| CASE NUMBER | I-200-24180-157909 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/28/2024 |
| DECISION DATE | 7/8/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Clinical Quality Data Analyst |
| SOC CODE | 15-2051.00 |
| SOC TITLE | Data Scientists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 11/8/2024 |
| END DATE | 11/7/2027 |
| 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 | PINE REST CHRISTIAN HEALTH MENTAL SERVICES |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 300 68TH STREET SE |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Grand Rapids |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +16169569614 |
| EMPLOYER PHONE EXT | 6961 |
| NAICS CODE | 623220 |
| EMPLOYER POC LAST NAME | Nykamp |
| EMPLOYER POC FIRST NAME | Robert |
| EMPLOYER POC MIDDLE NAME | Lee |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT, CHIEF OPERATING OFFICER |
| EMPLOYER POC ADDRESS1 | 300 68TH STREET SE |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | GRAND RAPIDS |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +16164555000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | BOB.NYKAMP@PINEREST.ORG |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Battle |
| AGENT ATTORNEY FIRST NAME | Kevin |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 45 Ottawa Avenue S.W. |
| AGENT ATTORNEY ADDRESS2 | Ste 1100 |
| AGENT ATTORNEY CITY | Grand Rapids |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49503 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +16168311718 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | battlek@millerjohnson.com |
| LAWFIRM NAME BUSINESS NAME | MILLER JOHNSON |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 300 68th Street SE |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Grand Rapids |
| WORKSITE COUNTY | KENT |
| WORKSITE STATE | MI |
| WORKSITE POSTAL CODE | 49501 |
| WAGE RATE OF PAY FROM | 60,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $57,803.00 |
| PW UNIT OF PAY | Year |
| 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 | 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 | 2024-08-11 |
