| CASE NUMBER | I-200-24284-398088 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/10/2024 |
| DECISION DATE | 10/18/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Instructor, CAST Spine Neurosurgery Fellow |
| SOC CODE | 29-1249.00 |
| SOC TITLE | Surgeons, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 11/1/2024 |
| END DATE | 10/31/2027 |
| 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 | University of Kentucky |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 213 BRADLEY HALL |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Lexington |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 40506 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18592189180 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Martinez |
| EMPLOYER POC FIRST NAME | Frank |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Associate General Counsel |
| EMPLOYER POC ADDRESS1 | 213 Bradley Hall |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Lexington |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 40506 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18592189180 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | f.martinez@uky.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Baesler, Jr. |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY MIDDLE NAME | Richard |
| AGENT ATTORNEY ADDRESS1 | 300 West Vine Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 2100 |
| AGENT ATTORNEY CITY | Lexington |
| AGENT ATTORNEY STATE | KY |
| AGENT ATTORNEY POSTAL CODE | 40507 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18592313944 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | charles.baesler@skofirm.com |
| LAWFIRM NAME BUSINESS NAME | Stoll Keenon Ogden PLLC |
| STATE OF HIGHEST COURT | KY |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | UK Chandler Medical Center, PAV A |
| WORKSITE ADDRESS2 | 1000 S. Limestone Street |
| WORKSITE CITY | Lexington |
| WORKSITE COUNTY | FAYETTE |
| WORKSITE STATE | KY |
| WORKSITE POSTAL CODE | 40536 |
| WAGE RATE OF PAY FROM | $80,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $66,602.00 |
| PW UNIT OF PAY | Year |
| 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 | 4 |
| 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 | Wages |
| PREPARER FIRST NAME | Heather |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Stoll Keenon Ogden PLLC |
| PREPARER EMAIL | heather.wages@skofirm.com |
| BEGIN DATE CONVERTED | 2024-11-01 |
