| CASE NUMBER | I-200-24355-565490 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/20/2024 |
| DECISION DATE | 12/31/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Software Engineer I |
| SOC CODE | 15-1253.00 |
| SOC TITLE | Software Quality Assurance Analysts and Testers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2025 |
| END DATE | 12/31/2027 |
| 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 | MEDHOST, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 6550 Carothers Parkway |
| EMPLOYER ADDRESS2 | STE 160 |
| EMPLOYER CITY | Franklin |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37067 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16157611896 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | Puckett |
| EMPLOYER POC FIRST NAME | Kim |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | HR Business Partner |
| EMPLOYER POC ADDRESS1 | 6550 Carothers Parkway |
| EMPLOYER POC ADDRESS2 | STE 160 |
| EMPLOYER POC CITY | Franklin |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37067 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16157611896 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Kim.Puckett@medhost.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Petzold |
| AGENT ATTORNEY FIRST NAME | Rick |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 300 NORTH MAIN STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 500 |
| AGENT ATTORNEY CITY | GREENVILLE |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18642405629 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | Rick.Petzold@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins Nash Smoak &Stewart, P.C. |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF NEW JERSEY |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1500 Lincoln Circle |
| WORKSITE ADDRESS2 | APT 101 |
| WORKSITE CITY | McLean |
| WORKSITE COUNTY | FAIRFAX |
| WORKSITE STATE | VA |
| WORKSITE POSTAL CODE | 22102 |
| WAGE RATE OF PAY FROM | $101,155.63 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $93,626.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2024 |
| PW SURVEY PUBLISHER | Willis Towers Watson Data Services,Inc. |
| PW SURVEY NAME | Willis Towers Watson: MMPSCompensation Survey |
| 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 | 2025-01-01 |
