| CASE NUMBER | I-200-24326-492425 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/21/2024 |
| DECISION DATE | 11/29/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Assistant Financial/Accounts Controller |
| SOC CODE | 13-2011.00 |
| SOC TITLE | Accountants and Auditors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 12/2/2024 |
| END DATE | 12/1/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | KTC, Inc. |
| TRADE NAME DBA | Kingsbury Club & Spa |
| EMPLOYER ADDRESS1 | 186 Summer St. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Kingston |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2364 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17815853883 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 713940 |
| EMPLOYER POC LAST NAME | Janjigian |
| EMPLOYER POC FIRST NAME | Robert |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 186 Summer St. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Kingston |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2364 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17815853883 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | kingsburyclub@gmail.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Wilson |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Robert |
| AGENT ATTORNEY ADDRESS1 | PO Box 1000 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Manchester |
| AGENT ATTORNEY STATE | NH |
| AGENT ATTORNEY POSTAL CODE | 03105-1000 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16032281277 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jwilson@goffwilson.com |
| LAWFIRM NAME BUSINESS NAME | GoffWilson, P.A. |
| STATE OF HIGHEST COURT | NH |
| NAME OF HIGHEST STATE COURT | NH Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 186 Summer St. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Kingston |
| WORKSITE COUNTY | KINGSTON |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 2364 |
| WAGE RATE OF PAY FROM | $68,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $67,538.00 |
| 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 | 2024-12-02 |
