\ H1B CASE NUMBER I-200-21147-349833



CASE NUNBER: I-200-21147-349833

LCA CASE NUMBERI-200-21147-349833
STATUSCertified - Withdrawn
LCA CASE SUBMIT2021-05-27
DECISION DATE2023-09-11
ORIGINAL CERT DATE2021-06-04
VISA CLASSH-1B
LCA CASE JOB TITLESenior Applications Analyst
SOC CODE15-1121.00
SOC TITLEComputer Systems Analysts
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-05-31
END DATE2024-05-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER1
AMENDED PETITION0
LCA CASE EMPLOYER NAMEDelta Dental Of California
EMPLOYER ADDRESS1560 Mission Street
EMPLOYER ADDRESS213th Floor
EMPLOYER CITYSan Francisco
EMPLOYER STATECA
EMPLOYER POSTAL CODE94105
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE14159728300
NAICS CODE524114
EMPLOYER POC LAST NAMELE
EMPLOYER POC FIRST NAMEERIC
EMPLOYER POC JOB TITLEPeople Services Program Manager
EMPLOYER POC ADDRESS111155 International Drive
EMPLOYER POC CITYRancho Cordova
EMPLOYER POC STATECA
EMPLOYER POC POSTAL CODE95670
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE14159728300
EMPLOYER POC EMAILele@delta.org
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEBAHNAN
AGENT ATTORNEY FIRST NAMENADINE
AGENT ATTORNEY MIDDLE NAMEKHAMIS
AGENT ATTORNEY ADDRESS1555 MONTGOMERY STREET
AGENT ATTORNEY ADDRESS24TH FLOOR
AGENT ATTORNEY CITYSAN FRANCISCO
AGENT ATTORNEY STATECA
AGENT ATTORNEY POSTAL CODE94111
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE14159861446
AGENT ATTORNEY EMAIL ADDRESSNBAHNAN@FRAGOMEN.COM
LAWFIRM NAME BUSINESS NAMEFRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP
STATE OF HIGHEST COURTCA
NAME OF HIGHEST STATE COURTSUPREME COURT
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11333 Broadway
LCA CASE WORKLOC1 CITYOakland
WORKSITE COUNTYALAMEDA
LCA CASE WORKLOC1 STATECA
WORKSITE POSTAL CODE94612
LCA CASE WAGE RATE FROM121306
LCA CASE WAGE RATE TO135000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE121306
PW UNIT OF PAYYear
PW WAGE LEVELIII
PW OES YEAR7/1/2020 - 6/30/2021
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEBAHNAN C#5743112
PREPARER FIRST NAMENADINE
PREPARER MIDDLE INITIALK
PREPARER BUSINESS NAMEFRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP
PREPARER EMAILNBAHNAN@FRAGOMEN.COM