| CASE NUMBER | I-200-24128-966074 |
| CASE STATUS | Certified - Withdraw |
| RECEIVED DATE | 5/7/2024 |
| DECISION DATE | 8/23/2024 |
| ORIGINAL CERT DATE | 5/14/2024 |
| VISA CLASS | H-1B |
| JOB TITLE | Instructor - Clinical |
| SOC CODE | 25-1071 |
| SOC TITLE | Health Specialties Teachers, Postsecondary |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/1/2024 |
| END DATE | 8/31/2027 |
| 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 | LSU Health Sciences Center - Shreveport |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1501 Kings Hwy |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Shreveport |
| EMPLOYER STATE | LA |
| EMPLOYER POSTAL CODE | 71103-3932 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +13186755571 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Peterson |
| EMPLOYER POC FIRST NAME | Carol |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Associate Director |
| EMPLOYER POC ADDRESS1 | 1501 Kings Hwy |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Shreveport |
| EMPLOYER POC STATE | LA |
| EMPLOYER POC POSTAL CODE | 71103-3932 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +13186755573 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | carol.peterson@lsuhs.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Kimbrell |
| AGENT ATTORNEY FIRST NAME | Elaine |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 3850 N. Causeway Blvd., |
| AGENT ATTORNEY ADDRESS2 | STE 555 |
| AGENT ATTORNEY CITY | Metairie |
| AGENT ATTORNEY STATE | LA |
| AGENT ATTORNEY POSTAL CODE | 70002-1752 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +15048305900 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | kquevedo@david-ware.com |
| LAWFIRM NAME BUSINESS NAME | Sun Sovereign, LLC d/b/a Ware | Immigration |
| STATE OF HIGHEST COURT | LA |
| NAME OF HIGHEST STATE COURT | Louisiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1501 Kings Hwy. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Shreveport |
| WORKSITE COUNTY | CADDO |
| WORKSITE STATE | LA |
| WORKSITE POSTAL CODE | 71103 |
| WAGE RATE OF PAY FROM | 166,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $66,127.00 |
| 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 | 3 |
| 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 | Quevedo |
| PREPARER FIRST NAME | Kimberly |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Sun Sovereign, LLC d/b/a Ware | Immigration |
| PREPARER EMAIL | Kquevedo@david-ware.com |
| BEGIN DATE CONVERTED | 2024-01-09 |
