| CASE NUMBER | I-200-23283-420673 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/10/2023 |
| DECISION DATE | 10/17/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Chief Operating Officer |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 4/1/2024 |
| END DATE | 3/31/2027 |
| 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 | Eye Associates of Southern Indiana, PC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 302 W 14th Street |
| EMPLOYER ADDRESS2 | Suite 100A |
| EMPLOYER CITY | Jeffersonville |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47130 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18122840660 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Padgett |
| EMPLOYER POC FIRST NAME | Martin |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 302 W. 14th Street |
| EMPLOYER POC ADDRESS2 | Suite 100A |
| EMPLOYER POC CITY | Jeffersonville |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47130 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18122840660 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | mpadgett@have2020.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Stump |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | Douglas |
| AGENT ATTORNEY ADDRESS1 | 301 NW 63rd Street |
| AGENT ATTORNEY ADDRESS2 | Suite 250 |
| AGENT ATTORNEY CITY | Oklahoma City |
| AGENT ATTORNEY STATE | OK |
| AGENT ATTORNEY POSTAL CODE | 73116 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14058790800 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mstump@usvisagroup.com |
| LAWFIRM NAME BUSINESS NAME | Stump and Associates, PC |
| STATE OF HIGHEST COURT | OK |
| NAME OF HIGHEST STATE COURT | Oklahoma Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 302 W. 14th Street |
| WORKSITE ADDRESS2 | Suite 100A |
| WORKSITE CITY | Jeffersonville |
| WORKSITE COUNTY | CLARK |
| WORKSITE STATE | IN |
| WORKSITE POSTAL CODE | 47130 |
| WAGE RATE OF PAY FROM | 94661 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $121,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $94,661.00 |
| 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 | Stump |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | D. |
| PREPARER BUSINESS NAME | Stump and Associates PC |
| PREPARER EMAIL | mstump@usvisagroup.com |
| BEGIN DATE CONVERTED | 2024-01-04 |
