| LCA CASE NUMBER | I-200-21055-099781 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-02-24 |
| DECISION DATE | 2021-12-13 |
| ORIGINAL CERT DATE | 2021-03-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | IT ServiceNow Systems Administrator |
| SOC CODE | 15-1199.09 |
| SOC TITLE | Information Technology Project Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-04 |
| END DATE | 2024-06-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | ICU Medical, Inc. |
| EMPLOYER ADDRESS1 | 951 Calle Amanecer |
| EMPLOYER CITY | San Clemente |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92673 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19493663581 |
| NAICS CODE | 3391 |
| EMPLOYER POC LAST NAME | Chila |
| EMPLOYER POC FIRST NAME | Ricci |
| EMPLOYER POC MIDDLE NAME | Jocelyn Lugo |
| EMPLOYER POC JOB TITLE | Human Resources Business Partner |
| EMPLOYER POC ADDRESS1 | 951 Calle Amanecer |
| EMPLOYER POC CITY | San Clemente |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92673 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19493663581 |
| EMPLOYER POC EMAIL | ricci.chila@icumed.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Robinson |
| AGENT ATTORNEY FIRST NAME | Jenna |
| AGENT ATTORNEY MIDDLE NAME | Joanne |
| AGENT ATTORNEY ADDRESS1 | 18401 Von Karman Avenue |
| AGENT ATTORNEY CITY | Irvine |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92612 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19492610209 |
| AGENT ATTORNEY EMAIL ADDRESS | JRobinson@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 951 Calle Amanecer |
| LCA CASE WORKLOC1 CITY | San Clemente |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92673 |
| LCA CASE WAGE RATE FROM | 103022.5 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 85987 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 Business |
| PREPARER LAST NAME | Mostoufi |
| PREPARER FIRST NAME | Golnoosh |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | golnooshmostoufi@fragomen.com |
