| CASE NUMBER | I-200-24025-666334 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/25/2024 |
| DECISION DATE | 2/1/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Construction Quality Control Manager |
| SOC CODE | 11-9021.00 |
| SOC TITLE | Construction Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/22/2024 |
| END DATE | 2/21/2027 |
| 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 | KCI Technologies Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 936 Ridgebrook Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Sparks |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21152 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14103167800 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541330 |
| EMPLOYER POC LAST NAME | Bordley |
| EMPLOYER POC FIRST NAME | Tracey |
| EMPLOYER POC MIDDLE NAME | T. |
| EMPLOYER POC JOB TITLE | Sr. HR Generalist-Compliance |
| EMPLOYER POC ADDRESS1 | 936 Ridgebrook Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Sparks |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21152 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14103160811 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | tracey.bordley@kci.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Fan |
| AGENT ATTORNEY FIRST NAME | Thomas |
| AGENT ATTORNEY MIDDLE NAME | N/A |
| AGENT ATTORNEY ADDRESS1 | 843 Quince Orchard Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite I |
| AGENT ATTORNEY CITY | Gaithersburg |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20878 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13013306903 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | lawyer@fan-law.com |
| LAWFIRM NAME BUSINESS NAME | Fan, Fitzpatrick & Thompson, LLP |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeal |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 815 E. Ocean View Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Norfolk |
| WORKSITE COUNTY | NORFOLK CITY |
| WORKSITE STATE | VA |
| WORKSITE POSTAL CODE | 23503 |
| WAGE RATE OF PAY FROM | 137488 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $123,115.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-10-02 |
