| CASE NUMBER | I-200-24249-318268 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/5/2024 |
| DECISION DATE | 9/12/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | EES Technical Architect IV |
| SOC CODE | 15-1299.08 |
| SOC TITLE | Computer Systems Engineers/Architects |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/9/2024 |
| END DATE | 9/8/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | CareSource Management Services, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 230 North Main Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Dayton |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +19372243300 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 524292 |
| EMPLOYER POC LAST NAME | Sturgis |
| EMPLOYER POC FIRST NAME | Katie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | AVP, HR Growth & Implementation |
| EMPLOYER POC ADDRESS1 | 230 North Main Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Dayton |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45402 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +19375312266 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Katie.sturgis@caresource.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Kim |
| AGENT ATTORNEY FIRST NAME | Olivia |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 3711 South Mopac Expressway |
| AGENT ATTORNEY ADDRESS2 | Building One, Suite 500 |
| AGENT ATTORNEY CITY | Austin |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78746 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +15124993637 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | okim@clarkhill.com |
| LAWFIRM NAME BUSINESS NAME | Clark Hill PLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4432 Chinaberry Ln |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Naperville |
| WORKSITE COUNTY | WILL |
| WORKSITE STATE | IL |
| WORKSITE POSTAL CODE | 60564 |
| WAGE RATE OF PAY FROM | 210,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $137,758.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | Garcia |
| PREPARER FIRST NAME | Nina |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Clark Hill PLC |
| PREPARER EMAIL | ngarcia@clarkhill.com |
| BEGIN DATE CONVERTED | 2024-09-09 |
