| LCA CASE NUMBER | I-200-20303-892264 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-29 |
| DECISION DATE | 2020-11-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Practice Innovation Manager |
| SOC CODE | 13-1081.00 |
| SOC TITLE | Logisticians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-11-01 |
| END DATE | 2023-10-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Providence St. John's Medical Foundation |
| EMPLOYER ADDRESS1 | 2020 Santa Monica Blvd |
| EMPLOYER ADDRESS2 | 3rd Floor |
| EMPLOYER CITY | Santa Monica |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90404 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13108298424 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Jeanes |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC MIDDLE NAME | S. |
| EMPLOYER POC JOB TITLE | Immigration Program Manager |
| EMPLOYER POC ADDRESS 1 | 1801 Lind Ave SW, Pariseau Building |
| EMPLOYER POC ADDRESS 2 | 2nd Floor |
| EMPLOYER POC CITY | Renton |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98057 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14255253954 |
| EMPLOYER POC EMAIL | maria.jeanes@providence.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Vo |
| AGENT ATTORNEY FIRST NAME | Betsy |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 1801 Lind Avenue SW |
| AGENT ATTORNEY ADDRESS2 | Pariseau Bldg 2nd Floor |
| AGENT ATTORNEY CITY | Renton |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98057 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14255253940 |
| AGENT ATTORNEY EMAIL ADDRESS | betsy.vo@providence.org |
| LAWFIRM NAME BUSINESS NAME | Providence Health & Services |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2020 Santa Monica Blvd. |
| WORKSITE ADDRESS2 | 3rd Floor |
| LCA CASE WORKLOC1 CITY | Santa Monica |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90404 |
| LCA CASE WAGE RATE FROM | 73674 |
| LCA CASE WAGE RATE TO | 95098 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 73674 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Vo |
| PREPARER FIRST NAME | Betsy |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Providence Health & Services |
| PREPARER EMAIL | betsy.vo@providence.org |
