| CASE NUMBER | I-200-24271-370395 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/27/2024 |
| DECISION DATE | 10/4/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Senior Developer, Pega Systems |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/14/2024 |
| END DATE | 10/13/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Owens & Minor Medical, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 9120 Lockwood Blvd. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Mechanicsville |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23116 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18047237711 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 423450 |
| EMPLOYER POC LAST NAME | Kromer |
| EMPLOYER POC FIRST NAME | Christina |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Sr. Manager, HR |
| EMPLOYER POC ADDRESS1 | 9120 Lockwood Blvd. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Mechanicsville |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 23116 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14843564057 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Christina.Kromer@owens-minor.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Baggett |
| AGENT ATTORNEY FIRST NAME | D. Earl |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 200 S 10th St |
| AGENT ATTORNEY ADDRESS2 | Suite 1600 |
| AGENT ATTORNEY CITY | Richmond |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18044206478 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mwilliamson@williamsmullen.com |
| LAWFIRM NAME BUSINESS NAME | Williams Mullen |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4219 Rocky Plains Ln. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Katy |
| WORKSITE COUNTY | HARRIS |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 77493 |
| WAGE RATE OF PAY FROM | $138,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $126,589.00 |
| 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 | Williamson |
| PREPARER FIRST NAME | Maeva |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Williams Mullen |
| PREPARER EMAIL | mwilliamson@williamsmullen.com |
| BEGIN DATE CONVERTED | 2024-10-14 |
