| CASE NUMBER | I-200-24285-401530 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/11/2024 |
| DECISION DATE | 10/21/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 11/1/2024 |
| END DATE | 10/31/2027 |
| TOTAL WORKER POSITIONS | 4 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 4 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Vituity - Indiana, LLC |
| TRADE NAME DBA | Vituity |
| EMPLOYER ADDRESS1 | 2100 Powell Street |
| EMPLOYER ADDRESS2 | Ste. 400 |
| EMPLOYER CITY | Emeryville |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94608 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12097351087 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621999 |
| EMPLOYER POC LAST NAME | Khanderish |
| EMPLOYER POC FIRST NAME | Lillie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Immigration Program Administrator |
| EMPLOYER POC ADDRESS1 | 2100 Powell Street |
| EMPLOYER POC ADDRESS2 | Suite 400 |
| EMPLOYER POC CITY | Emeryville |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94608 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12097351087 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Lillie.Khanderish@vituity.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Rodriguez-Story |
| AGENT ATTORNEY FIRST NAME | Celsa |
| AGENT ATTORNEY MIDDLE NAME | Judith |
| AGENT ATTORNEY ADDRESS1 | 8330 Lyndon B Johnson Fwy |
| AGENT ATTORNEY ADDRESS2 | Suite B1157 |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75243 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12144948033 |
| AGENT ATTORNEY PHONE EXT | 1003 |
| AGENT ATTORNEY EMAIL ADDRESS | celsa.story@badmuslaw.com |
| LAWFIRM NAME BUSINESS NAME | Ann Massey Badmus PC dba Badmus & Associates |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 4 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | St. Joseph Regional Medical Center |
| WORKSITE ADDRESS1 | 5215 Holy Cross Pkwy |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Mishawaka |
| WORKSITE COUNTY | ST JOSEPH |
| WORKSITE STATE | IN |
| WORKSITE POSTAL CODE | 46545 |
| WAGE RATE OF PAY FROM | $79.75 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $159.49 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $61.78 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-11-01 |
