| CASE NUMBER | I-200-25011-611926 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/10/2025 |
| DECISION DATE | 1/17/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Validation Engineer |
| SOC CODE | 17-2112.02 |
| SOC TITLE | Validation Engineers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/10/2025 |
| END DATE | 4/18/2026 |
| 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 | IZiel Healthcare Inc |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 121 Washington Ave. N. |
| EMPLOYER ADDRESS2 | Suite 306 |
| EMPLOYER CITY | Minneapolis |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16124458764 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541330 |
| EMPLOYER POC LAST NAME | Johnson |
| EMPLOYER POC FIRST NAME | Todd |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director Technical Services |
| EMPLOYER POC ADDRESS1 | 121 Washington Ave. N. |
| EMPLOYER POC ADDRESS2 | Suite 306 |
| EMPLOYER POC CITY | Minneapolis |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16124458764 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | todd.johnson@izielhealthcare.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Kennedy |
| AGENT ATTORNEY FIRST NAME | Adaikala Mary |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1750 E Golf Rd |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Schaumburg |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60173 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18472201560 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | legal@mkimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Mary Kennedy, LLC |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | Oregon Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Cook Medical |
| WORKSITE ADDRESS1 | 50 Daniels Way |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Bloomington |
| WORKSITE COUNTY | MONROE |
| WORKSITE STATE | IN |
| WORKSITE POSTAL CODE | 47404 |
| WAGE RATE OF PAY FROM | $110,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $80,018.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | Yes |
| STATUTORY BASIS | $60,000 or higher annual wage |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kennedy |
| PREPARER FIRST NAME | Adaikala Mary |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Law Offices of Mary Kennedy, LLC |
| PREPARER EMAIL | legal@mkimmigrationlaw.com |
| BEGIN DATE CONVERTED | 2025-01-10 |
