| CASE NUMBER | I-200-25064-746393 |
| CASE STATUS | Certified |
| RECEIVED DATE | 3/5/2025 |
| DECISION DATE | 3/12/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Family Partnership Consultant |
| SOC CODE | 19-3034.00 |
| SOC TITLE | School Psychologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 5/1/2025 |
| END DATE | 4/30/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Bridgeway Therapy Center |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1350 Alum Creek Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Columbus |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43209 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16142627520 |
| EMPLOYER PHONE EXT | 110 |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | Whyte |
| EMPLOYER POC FIRST NAME | Lorna |
| EMPLOYER POC MIDDLE NAME | SMF |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 5807 Birch Bark Circle |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Columbus |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43209 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16142627520 |
| EMPLOYER POC PHONE EXT | 110 |
| EMPLOYER POC EMAIL | lwhyte@bridgewayohio.org |
| 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 | 1350 Alum Creek Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Columbus |
| WORKSITE COUNTY | FRANKLIN |
| WORKSITE STATE | OH |
| WORKSITE POSTAL CODE | 43209 |
| WAGE RATE OF PAY FROM | $68,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $64,189.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 and Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-05-01 |
