| CASE NUMBER | I-200-24190-179915 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/8/2024 |
| DECISION DATE | 7/15/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Adjunct Assistant Professor of Restorative Dentistry |
| SOC CODE | 25-1071.00 |
| SOC TITLE | Health Specialties Teachers, Postsecondary |
| FULL TIME POSITION | N |
| BEGIN DATE | 8/22/2024 |
| END DATE | 4/30/2025 |
| 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 | A. T. Still University of Health Sciences |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 800 W. Jefferson Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Kirksville |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 63501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +16606262792 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Brown |
| EMPLOYER POC FIRST NAME | Donna |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Assistant Vice President of Human Resources |
| EMPLOYER POC ADDRESS1 | 800 W. Jefferson Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Kirksville |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 63501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +16606262792 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | dbrown@atsu.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Harris |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 16827 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | St. Louis |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +13147953465 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | david@harrislegalstl.com |
| LAWFIRM NAME BUSINESS NAME | Harris Legal Services LLC |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1500 Park Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | St. Louis |
| WORKSITE COUNTY | ST LOUIS CITY |
| WORKSITE STATE | MO |
| WORKSITE POSTAL CODE | 63104 |
| WAGE RATE OF PAY FROM | 62.50 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $49.92 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-10-08 |
