| CASE NUMBER | I-200-24236-288977 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/23/2024 |
| DECISION DATE | 8/30/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | General Surgeon |
| SOC CODE | 29-1249.00 |
| SOC TITLE | Surgeons, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/1/2024 |
| END DATE | 8/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Community Health Center of Branch County d/b/a ProMedica Coldwater Regional Hospital |
| TRADE NAME DBA | ProMedica Coldwater Regional Hospital |
| EMPLOYER ADDRESS1 | 274 East Chicago Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Coldwater |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49036 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +15172795400 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Arquette |
| EMPLOYER POC FIRST NAME | Darrin |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | President, Michigan Acute Care |
| EMPLOYER POC ADDRESS1 | 274 East Chicago Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Coldwater |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49036 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +15172795400 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Darrin.Arquette@ProMedica.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | CAPPELLARI |
| AGENT ATTORNEY FIRST NAME | G. CATERINA |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 3333 PIEDMONT ROAD NE |
| AGENT ATTORNEY ADDRESS2 | SUITE 2500 |
| AGENT ATTORNEY CITY | ATLANTA |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30305 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +16785532497 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | Kassandra.Villarreal@gtlaw.com |
| LAWFIRM NAME BUSINESS NAME | Greenberg Traurig, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | APPELLATE DIVISION |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 320 East Chicago Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Coldwater |
| WORKSITE COUNTY | BRANCH |
| WORKSITE STATE | MI |
| WORKSITE POSTAL CODE | 49036 |
| WAGE RATE OF PAY FROM | 212,368.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $212,368.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | Villarreal |
| PREPARER FIRST NAME | Kassandra |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Greenberg Traurig LLP |
| PREPARER EMAIL | kassandra.villarreal@gtlaw.com |
| BEGIN DATE CONVERTED | 2024-01-09 |
