| CASE NUMBER | I-200-25006-597763 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/6/2025 |
| DECISION DATE | 1/14/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | EDI Technical Lead |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/27/2025 |
| END DATE | 1/26/2028 |
| 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 | CareSource Management Services, LLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 230 North Main Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Dayton |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19375312266 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 923120 |
| EMPLOYER POC LAST NAME | Sturgis |
| EMPLOYER POC FIRST NAME | Katie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | AVP, HR Growth & Implementation |
| EMPLOYER POC ADDRESS1 | 230 North Main Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Dayton |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45402 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19375312266 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | katie.sturgis@caresource.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Ajmera |
| AGENT ATTORNEY FIRST NAME | Sujata |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 3711 South Mopac Expressway |
| AGENT ATTORNEY ADDRESS2 | Building One, Suite 500 |
| AGENT ATTORNEY CITY | Austin |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78746 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15124993605 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | SAjmera@clarkhill.com |
| LAWFIRM NAME BUSINESS NAME | Clark Hill PLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 10633 Midland Manor Ct. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | St Louis |
| WORKSITE COUNTY | ST LOUIS |
| WORKSITE STATE | MO |
| WORKSITE POSTAL CODE | 63114 |
| WAGE RATE OF PAY FROM | $170,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $152,110.00 |
| 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 | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Garcia |
| PREPARER FIRST NAME | Nina |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Clark Hill PLC |
| PREPARER EMAIL | ngarcia@clarkhill.com |
| BEGIN DATE CONVERTED | 2025-01-27 |
