| LCA CASE NUMBER | I-200-21008-003784 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-08 |
| DECISION DATE | 2021-01-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | ETL DEVELOPER |
| SOC CODE | 15-1132.00 |
| SOC TITLE | Software Developers, Applications |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-12 |
| END DATE | 2022-09-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | CALIFORNIA CREATIVE SOLUTIONS, INC. |
| EMPLOYER ADDRESS1 | 13475 DANIELSON STREET SUITE 220 |
| EMPLOYER CITY | POWAY |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92064 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18582084131 |
| NAICS CODE | 541511 |
| EMPLOYER POC LAST NAME | CASTILLO |
| EMPLOYER POC FIRST NAME | JETHER JIREH |
| EMPLOYER POC JOB TITLE | IMMIGRATION AND COMPLIANCE MANAGER |
| EMPLOYER POC ADDRESS 1 | 13475 DANIELSON STREET SUITE 220 |
| EMPLOYER POC CITY | POWAY |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92064 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18582084131 |
| EMPLOYER POC EMAIL | IMMIGRATION@CCSGLOBALTECH.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GERVACIO |
| AGENT ATTORNEY FIRST NAME | GLADYS |
| AGENT ATTORNEY MIDDLE NAME | V |
| AGENT ATTORNEY ADDRESS1 | 15925 CARMENITA ROAD |
| AGENT ATTORNEY CITY | CERRITOS |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90703 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15622291220 |
| AGENT ATTORNEY EMAIL ADDRESS | BENJAMIN.FORTUNA@CHUGH.COM |
| LAWFIRM NAME BUSINESS NAME | CHUGH LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | AIM SPECIALTY HEALTH (HOME LOCATION) |
| WORKSITE ADDRESS1 | 9120 MACARTHUR DR. APT. 2G |
| LCA CASE WORKLOC1 CITY | DES PLAINES |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60016 |
| LCA CASE WAGE RATE FROM | 42.23 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 42.23 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | Both $60,000 or higher in annual wage and Masters Degree or higher in related specialty |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | FORTUNA |
| PREPARER FIRST NAME | BENJAMIN |
| PREPARER BUSINESS NAME | CHUGH LLP |
| PREPARER EMAIL | BENJAMIN.FORTUNA@CHUGH.COM |
