| CASE NUMBER | I-200-24128-966308 |
| CASE STATUS | Certified |
| RECEIVED DATE | 5/7/2024 |
| DECISION DATE | 5/14/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Health Education Specialist |
| SOC CODE | 21-1091.00 |
| SOC TITLE | Health Education Specialists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Immaculate Home Care LLC |
| TRADE NAME DBA | Immaculate Home Care |
| EMPLOYER ADDRESS1 | 29 Darlene Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | St. Paul |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55119 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16516662153 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621610 |
| EMPLOYER POC LAST NAME | TAIWO |
| EMPLOYER POC FIRST NAME | Kayode |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 29 Darlene Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | St. Paul |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55119 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16516662135 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | immaculatehomemn@gmail.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Nwokocha |
| AGENT ATTORNEY FIRST NAME | Paschal |
| AGENT ATTORNEY MIDDLE NAME | Obinnaya |
| AGENT ATTORNEY ADDRESS1 | 105 5th Avenue South |
| AGENT ATTORNEY ADDRESS2 | Ste 550 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16124650060 |
| AGENT ATTORNEY PHONE EXT | 101 |
| AGENT ATTORNEY EMAIL ADDRESS | paschal@paschal-law.com |
| LAWFIRM NAME BUSINESS NAME | Paschal Nwokocha & Chukwu Law Offices LLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | MN Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 29 Darlene Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | St. Paul |
| WORKSITE COUNTY | RAMSEY |
| WORKSITE STATE | MN |
| WORKSITE POSTAL CODE | 55119 |
| WAGE RATE OF PAY FROM | 45000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $45,001.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $44,949.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 | 2024-01-10 |
