| CASE NUMBER | I-200-24044-714989 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/13/2024 |
| DECISION DATE | 2/21/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | UX Designer |
| SOC CODE | 15-1255.00 |
| SOC TITLE | Web and Digital Interface Designers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/19/2024 |
| END DATE | 2/18/2027 |
| 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 | Lucerna Health LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 14286 Beach Blvd. #19-206 |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Jacksonville Beach |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32250 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19047087632 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 812990 |
| EMPLOYER POC LAST NAME | Thomas |
| EMPLOYER POC FIRST NAME | Craig |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Co-Founder & CEO |
| EMPLOYER POC ADDRESS1 | 14286 Beach Blvd. #19-206 |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Jacksonville Beach |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32250 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19047087632 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | craig.thomas@lucernahealth.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Peck |
| AGENT ATTORNEY FIRST NAME | Amy |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 10050 Regency Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14023911991 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | amy.peck@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis PC |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | Nebraska Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 6965 Union Park Center Building 7 |
| WORKSITE ADDRESS2 | Suite 400 |
| WORKSITE CITY | Midvale |
| WORKSITE COUNTY | SALT LAKE |
| WORKSITE STATE | UT |
| WORKSITE POSTAL CODE | 84047 |
| WAGE RATE OF PAY FROM | 105000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $67,101.00 |
| 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 | Smith |
| PREPARER FIRST NAME | Maria |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Jackson Lewis PC |
| PREPARER EMAIL | maria.smith@jacksonlewis.com |
| BEGIN DATE CONVERTED | 2025-07-02 |
