| CASE NUMBER | I-200-24289-408589 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/15/2024 |
| DECISION DATE | 10/22/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Medical Laboratory Scientist - MT |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/1/2025 |
| END DATE | 1/31/2028 |
| TOTAL WORKER POSITIONS | 2 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 2 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | ST. CATHERINE HOSPITAL, INC. |
| TRADE NAME DBA | Powers Health |
| EMPLOYER ADDRESS1 | 4321 Fir Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | East Chicago |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46312 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12193927145 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | Roque |
| EMPLOYER POC FIRST NAME | Kathleen |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Recruiter, Human Resources |
| EMPLOYER POC ADDRESS1 | 4321 Fir Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | East Chicago |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46312 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12193927073 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | kroque@powershealth.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | BADIA TAVAS |
| AGENT ATTORNEY FIRST NAME | M MERCEDES |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1 N WACKER DRIVE, SUITE 4400 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13123571313 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | MBADIATAVAS@BTLAW.COM |
| LAWFIRM NAME BUSINESS NAME | BARNES & THORNBURG LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | ILLINOIS SUPREME |
| WORKSITE WORKERS | 2 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4321 Fir Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | East Chicago |
| WORKSITE COUNTY | LAKE |
| WORKSITE STATE | IN |
| WORKSITE POSTAL CODE | 46312 |
| WAGE RATE OF PAY FROM | $32.13 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $35.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $31.96 |
| PW UNIT OF PAY | Hour |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-02-01 |
