| CASE NUMBER | I-200-24296-424505 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/22/2024 |
| DECISION DATE | 10/29/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Registered Nurse |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/30/2025 |
| END DATE | 1/29/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Penn Highlands DuBois |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 100 Hospital Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | DuBois |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18143756609 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Unch |
| EMPLOYER POC FIRST NAME | Nichole |
| EMPLOYER POC MIDDLE NAME | S. |
| EMPLOYER POC JOB TITLE | International Recruitment Coordinator |
| EMPLOYER POC ADDRESS1 | 204 Hospital Avenue |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | DuBois |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18143756609 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | NSUnch@phhealthcare.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Castrodale |
| AGENT ATTORNEY FIRST NAME | Alexander |
| AGENT ATTORNEY MIDDLE NAME | R. |
| AGENT ATTORNEY ADDRESS1 | 625 Liberty Ave |
| AGENT ATTORNEY ADDRESS2 | Floor 5 |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14122974712 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | alex.castrodale@dentons.com |
| LAWFIRM NAME BUSINESS NAME | Dentons Cohen & Grigsby, P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 100 Hospital Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | DuBois |
| WORKSITE COUNTY | CLEARFIELD |
| WORKSITE STATE | PA |
| WORKSITE POSTAL CODE | 15801 |
| WAGE RATE OF PAY FROM | $32.85 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $29.82 |
| PW UNIT OF PAY | Hour |
| 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 Business |
| PREPARER LAST NAME | VanHoose |
| PREPARER FIRST NAME | Lindsey |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Dentons Cohen & Grigsby, P.C. |
| PREPARER EMAIL | lindsey.vanhoose@dentons.com |
| BEGIN DATE CONVERTED | 2025-01-30 |
