| CASE NUMBER | I-200-24290-411678 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/16/2024 |
| DECISION DATE | 10/23/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Associate Professor |
| SOC CODE | 29-1211.00 |
| SOC TITLE | Anesthesiologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2025 |
| END DATE | 5/27/2026 |
| 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 | University of Virginia Health Services Foundation |
| TRADE NAME DBA | University of Virginia Physicians Group |
| EMPLOYER ADDRESS1 | 100 Avon Street |
| EMPLOYER ADDRESS2 | Suite 201 |
| EMPLOYER CITY | Charlottesville |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22902 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14342951000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Rudge |
| EMPLOYER POC FIRST NAME | Christine |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | Senior Director, Human Resources and Physician Employment |
| EMPLOYER POC ADDRESS1 | 100 Avon Street |
| EMPLOYER POC ADDRESS2 | Suite 201 |
| EMPLOYER POC CITY | Charlottesville |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22902 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14349806140 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | tjw5x@virginia.edu |
| AGENT REPRESENTING EMPLOYER | No |
| AGENT ATTORNEY LAST NAME | |
| AGENT ATTORNEY FIRST NAME | |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | |
| AGENT ATTORNEY STATE | |
| AGENT ATTORNEY POSTAL CODE | |
| AGENT ATTORNEY COUNTRY | |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | |
| LAWFIRM NAME BUSINESS NAME | |
| STATE OF HIGHEST COURT | |
| NAME OF HIGHEST STATE COURT | |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1215 Lee Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Charlottesville |
| WORKSITE COUNTY | ALBEMARLE |
| WORKSITE STATE | VA |
| WORKSITE POSTAL CODE | 22908 |
| WAGE RATE OF PAY FROM | $238,500.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $166,150.00 |
| 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 | White |
| PREPARER FIRST NAME | Timothy |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | University of Virginia |
| PREPARER EMAIL | tjw5x@virginia.edu |
| BEGIN DATE CONVERTED | 2025-01-01 |
