| CASE NUMBER | I-200-24313-463406 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/8/2024 |
| DECISION DATE | 11/18/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Social Worker |
| SOC CODE | 21-1022.00 |
| SOC TITLE | Healthcare Social Workers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 5/5/2025 |
| END DATE | 2/9/2026 |
| 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 | State University of New York, Upstate Medical University |
| TRADE NAME DBA | SUNY Upstate Medical University |
| EMPLOYER ADDRESS1 | 750 East Adams St. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Syracuse |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13210 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13154645136 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Brecht |
| EMPLOYER POC FIRST NAME | Patricia |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Assistant Vice President for Human Resources |
| EMPLOYER POC ADDRESS1 | 6333 State Route 298 |
| EMPLOYER POC ADDRESS2 | One Telergy Parkway |
| 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 | 13154645239 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | brechtp@upstate.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Venter |
| AGENT ATTORNEY FIRST NAME | Brendan |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 677 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 1101 |
| AGENT ATTORNEY CITY | Albany |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 12207 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15187012773 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | immigrationhb@harrisbeach.com |
| LAWFIRM NAME BUSINESS NAME | Harris Beach PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 750 E. Adams St. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Syracuse |
| WORKSITE COUNTY | ONONDAGA |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 13210 |
| WAGE RATE OF PAY FROM | $76,837.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $62,596.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2022 |
| 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 | White |
| PREPARER FIRST NAME | Natalie |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Harris Beach PLLC |
| PREPARER EMAIL | nwhite@harrisbeach.com |
| BEGIN DATE CONVERTED | 2025-05-05 |
