| CASE NUMBER | I-200-24087-834764 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/27/2024 |
| DECISION DATE | 4/3/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Sr. Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/13/2024 |
| END DATE | 9/12/2027 |
| 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 | St. Mary Medical Center |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1500 South Lake Park Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Hobart |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46342 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12199476139 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Catania |
| EMPLOYER POC FIRST NAME | Sharron |
| EMPLOYER POC MIDDLE NAME | L. |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 1500 South Lake Park Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Hobart |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46342 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12199476139 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Sharron.L.Catania@comhs.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | REES |
| AGENT ATTORNEY FIRST NAME | BRENT |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 5080 SPECTRUM DRIVE |
| AGENT ATTORNEY ADDRESS2 | 850W |
| AGENT ATTORNEY CITY | ADDISON |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14697910350 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | BREES@FRAGOMEN.COM |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | MD |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1500 South Lake Park Ave |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Hobart |
| WORKSITE COUNTY | LAKE |
| WORKSITE STATE | IN |
| WORKSITE POSTAL CODE | 46342 |
| WAGE RATE OF PAY FROM | 50544 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $98,820.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $50,544.00 |
| 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 | Mireles |
| PREPARER FIRST NAME | Ed |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | emireles@fragomen.com |
| BEGIN DATE CONVERTED | 2025-01-09 |
