| CASE NUMBER | I-200-24184-166462 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/1/2024 |
| DECISION DATE | 7/9/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Systems Architect |
| SOC CODE | 15-1299.08 |
| SOC TITLE | Computer Systems Engineers/Architects |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/7/2024 |
| END DATE | 10/6/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Memorial Health Services |
| TRADE NAME DBA | MemorialCare |
| EMPLOYER ADDRESS1 | 17360 Brookhurst St. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Fountain Valley |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92708 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17144409724 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 551114 |
| EMPLOYER POC LAST NAME | Beal |
| EMPLOYER POC FIRST NAME | Steven |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Information Officer |
| EMPLOYER POC ADDRESS1 | 17360 Brookhurst Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Fountain Valley |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92708 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17144409274 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | sbeal@memorialcare.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Desposito |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | John |
| AGENT ATTORNEY ADDRESS1 | 650 Town Center Drive |
| AGENT ATTORNEY ADDRESS2 | 10th Floor |
| AGENT ATTORNEY CITY | Costa Mesa |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92626-1993 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +17144242856 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | adesposito@sheppardmullin.com |
| LAWFIRM NAME BUSINESS NAME | Sheppard Mullin Richter & Hampton LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 17360 Brookhurst St. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Fountain Valley |
| WORKSITE COUNTY | ORANGE |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 92708 |
| WAGE RATE OF PAY FROM | 153,774.40 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $109,782.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | Lee |
| PREPARER FIRST NAME | Lana |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Sheppard Mullin Richter & Hampton LLP |
| PREPARER EMAIL | llee@sheppardmullin.com |
| BEGIN DATE CONVERTED | 2024-07-10 |
