| CASE NUMBER | I-200-24303-440435 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/29/2024 |
| DECISION DATE | 11/5/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Advanced Practice Nurse-Psychiatric-Mental Health |
| SOC CODE | 29-1141.02 |
| SOC TITLE | Advanced Practice Psychiatric Nurses |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/28/2025 |
| END DATE | 2/27/2028 |
| 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 | Ohio Department of Mental Health & Addiction Services |
| TRADE NAME DBA | ODMHAS |
| EMPLOYER ADDRESS1 | 30 East Broad St |
| EMPLOYER ADDRESS2 | Floor 36 |
| EMPLOYER CITY | Columbus |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43215 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16144664090 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622210 |
| EMPLOYER POC LAST NAME | Bondurant |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Staff Counsel |
| EMPLOYER POC ADDRESS1 | 30 E. Broad Street |
| EMPLOYER POC ADDRESS2 | 36th Floor |
| EMPLOYER POC CITY | Columbus |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43215 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16142661419 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jennifer.bondurant@mha.ohio.gov |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Jurcevich |
| AGENT ATTORNEY FIRST NAME | Laura |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 41 S High Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3100 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16142272079 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | ljurcevich@porterwright.com |
| LAWFIRM NAME BUSINESS NAME | PORTER WRIGHT MORRIS & ARTHUR LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | Northwest Ohio Behavioral Healthcare |
| WORKSITE ADDRESS2 | 930 Detroit Ave |
| WORKSITE CITY | Toledo |
| WORKSITE COUNTY | LUCAS |
| WORKSITE STATE | OH |
| WORKSITE POSTAL CODE | 43614 |
| WAGE RATE OF PAY FROM | $56.76 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $56.76 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2024 |
| 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 | Cribbs |
| PREPARER FIRST NAME | Michael |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Porter Wright Morris & Arthur LLP |
| PREPARER EMAIL | mcribbs@porterwright.com |
| BEGIN DATE CONVERTED | 2025-02-28 |
