| CASE NUMBER | I-200-25008-605262 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/8/2025 |
| DECISION DATE | 1/16/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Athletic Trainer & Program Development Coordinator |
| SOC CODE | 29-9091.00 |
| SOC TITLE | Athletic Trainers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/17/2025 |
| END DATE | 1/16/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Life Time, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2902 Corporate Place |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Chanhassen |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55317 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19523800303 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 71394 |
| EMPLOYER POC LAST NAME | Rotty |
| EMPLOYER POC FIRST NAME | Rachael |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Associate General Counsel |
| EMPLOYER POC ADDRESS1 | 2902 Corporate Place |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Chanhassen |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55317 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19522297458 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | RRotty@lt.life |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Medeiros |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 250 Marquette Avenue South, Suite 800 |
| AGENT ATTORNEY ADDRESS2 | 30619-0058 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16123057500 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jmedeiros@nilanjohnson.com |
| LAWFIRM NAME BUSINESS NAME | Nilan Johnson Lewis PA |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 12691 Conway Rd |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Creve Coeur |
| WORKSITE COUNTY | ST LOUIS |
| WORKSITE STATE | MO |
| WORKSITE POSTAL CODE | 63141 |
| WAGE RATE OF PAY FROM | $49,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $43,920.00 |
| 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 Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-17 |
