| CASE NUMBER | I-200-24030-677155 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/30/2024 |
| DECISION DATE | 2/6/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | BI Technical Director |
| SOC CODE | 15-2041.00 |
| SOC TITLE | Statisticians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/13/2024 |
| END DATE | 2/12/2027 |
| 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 | Legacy Community Health Services Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2929 Allen Parkway |
| EMPLOYER ADDRESS2 | Suite 1300 |
| EMPLOYER CITY | Houston |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77019 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18325485000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Love |
| EMPLOYER POC FIRST NAME | Kimberly |
| EMPLOYER POC MIDDLE NAME | Ann |
| EMPLOYER POC JOB TITLE | VP-Human Resources |
| EMPLOYER POC ADDRESS1 | 2929 Allen Parkway |
| EMPLOYER POC ADDRESS2 | Suite 1300 |
| EMPLOYER POC CITY | Houston |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77019 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18325485000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | KLove@legacycommunityhealth.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Nieto |
| AGENT ATTORNEY FIRST NAME | Pamela |
| AGENT ATTORNEY MIDDLE NAME | Doss |
| AGENT ATTORNEY ADDRESS1 | 811 Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77002 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17136461372 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | pnieto@bakerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Baker and Hostetler 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 | 2929 Allen Parkway |
| WORKSITE ADDRESS2 | Suite 1300 |
| WORKSITE CITY | Houston |
| WORKSITE COUNTY | HARRIS |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 77019 |
| WAGE RATE OF PAY FROM | 127207 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $203,543.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $91,541.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-02 |
