| CASE NUMBER | I-200-24296-423339 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/22/2024 |
| DECISION DATE | 10/29/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Data Operations Engineer |
| SOC CODE | 15-1243.01 |
| SOC TITLE | Data Warehousing Specialists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/21/2025 |
| END DATE | 3/20/2028 |
| 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 | Village Practice Management Company, LLC |
| TRADE NAME DBA | VillageMD |
| EMPLOYER ADDRESS1 | 1 Diamond Hill Road |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Berkeley Heights |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7922 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19527972947 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 541618 |
| EMPLOYER POC LAST NAME | Jensen |
| EMPLOYER POC FIRST NAME | Sara |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Vice President, Human Resources |
| EMPLOYER POC ADDRESS1 | 1 Diamond Hill Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Berkeley Heights |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7922 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19527972947 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | sjensen@villagemd.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Gurley |
| AGENT ATTORNEY FIRST NAME | Marit |
| AGENT ATTORNEY MIDDLE NAME | Elizabeth |
| AGENT ATTORNEY ADDRESS1 | 2950 Metro Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | Bloomington |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55425 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19528543313 |
| AGENT ATTORNEY PHONE EXT | 537 |
| AGENT ATTORNEY EMAIL ADDRESS | marit@karamlaw.com |
| LAWFIRM NAME BUSINESS NAME | Karam Law |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | MINNESOTA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 126 Pasadena Dr |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | St Augustine |
| WORKSITE COUNTY | ST JOHNS |
| WORKSITE STATE | FL |
| WORKSITE POSTAL CODE | 32095 |
| WAGE RATE OF PAY FROM | $150,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $149,427.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-03-21 |
