| LCA CASE NUMBER | I-203-23236-292141 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-08-24 |
| DECISION DATE | 2023-08-31 |
| VISA CLASS | E-3 Australian |
| LCA CASE JOB TITLE | Administrator |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-24 |
| END DATE | 2025-08-20 |
| 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 | Golden Oak Holdings LLC |
| TRADE NAME DBA | Vasona Creek Healthcare Center |
| EMPLOYER ADDRESS1 | 16412 Los Gatos Blvd |
| EMPLOYER CITY | Los Gatos |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95032 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18016186313 |
| NAICS CODE | 62311 |
| EMPLOYER POC LAST NAME | Tanner |
| EMPLOYER POC FIRST NAME | Katie |
| EMPLOYER POC JOB TITLE | Senior Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 262 N. University Avenue |
| EMPLOYER POC CITY | Farmington |
| EMPLOYER POC STATE | UT |
| EMPLOYER POC POSTAL CODE | 84025 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18016186313 |
| EMPLOYER POC EMAIL | Katie.Tanner@pacs.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Stevenson |
| AGENT ATTORNEY FIRST NAME | Shanon |
| AGENT ATTORNEY MIDDLE NAME | R. |
| AGENT ATTORNEY ADDRESS1 | 1230 Peachtree St NE |
| AGENT ATTORNEY ADDRESS2 | Suite 3300 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14042405842 |
| AGENT ATTORNEY EMAIL ADDRESS | sstevenson@fisherphillips.com |
| LAWFIRM NAME BUSINESS NAME | Fisher & Phillips LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 16412 Los Gatos Blvd |
| LCA CASE WORKLOC1 CITY | Los Gatos |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95032 |
| LCA CASE WAGE RATE FROM | 120000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 88109 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
