| LCA CASE NUMBER | I-200-22236-435203 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-24 |
| DECISION DATE | 2022-08-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Server Software Engineer |
| SOC CODE | 15-1252.00 |
| SOC TITLE | Software Developers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-26 |
| END DATE | 2025-09-25 |
| 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 | Hazel Health, Inc. |
| EMPLOYER ADDRESS1 | 118 2nd Street |
| EMPLOYER ADDRESS2 | Floor 6 |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17073968439 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Abraham |
| EMPLOYER POC FIRST NAME | Timothy |
| EMPLOYER POC JOB TITLE | Director of People Operations |
| EMPLOYER POC ADDRESS1 | 118 2nd Street |
| EMPLOYER POC ADDRESS2 | Floor 6 |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17073968439 |
| EMPLOYER POC EMAIL | tabraham@hazel.co |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Beckerson |
| AGENT ATTORNEY FIRST NAME | Christopher |
| AGENT ATTORNEY MIDDLE NAME | G. |
| AGENT ATTORNEY ADDRESS1 | 456 Montgomery Street |
| AGENT ATTORNEY ADDRESS2 | 19th Floor |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14154341161 |
| AGENT ATTORNEY PHONE EXT | 27 |
| AGENT ATTORNEY EMAIL ADDRESS | monica@jspvisa.com |
| LAWFIRM NAME BUSINESS NAME | Jewell Stewart & Pratt PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10495 NE 4th Street |
| WORKSITE ADDRESS2 | #603 |
| LCA CASE WORKLOC1 CITY | Bellevue |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98004 |
| LCA CASE WAGE RATE FROM | 175000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 148013 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Khuu |
| PREPARER FIRST NAME | Monica |
| PREPARER BUSINESS NAME | Jewell Stewart & Pratt PC |
| PREPARER EMAIL | monica@jspvisa.com |
