| CASE NUMBER | I-200-25064-747699 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/5/2025 |
| DECISION DATE | 3/12/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | General, Bariatric Surgeon and Researcher |
| SOC CODE | 29-1249.00 |
| SOC TITLE | Surgeons, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 4/1/2025 |
| END DATE | 3/31/2028 |
| 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 | Hannibal Regional Healthcare System, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 6500 Hospital Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Hannibal |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 63401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15736293598 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Duvendack |
| EMPLOYER POC FIRST NAME | Christine |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Vice President, Human Resources |
| EMPLOYER POC ADDRESS1 | 6500 Hospital Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Hannibal |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 63401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15734061607 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Chris.Duvendack@hannibalregional.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Arredondo |
| AGENT ATTORNEY FIRST NAME | Candelario |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 9800 Shelard Parkway |
| AGENT ATTORNEY ADDRESS2 | Suite 335 |
| AGENT ATTORNEY CITY | Plymouth |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55441 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15074050638 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | candelario@webberimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Webber Arredondo Oja, LLC. |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 6500 Hospital Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Hannibal |
| WORKSITE COUNTY | MARION |
| WORKSITE STATE | MO |
| WORKSITE POSTAL CODE | 63401 |
| WAGE RATE OF PAY FROM | $190,549.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $595,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $190,549.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 7 |
| 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 | Biancardi |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Webber Arredondo Oja, LLC |
| PREPARER EMAIL | matthew.biancardi@webberimmigration.com |
| BEGIN DATE CONVERTED | 2025-04-01 |
