| CASE NUMBER | I-200-24282-391825 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/8/2024 |
| DECISION DATE | 10/16/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Instructor |
| SOC CODE | 19-1029.00 |
| SOC TITLE | Biological Scientists, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/16/2025 |
| END DATE | 1/15/2028 |
| 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 | Beth Israel Deaconess Medical Center |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 330 Brookline Avenue |
| EMPLOYER ADDRESS2 | BR-208 |
| EMPLOYER CITY | Boston |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2215 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16179758535 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Lugay |
| EMPLOYER POC FIRST NAME | Alison |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Research Immigration Specialist |
| EMPLOYER POC ADDRESS1 | 330 Brookline Avenue |
| EMPLOYER POC ADDRESS2 | OV-540 |
| EMPLOYER POC CITY | Boston |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2215 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16179758535 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | alugay@bidmc.harvard.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Chen |
| AGENT ATTORNEY FIRST NAME | Joseph |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1350 Massachusetts Avenue |
| AGENT ATTORNEY ADDRESS2 | Smith Campus Center, Suite 864 |
| AGENT ATTORNEY CITY | Cambridge |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2138 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16174952789 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | internationaloffice@harvard.edu |
| LAWFIRM NAME BUSINESS NAME | Harvard University |
| STATE OF HIGHEST COURT | |
| NAME OF HIGHEST STATE COURT | |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 330 Brookline Avenue |
| WORKSITE ADDRESS2 | CLS11090 |
| WORKSITE CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 2215 |
| WAGE RATE OF PAY FROM | $90,101.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $62,650.00 |
| 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 | Freed |
| PREPARER FIRST NAME | Michael |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Harvard University |
| PREPARER EMAIL | internationaloffice@harvard.edu |
| BEGIN DATE CONVERTED | 2025-01-16 |
