| CASE NUMBER | I-200-24017-644363 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/16/2024 |
| DECISION DATE | 1/23/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Corporate affairs specialist |
| SOC CODE | 13-1041.07 |
| SOC TITLE | Regulatory Affairs Specialists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/22/2024 |
| END DATE | 1/21/2027 |
| 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 | Healthcare Arizona LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3350 N. Cotton Ln |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Goodyear |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85338 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16023094203 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 33791 |
| EMPLOYER POC LAST NAME | Ornelas |
| EMPLOYER POC FIRST NAME | Alexie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS1 | 3350 N. Cotton Ln |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Goodyear |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85338 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16023094203 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | alexie.ornelas@healthcareazllc.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Gong |
| AGENT ATTORNEY FIRST NAME | Shiyang |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 160 E Tasman Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 112 |
| AGENT ATTORNEY CITY | San Jose |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95134 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14086178947 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | sgong@dehengsv.com |
| LAWFIRM NAME BUSINESS NAME | DeHeng Law Offices |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court Appellate Division |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3350 N. Cotton Ln |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Goodyear |
| WORKSITE COUNTY | MARICOPA |
| WORKSITE STATE | AZ |
| WORKSITE POSTAL CODE | 85338 |
| WAGE RATE OF PAY FROM | 58000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $55,058.00 |
| 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 and Employment |
| PREPARER LAST NAME | Gong |
| PREPARER FIRST NAME | Shiyang |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | DeHeng Law Offices |
| PREPARER EMAIL | sgong@dehengsv.com |
| BEGIN DATE CONVERTED | 2025-10-01 |
