| CASE NUMBER | I-200-24247-311558 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/3/2024 |
| DECISION DATE | 9/10/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Chiropractor |
| SOC CODE | 29-1011.00 |
| SOC TITLE | Chiropractors |
| FULL TIME POSITION | N |
| BEGIN DATE | 9/13/2024 |
| END DATE | 9/13/2027 |
| 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 | WellnessOne of Bellevue, PS |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 14700 NE 8th Street |
| EMPLOYER ADDRESS2 | Suite 115 |
| EMPLOYER CITY | Bellevue |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98007 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14256448386 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621310 |
| EMPLOYER POC LAST NAME | Thain |
| EMPLOYER POC FIRST NAME | Steven |
| EMPLOYER POC MIDDLE NAME | P. |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 14700 NE 8th Street |
| EMPLOYER POC ADDRESS2 | Suite 115 |
| EMPLOYER POC CITY | Bellevue |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98007 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +14256448386 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | drthain@live.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Kirkwood |
| AGENT ATTORNEY FIRST NAME | Joe |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 12625 High Bluff Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 213 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92130 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +18584815211 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | cheryl@usimmigrationlaw.net |
| LAWFIRM NAME BUSINESS NAME | Leibl & Kirkwood PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF CALIFORNIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 14700 NE 8th Street |
| WORKSITE ADDRESS2 | Suite 115 |
| WORKSITE CITY | Bellevue |
| WORKSITE COUNTY | KING |
| WORKSITE STATE | WA |
| WORKSITE POSTAL CODE | 98007 |
| WAGE RATE OF PAY FROM | 50.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $48.19 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | Lagar |
| PREPARER FIRST NAME | Cheryl |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Leibl & Kirkwood PC |
| PREPARER EMAIL | cheryl@usimmigrationlaw.net |
| BEGIN DATE CONVERTED | 2025-01-09 |
