| LCA CASE NUMBER | I-200-21051-090219 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-19 |
| DECISION DATE | 2021-02-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief Financial Officer |
| SOC CODE | 11-3031.00 |
| SOC TITLE | Financial Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-02 |
| END DATE | 2024-03-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | KS Management Services, LLC |
| TRADE NAME DBA | Kelsey Seybold Clinic |
| EMPLOYER ADDRESS1 | 11511 Shadow Creek Parkway |
| EMPLOYER CITY | Pearland |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77584 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17134425300 |
| NAICS CODE | 541611 |
| EMPLOYER POC LAST NAME | Vollmers |
| EMPLOYER POC FIRST NAME | Craig |
| EMPLOYER POC JOB TITLE | Vice President, Human Resources |
| EMPLOYER POC ADDRESS 1 | 11511 Shadow Creek Parkway |
| EMPLOYER POC CITY | Pearland |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77584 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17134425300 |
| EMPLOYER POC EMAIL | craig.vollmers@kelsey-seybold.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Pangilinan |
| AGENT ATTORNEY FIRST NAME | Don |
| AGENT ATTORNEY MIDDLE NAME | Lacsina |
| AGENT ATTORNEY ADDRESS1 | 930 Montgomery Street |
| AGENT ATTORNEY ADDRESS2 | Suite 502 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94133 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18009742691 |
| AGENT ATTORNEY EMAIL ADDRESS | donpangilinan@levin-immigration.com |
| LAWFIRM NAME BUSINESS NAME | Philip Levin and Associates Prof. Corp. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 11511 Shadow Creek Parkway |
| LCA CASE WORKLOC1 CITY | Pearland |
| WORKSITE COUNTY | BRAZORIA |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 77584 |
| LCA CASE WAGE RATE FROM | 195000 |
| LCA CASE WAGE RATE TO | 400000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 190029 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Pangilinan |
| PREPARER FIRST NAME | Don |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Philip Levin and Associates |
| PREPARER EMAIL | donpangilinan@levin-immigration.com |
