| CASE NUMBER | I-200-24185-174201 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/3/2024 |
| DECISION DATE | 7/11/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Neurologist |
| SOC CODE | 29-1217.00 |
| SOC TITLE | Neurologists |
| FULL TIME POSITION | N |
| BEGIN DATE | 8/8/2024 |
| END DATE | 8/7/2027 |
| 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 | Blanchard Valley Regional Health Center |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1900 South Main Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Findlay |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45840 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14194234500 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Shroll |
| EMPLOYER POC FIRST NAME | Kelly |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Operating Officer, Ambulatory Services |
| EMPLOYER POC ADDRESS1 | 1900 South Main Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Findlay |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45840 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +14194235245 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | kshroll@bvhealthsystem.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Wizner |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | Lewis |
| AGENT ATTORNEY ADDRESS1 | Wizner Law, PLLC |
| AGENT ATTORNEY ADDRESS2 | 999 ASYLUM AVE., SUITE 202 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 06105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +18607856900 |
| AGENT ATTORNEY PHONE EXT | 108 |
| AGENT ATTORNEY EMAIL ADDRESS | andrew@wiznerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Wizner Law, PLLC |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1900 South Main Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Findlay |
| WORKSITE COUNTY | HANCOCK |
| WORKSITE STATE | OH |
| WORKSITE POSTAL CODE | 45840 |
| WAGE RATE OF PAY FROM | 144.23 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $168.26 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $75.32 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| 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 | Baliko |
| PREPARER FIRST NAME | Frank |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Wizner Law, PLLC |
| PREPARER EMAIL | fbaliko@wiznerlaw.com |
| BEGIN DATE CONVERTED | 2024-08-08 |
