| CASE NUMBER | I-200-24024-662380 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/24/2024 |
| DECISION DATE | 1/31/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Pediatrician |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/1/2024 |
| END DATE | 1/31/2027 |
| 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 | MVHS, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 111 Hospital Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Utica |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13502 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13159179966 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Mead |
| EMPLOYER POC FIRST NAME | Joelle |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of Physician Recruitment |
| EMPLOYER POC ADDRESS1 | 1675 Bennett St. |
| EMPLOYER POC ADDRESS2 | Room 353 |
| EMPLOYER POC CITY | Utica |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13502 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13156245239 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jmead1@mvhealthsystem.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Bruno |
| AGENT ATTORNEY FIRST NAME | Sandra |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 6435 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Ithaca |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14851 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16072734200 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | sb@millermayer.com |
| LAWFIRM NAME BUSINESS NAME | Miller Mayer, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1256 Culver Ave. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Utica |
| WORKSITE COUNTY | ONEIDA |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 13501 |
| WAGE RATE OF PAY FROM | 240000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $176,738.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | 2024-01-02 |
