| LCA CASE NUMBER | I-200-22101-057052 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2022-04-11 |
| DECISION DATE | 2022-12-05 |
| ORIGINAL CERT DATE | 2022-04-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Data Warehouse Developer |
| SOC CODE | 15-1141.00 |
| SOC TITLE | Database Administrators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-13 |
| END DATE | 2025-09-12 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | SCAN Group |
| EMPLOYER ADDRESS1 | 3800 KILROY AIRPORT WAY |
| EMPLOYER ADDRESS2 | SUITE 100 |
| EMPLOYER CITY | LONG BEACH |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90806 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15629894469 |
| NAICS CODE | 524114 |
| EMPLOYER POC LAST NAME | RODRIGUEZ |
| EMPLOYER POC FIRST NAME | ERICA |
| EMPLOYER POC JOB TITLE | People Relations Manager |
| EMPLOYER POC ADDRESS1 | 3800 KILROY AIRPORT WAY |
| EMPLOYER POC ADDRESS2 | SUITE 100 |
| EMPLOYER POC CITY | LONG BEACH |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90806 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15629894435 |
| EMPLOYER POC EMAIL | ERodriguez2@scanhealthplan.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | HO |
| AGENT ATTORNEY FIRST NAME | AMY |
| AGENT ATTORNEY ADDRESS1 | 444 SOUTH FLOWER STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 500 |
| AGENT ATTORNEY CITY | LOS ANGELES |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90071 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13108203322 |
| AGENT ATTORNEY EMAIL ADDRESS | kiande.phillips@FRAGOMEN.COM |
|
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CALIFORNIA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3800 Kilroy Airport Way |
| WORKSITE ADDRESS2 | Suite 100 |
| LCA CASE WORKLOC1 CITY | Long Beach |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90806 |
| LCA CASE WAGE RATE FROM | 105000 |
| LCA CASE WAGE RATE TO | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104229 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Phillips |
| PREPARER FIRST NAME | Kiande |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | kiande.phillips@fragomen.com |
