| LCA CASE NUMBER | I-200-16341-764894 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 12/8/2016 |
| DECISION DATE | 12/14/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/1/2017 |
| EMPLOYMENT END DATE | 12/31/2019 |
| LCA CASE EMPLOYER NAME | STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES |
| EMPLOYER BUSINESS DBA | DSHS |
| EMPLOYER ADDRESS | 1115 WASHINGTON STREET SE |
| EMPLOYER CITY | OLYMPIA |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98504-5830 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 3609027687 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | LOWY, OHAD |
| AGENT ATTORNEY CITY | OLYMPIA |
| AGENT ATTORNEY STATE | WA |
| LCA CASE JOB TITLE | INFORMATION TECHNOLOGY SPECIALIST 5 |
| SOC CODE | 15-1133 |
| SOC NAME | SOFTWARE DEVELOPERS, SYSTEMS SOFTWARE |
| NAICS CODE | 923130 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 82,728.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | N/A |
| PW SOURCE | CBA |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | COLLECTIVE BARGAINING AGREEMENT |
| LCA CASE WAGE RATE FROM | 82,728.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | OLYMPIA |
| WORKSITE COUNTY | THURSTON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98504 |
