| CASE NUMBER | I-200-24178-152030 |
| CASE STATUS | Certified - Withdraw |
| RECEIVED DATE | 6/26/2024 |
| DECISION DATE | 8/2/2024 |
| ORIGINAL CERT DATE | 7/3/2024 |
| VISA CLASS | H-1B |
| JOB TITLE | Executive Director, 21st Century Church |
| SOC CODE | 11-9033.00 |
| SOC TITLE | Education Administrators, Postsecondary |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/8/2024 |
| END DATE | 10/15/2026 |
| 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 | Indiana Wesleyan University |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 4201 S. Washington St |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Marion |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46953 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17656772788 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Cheney |
| EMPLOYER POC FIRST NAME | Kelly |
| EMPLOYER POC MIDDLE NAME | J |
| EMPLOYER POC JOB TITLE | HR Coordinator |
| EMPLOYER POC ADDRESS1 | 4201 S. Washington St |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Marion |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46953 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17656772788 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | kelly.cheney@indwes.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Shircel |
| AGENT ATTORNEY FIRST NAME | Emily |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 411 East Wisconsin Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2400 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +14142775217 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | charlotte.kempster@quarles.com |
| LAWFIRM NAME BUSINESS NAME | Quarles & Brady LLP |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4201 S. Washington Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Marion |
| WORKSITE COUNTY | GRANT |
| WORKSITE STATE | IN |
| WORKSITE POSTAL CODE | 46953 |
| WAGE RATE OF PAY FROM | 80,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $76,856.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| 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 | 2024-08-07 |
