| CASE NUMBER | I-200-24079-812998 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/19/2024 |
| DECISION DATE | 3/26/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Principal Design Assurance Quality Engineer |
| SOC CODE | 17-2141.00 |
| SOC TITLE | Mechanical Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 4/1/2024 |
| END DATE | 3/31/2027 |
| 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 | Nuwellis, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 12988 Valley View Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Eden Prairie |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55344 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +19523454214 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 339112 |
| EMPLOYER POC LAST NAME | Eayrs |
| EMPLOYER POC FIRST NAME | Sandra |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Human Resources Officer |
| EMPLOYER POC ADDRESS1 | 12988 Valley View Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Eden Prairie |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55344 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +19523454214 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | sandra.eayrs@nuwellis.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Friend |
| AGENT ATTORNEY FIRST NAME | Carol |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 660 Woodward Avenue |
| AGENT ATTORNEY ADDRESS2 | Ste. 2290 |
| AGENT ATTORNEY CITY | Detroit |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48226 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +13134657374 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | cfriend@honigman.com |
| LAWFIRM NAME BUSINESS NAME | Honigman LLP |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 12988 Valley View Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Eden Prairie |
| WORKSITE COUNTY | HENNEPIN |
| WORKSITE STATE | MN |
| WORKSITE POSTAL CODE | 55344 |
| WAGE RATE OF PAY FROM | 120000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $113,485.00 |
| 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 | Friend |
| PREPARER FIRST NAME | Carol |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | Honigman LLP |
| PREPARER EMAIL | cfriend@honigman.com |
| BEGIN DATE CONVERTED | 2024-01-04 |
