| CASE NUMBER | I-200-24177-146035 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/25/2024 |
| DECISION DATE | 7/2/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Sr. Software Tester |
| SOC CODE | 15-1253.00 |
| SOC TITLE | Software Quality Assurance Analysts and Testers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/8/2024 |
| END DATE | 7/7/2027 |
| 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 | Medline Industries, LP |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | Three Lakes Dr. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Northfield |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60093 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +12249317656 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 33911 |
| EMPLOYER POC LAST NAME | Vannette |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Global Mobility Specialist |
| EMPLOYER POC ADDRESS1 | Three Lakes Dr. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Northfield |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60093 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12249317656 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | globalmobility@medlinehr.zendesk.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Tu |
| AGENT ATTORNEY FIRST NAME | April |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 30300 Agoura Road |
| AGENT ATTORNEY ADDRESS2 | Ste. B100 |
| AGENT ATTORNEY CITY | Agoura Hills |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +18189146482 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | Admin@gip-us.com |
| LAWFIRM NAME BUSINESS NAME | Global Immigration Partners, Inc |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | Three Lakes Dr. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Northfield |
| WORKSITE COUNTY | COOK |
| WORKSITE STATE | IL |
| WORKSITE POSTAL CODE | 60093 |
| WAGE RATE OF PAY FROM | 120,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $98,842.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 |
| PREPARER LAST NAME | Tu |
| PREPARER FIRST NAME | April |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Global Immigration Partners, Inc |
| PREPARER EMAIL | Admin@gip-us.com |
| BEGIN DATE CONVERTED | 2024-08-07 |
