| CASE NUMBER | I-200-24178-150096 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/26/2024 |
| DECISION DATE | 7/3/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Clinical Lab Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 12/9/2024 |
| END DATE | 12/8/2027 |
| 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 | OSF Healthcare System |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 124 Southwest Adams Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Peoria |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 61602 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +13093086282 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Ramirez |
| EMPLOYER POC FIRST NAME | Shelly |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | Program Manager, Immigration and Affirmative Action |
| EMPLOYER POC ADDRESS1 | 124 Southwest Adams Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Peoria |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 61602 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +13093086282 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Shelly.A.Ramirez@osfhealthcare.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Zneimer |
| AGENT ATTORNEY FIRST NAME | Sofia |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 4141 N. Western Avenue |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60618 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +17735164100 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | immigration@zneimerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Zneimer & Zneimer PC |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3333 N Seminary Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Galesburg |
| WORKSITE COUNTY | KNOX |
| WORKSITE STATE | IL |
| WORKSITE POSTAL CODE | 61401 |
| WAGE RATE OF PAY FROM | 33.82 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $18.28 |
| PW UNIT OF PAY | Hour |
| 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 | Cardona |
| PREPARER FIRST NAME | Yesenia |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Zneimer & Zneimer P.C. |
| PREPARER EMAIL | immigration@zneimerlaw.com |
| BEGIN DATE CONVERTED | 2024-09-12 |
