| CASE NUMBER | I-200-25030-653109 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/30/2025 |
| DECISION DATE | 2/6/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Program Management Analyst |
| SOC CODE | 15-1299.09 |
| SOC TITLE | Information Technology Project Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/22/2025 |
| END DATE | 7/21/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | VITALAXIS INC. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1433 Hooper Ave |
| EMPLOYER ADDRESS2 | Ste 320 |
| EMPLOYER CITY | Toms River |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 8753 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13018502811 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621511 |
| EMPLOYER POC LAST NAME | KOTHANDARAM |
| EMPLOYER POC FIRST NAME | SATHISH |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 1433 Hooper Ave |
| EMPLOYER POC ADDRESS2 | Ste 320 |
| EMPLOYER POC CITY | Toms River |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 8753 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13018502811 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | SATHISH@VITALAXIS.COM |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Kim |
| AGENT ATTORNEY FIRST NAME | Min |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 295 Pierson Avenue |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Edison |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 8837 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 17322058600 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | min.kim@chugh.com |
| LAWFIRM NAME BUSINESS NAME | Chugh LLP |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1433 Hooper Ave |
| WORKSITE ADDRESS2 | Ste 320 |
| WORKSITE CITY | Toms River |
| WORKSITE COUNTY | OCEAN |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 8753 |
| WAGE RATE OF PAY FROM | $130,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $90,002.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 | Kim |
| PREPARER FIRST NAME | Min |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Chugh LLP |
| PREPARER EMAIL | min.kim@chugh.com |
| BEGIN DATE CONVERTED | 2025-07-22 |
