| CASE NUMBER | I-200-24179-154070 |
| CASE STATUS | Denied |
| RECEIVED DATE | 6/27/2024 |
| DECISION DATE | 7/2/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Healthcare Support Coordinator |
| SOC CODE | 31-9099.00 |
| SOC TITLE | Healthcare Support Workers, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 11/1/2024 |
| END DATE | 10/31/2027 |
| 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 | Trinity Health and Social Services LLC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1990 Laurel Rd |
| EMPLOYER ADDRESS2 | AQ 358 |
| EMPLOYER CITY | Lindenwold |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 08021 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18568895172 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621999 |
| EMPLOYER POC LAST NAME | Onuoha |
| EMPLOYER POC FIRST NAME | Paul |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Manager |
| EMPLOYER POC ADDRESS1 | 1990 Laurel Rd |
| EMPLOYER POC ADDRESS2 | AQ 358 |
| EMPLOYER POC CITY | Lindenwold |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 08021 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +18568895172 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | hpclinical@gmail.com |
| 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 | 1990 Laurel Rd. |
| WORKSITE ADDRESS2 | AQ 358 |
| WORKSITE CITY | Lindenwold |
| WORKSITE COUNTY | CAMDEN |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 08021 |
| WAGE RATE OF PAY FROM | 31.50 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $33.50 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $29.84 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| 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 | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | Yes |
| STATUTORY BASIS | $60,000 or higher annual wage |
| 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 | 2024-01-11 |
