| CASE NUMBER | I-200-24124-953881 |
| CASE STATUS | Certified - Withdraw |
| RECEIVED DATE | 5/3/2024 |
| DECISION DATE | 7/10/2024 |
| ORIGINAL CERT DATE | 5/10/2024 |
| VISA CLASS | H-1B |
| JOB TITLE | Assistant Professor of Clinical Pediatrics |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | N |
| 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 | IU Health Care Associates |
| TRADE NAME DBA | dba IU Health Physicians |
| EMPLOYER ADDRESS1 | c/o IUPUI Office of International Affairs |
| EMPLOYER ADDRESS2 | 902 W. New York Street, ES 2126 |
| EMPLOYER CITY | Indianapolis |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46202-5197 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +13172747000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Upton |
| EMPLOYER POC FIRST NAME | Mary |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Associate Director for Scholar Services |
| EMPLOYER POC ADDRESS1 | IUPUI Off of Int'l Affairs |
| EMPLOYER POC ADDRESS2 | 902 W. New York St., ES 2126 |
| EMPLOYER POC CITY | Indianapolis |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46202 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +13172747000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | maupton@iupui.edu |
| AGENT REPRESENTING EMPLOYER | No |
| AGENT ATTORNEY LAST NAME | |
| AGENT ATTORNEY FIRST NAME | |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | |
| AGENT ATTORNEY STATE | |
| AGENT ATTORNEY POSTAL CODE | |
| AGENT ATTORNEY COUNTRY | |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | |
| LAWFIRM NAME BUSINESS NAME | |
| STATE OF HIGHEST COURT | |
| NAME OF HIGHEST STATE COURT | |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | Riley Outpatient Center |
| WORKSITE ADDRESS2 | 575 Riley Hospital Dr. |
| WORKSITE CITY | Indianapolis |
| WORKSITE COUNTY | MARION |
| WORKSITE STATE | IN |
| WORKSITE POSTAL CODE | 46202 |
| WAGE RATE OF PAY FROM | 92.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $30.18 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 3 |
| 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 | Gonzalez |
| PREPARER FIRST NAME | Lidsky |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | Office of International Affairs IUPUI |
| PREPARER EMAIL | lidgonza@iu.edu |
| BEGIN DATE CONVERTED | 2024-01-07 |
