| CASE NUMBER | I-200-24026-671779 |
| CASE STATUS | Certified - Withdraw |
| RECEIVED DATE | 1/26/2024 |
| DECISION DATE | 2/20/2024 |
| ORIGINAL CERT DATE | 2/2/2024 |
| VISA CLASS | H-1B |
| JOB TITLE | Radiation Therapist |
| SOC CODE | 29-1124.00 |
| SOC TITLE | Radiation Therapists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/4/2024 |
| END DATE | 3/3/2027 |
| 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 | Scott & White Memorial Hospital |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2401 S. 31st St. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Temple |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76508 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | TEXAS |
| EMPLOYER PHONE | 12547244472 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Dias |
| EMPLOYER POC FIRST NAME | Rachel |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Vice President -Operations |
| EMPLOYER POC ADDRESS1 | 2401 S. 31st St. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Temple |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 76508 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12547246831 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Rachel.Dias1@bswhealth.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Smart |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 2323 Ross Ave. |
| AGENT ATTORNEY ADDRESS2 | Ste. 1900 |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75201 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12147401400 |
| AGENT ATTORNEY PHONE EXT | 1475 |
| AGENT ATTORNEY EMAIL ADDRESS | nroman@bellnunnally.com |
| LAWFIRM NAME BUSINESS NAME | Bell Nunnally & Martin LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2401 S. 31st St. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Temple |
| WORKSITE COUNTY | BELL |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 76508 |
| WAGE RATE OF PAY FROM | 76544 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $71,635.00 |
| PW UNIT OF PAY | Year |
| 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 | S. Roman |
| PREPARER FIRST NAME | Natalie |
| PREPARER MIDDLE INITIAL | F. |
| PREPARER BUSINESS NAME | Bell Nunnally & Martin LLP |
| PREPARER EMAIL | nroman@bellnunnally.com |
| BEGIN DATE CONVERTED | 2024-04-03 |
