| CASE NUMBER | I-200-25043-686779 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/12/2025 |
| DECISION DATE | 2/20/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Medical Resident |
| SOC CODE | 29-1299.00 |
| SOC TITLE | Healthcare Diagnosing or Treating Practitioners, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 6/21/2025 |
| END DATE | 6/20/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Kettering Medical Center |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3535 Southern Blvd. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Kettering |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45429 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19372984331 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Kimes |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Counsel Labor and Employment |
| EMPLOYER POC ADDRESS1 | 1 Prestige Place |
| EMPLOYER POC ADDRESS2 | Ste. 580 |
| EMPLOYER POC CITY | Miamisburg |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45342 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19377621117 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jessica.kimes@ketteringhealth.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | PETERSON |
| AGENT ATTORNEY FIRST NAME | SACHIYO |
| AGENT ATTORNEY MIDDLE NAME | MARIANNE |
| AGENT ATTORNEY ADDRESS1 | 52 E. GAY STREET |
| AGENT ATTORNEY ADDRESS2 | P.O. BOX 1008 |
| AGENT ATTORNEY CITY | COLUMBUS |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43216-1008 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16144646499 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | SIPETERSON@VORYS.COM |
| LAWFIRM NAME BUSINESS NAME | VORYS, SATER, SEYMOUR AND PEASE LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3535 Southern Blvd. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Kettering |
| WORKSITE COUNTY | MONTGOMERY |
| WORKSITE STATE | OH |
| WORKSITE POSTAL CODE | 45429 |
| WAGE RATE OF PAY FROM | $66,849.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $53,747.00 |
| 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 |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-06-21 |
