| CASE NUMBER | I-200-24346-535644 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/11/2024 |
| DECISION DATE | 12/18/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/10/2025 |
| END DATE | 1/9/2028 |
| 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 | The Chautauqua Center |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 75 East 3rd Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Dunkirk |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14048 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17163636050 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Pease |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | C.E.O. |
| EMPLOYER POC ADDRESS1 | 75 East 3rd Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Dunkirk |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14048 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17163636050 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | mpease@thechautauquacenter.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Sobieski |
| AGENT ATTORNEY FIRST NAME | Lee |
| AGENT ATTORNEY MIDDLE NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 5530 Sheridan drive |
| AGENT ATTORNEY ADDRESS2 | suite 1 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | New York |
| AGENT ATTORNEY PHONE | 17166346500 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | lsobieski@usavisa.net |
| LAWFIRM NAME BUSINESS NAME | Berger Berger & Sobieski |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division, Fourth Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 75 East Third Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Dunkirk |
| WORKSITE COUNTY | CHAUTAUQUA |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 14048 |
| WAGE RATE OF PAY FROM | $150,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $102,586.00 |
| 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 | 4 |
| 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 | Sobieski |
| PREPARER FIRST NAME | Lee |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Berger Berger and Sobieski |
| PREPARER EMAIL | lsobieski@usavisa.net |
| BEGIN DATE CONVERTED | 2025-01-10 |
