal Street |
| AGENT ATTORNEY ADDRESS2 | Suite 910 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2110 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16177166400 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | annelise@araujofisher.com |
| LAWFIRM NAME BUSINESS NAME | Araujo & Fisher LLC |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 75 Sylvan Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Danvers |
| WORKSITE COUNTY | ESSEX |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 1923 |
| WAGE RATE OF PAY FROM | $85,154.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $75,000.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2023 |
| 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 | 2025-01-05 |
