| CASE NUMBER | I-200-24179-155333 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/27/2024 |
| DECISION DATE | 7/5/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Tech Lead |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/1/2024 |
| END DATE | 6/30/2027 |
| 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 | Vitable Inc. |
| TRADE NAME DBA | Vitable Health |
| EMPLOYER ADDRESS1 | 215 Bullens Lane |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Woodlyn |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19094 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14844160769 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62199 |
| EMPLOYER POC LAST NAME | Arguello |
| EMPLOYER POC FIRST NAME | Alondra |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief of Staff |
| EMPLOYER POC ADDRESS1 | 1010 N Hancock Sreet |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Philadelphia |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19123 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +14844160769 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | alondra@vitablehealth.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Cao |
| AGENT ATTORNEY FIRST NAME | Ying |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 27 Bleeker Street |
| AGENT ATTORNEY ADDRESS2 | Suite 202 |
| AGENT ATTORNEY CITY | Millburn |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 07041 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +19733101688 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | ycao@yclawllc.com |
| LAWFIRM NAME BUSINESS NAME | Ying Cao Law LLC |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | New Jersey Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1010 N Hancock Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Philadelphia |
| WORKSITE COUNTY | PHILADELPHIA |
| WORKSITE STATE | PA |
| WORKSITE POSTAL CODE | 19123 |
| WAGE RATE OF PAY FROM | 150,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $116,730.00 |
| 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 | 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 and Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-07 |
