| LCA CASE NUMBER | I-200-19273-058459 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-09-30 |
| DECISION DATE | 2019-10-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT SYSTEMS ANALYST IV |
| SOC CODE | 15-1052 |
| SOC TITLE | COMPUTER SYSTEMS ANALYSTS, NON R&D |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-14 |
| END DATE | 2022-10-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD |
| TRADE NAME DBA | LPCH (STANFORD CHILDREN'S) |
| EMPLOYER ADDRESS1 | 725 WELCH ROAD |
| EMPLOYER CITY | PALO ALTO |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6507252768 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | VYAS |
| EMPLOYER POC FIRST NAME | EKTA |
| EMPLOYER POC JOB TITLE | DIRECTOR, HUMAN RESOURCES |
| EMPLOYER POC ADDRESS1 | LPHC, HUMAN RESOURCES |
| EMPLOYER POC ADDRESS2 | 4300 BOHANNON DRIVE, SUITE 250 |
| EMPLOYER POC CITY | MENLO PARK |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94025 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 6507252768 |
| EMPLOYER POC EMAIL | EVYAS@STANFORDCHILDRENS.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | SERAFINA |
| AGENT ATTORNEY FIRST NAME | SERAFINA |
| AGENT ATTORNEY MIDDLE NAME | RUTH |
| AGENT ATTORNEY ADDRESS1 | 285 BEACH PINES DRIVE |
| AGENT ATTORNEY ADDRESS2 | SUITE 200 |
| AGENT ATTORNEY CITY | APTOS |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95003 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 8316877005.0 |
| AGENT ATTORNEY EMAIL ADDRESS | SANDS@SERAFINALAW.COM |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF SERAFINA SANDS |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | LPCH |
| WORKSITE ADDRESS2 | 4100 Bohannon Drive |
| LCA CASE WORKLOC1 CITY | Menlo Park |
| WORKSITE COUNTY | San Mateo |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94025 |
| LCA CASE WAGE RATE FROM | 130811.0 |
| LCA CASE WAGE RATE TO | 211224.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104686.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | SANDS |
| PREPARER FIRST NAME | SERAFINA |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | LAW OFFICE OF SERAFINA SANDS |
| PREPARER EMAIL | SANDS@SERAFINALAW.COM |
