| CASE NUMBER | I-200-24114-915518 |
| CASE STATUS | Certified - Withdraw |
| RECEIVED DATE | 4/23/2024 |
| DECISION DATE | 7/18/2024 |
| ORIGINAL CERT DATE | 4/30/2024 |
| VISA CLASS | H-1B |
| JOB TITLE | Clinical Laboratory Technologist - Generalist/Blood Bank |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/1/2024 |
| END DATE | 6/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Catholic Health System, Inc. |
| TRADE NAME DBA | Catholic Health |
| EMPLOYER ADDRESS1 | 144 Genesee Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Buffalo |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 14203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17167062112 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Koch |
| EMPLOYER POC FIRST NAME | Jenna |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 5300 Military Rd. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Lewiston |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 14092 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17162982393 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Jkoch1@chsbuffalo.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Ahlstrom |
| AGENT ATTORNEY FIRST NAME | Zachary |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 2300 Wehrle Drive |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +17166341010 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | zahlstrom@usimmlawyer.com |
| LAWFIRM NAME BUSINESS NAME | Berardi Immigration Law |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Court of Appeals 4th Dept |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 5300 Military Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Lewiston |
| WORKSITE COUNTY | NIAGARA |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 14092 |
| WAGE RATE OF PAY FROM | 45.14 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $27.33 |
| PW UNIT OF PAY | Hour |
| 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 |
| PREPARER LAST NAME | Edlich |
| PREPARER FIRST NAME | Samantha |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Berardi Immigration Law |
| PREPARER EMAIL | sedlich@usimmlawyer.com |
| BEGIN DATE CONVERTED | 2024-01-07 |
